Native Spirit: Significant Aim 3: Intervention
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-17
SponsorArizona State University
About this trial
The proposed research will used community-based participatory research methods in an urban-based American Indian (AI) community to adapt, implement, and evaluate an after-school program, called Native Spirit (NS), that seeks to improve cultural identity, self-esteem, resilience, and prevent substance use by increasing cultural engagement. Prior research suggests that AI youth that are culturally engaged experience better health outcomes. Additionally, the use of culturally-specific after-school programs has been shown to increase feasibility and sustainability of prevention programs. In order to achieve the goals of this proposed study, the Principal Investigator (PI) will work with local community members and existing tribal partners to implement the 10-session culturally-grounded after-school program and evaluate the program with the following aims:
Specific Aim 3 (R00): Examine the effectiveness of NS (increases exposure to local cultural values and activities), a program that seeks to prevent or decrease substance use by strengthening self-esteem, resilience, and cultural identity with 2 Indigenous communities in Arizona using a wait-list control design with 3 data collection timepoints and participant interviews.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
English-speaking
Currently in grade 7-12 at time of enrollment
Member of the Salt River Pima Maricopa Indian Community (SRPMIC) OR member of the Pascua Yaqui Tribe (PYT)
Engaged in after school programs.
Disqualifiers
None
Trial design
Design model
Crossover
Treatments tested in this trial
Native Spirit After-School Program
BehavioralNative Spirit is a culturally-grounded after-school program that is community-specific. The program is 10-sessions/weeks long and each session is 1.5-2 hours in duration. Each session is guided by a local cultural knowledge holder and is focused on a different cultural value and accompanying cultural practice. Native Spirit aims to promote self-esteem, cultural efficacy, awareness of cultural connectedness, and resilience while preventing and/or slow down the initiation of substance use.
Treatment groups
60 Participants
are divided into 2 treatment groupsGroup A: Intervention GroupExperimental treatment 1 intervention
Group B: Wait-List GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Past 30-Day Substance Use
Data collection will focus on recent, self-reproted (past 30-day) use frequency of alcohol, cigarettes/e- cigarettes, marijuana, and other hard drugs (crystal methamphetamine, cocaine, etc.). The survey will also include a qualifying question on lifetime use of the following substances in order to measure delay of onset of use (in the case that participants have never used any of the measured substances).
Time frame
Baseline, Immediately Post-Invervention, 3 months follow-up post-intervention2
Rosenberg Self-Esteem Scale
Self-Reported measure of self-esteem using the Rosenberg self-esteem scale. The is scored by totaling the individual 4-point items after reverse-scoring the negatively worded items with a minimum score of 10 and maximum score of 40. Higher scores indicate a better outcome (stronger sense of self-esteem).
Time frame
Baseline, Immediately Post-Invervention, 3 months follow-up post-intervention3
Child and Youth Resilience Measure
Self-Reported measure of resilience using the Child and Youth Resilience Measure. The items within the measures can be directly summed to gain a total score of an individual's resilience. Responses are on a 5-point Likert scale (going from 1-5), the minimum score is 17 and the maximum score is 85. Higher scores indicate a better outcome (stronger sense of resilience).
Time frame
Baseline, Immediately Post-Invervention, 3 months follow-up post-intervention4
Cultural Efficacy
Self-Reported measure of cultural efficacy. This is on a 5-point Likert scale with a minimum score of 8 and maximum score of 40. Higher scores indicate a better outcome (cultural efficacy).
Time frame
Baseline, Immediately Post-Invervention, 3 months follow-up post-interventionSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov