Gii'Igoshimong: Sitting With Your First Family

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorJohns Hopkins Bloomberg School of Public Health

About this trial

The goal of this randomized wait-list control study is to understand the relationship between ceremony and substance use (SU), SU risk (e.g., SU severity, depressive symptoms) and protective factors (e.g., spirituality, community support). The main questions it aims to answer are:

* Will adults enrolled in Gii'igoshimong show improved SU outcomes compared to those in control groups? * Will self-relevant processing networks activated during stimulus engagement increase from pre- to post- engagement in ceremony and at 6-month follow-up?

Researchers will compare adults that complete Gii'igoshimong with those that do not complete Gii'igoshimong to see if health outcomes are different.

After completing baseline assessments, participants will be randomized to complete Gii'igoshimong now (intervention) or after the participants have completed the 1 month and 6-month post assessments (waitlist control). All participants (intervention and waitlist control) within a cohort will complete 1 month and 6 month post assessments at the same time.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Are 18 years of age or older,

Self-identify as Ojibwe/Anishinaabe/Chippewa,

Self-report using any kind of substances in the past 30 days,

Have no history of head injury with loss of consciousness,

Disqualifiers

Younger than18 years of age

Does not Self-identify as Ojibwe/Anishinaabe/Chippewa,

Does not self-report using any kind of substances in the past 30 days,

Has history of head injury with loss of consciousness,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ceremony

    Other intervention

    Lifecourse ceremony led by Elders that used to be offered to everyone prior to colonization

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: CeremonyExperimental treatment 1 intervention
Group B: Waitlist controlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Days of substance use assessed by Timeline Follow Back (TLFB)

Days of substance use

Time frame
baseline, 1 month, 6 month
2

Flourishing Scale

Score range: 8-40; lower score means higher Positive mental health

Time frame
baseline, 1 month, 6 month
3

Late Positive Potential (LPP) quantified as the average EEG response in microvolts to adjectives in the Self-referential Processing Task

Larger magnitude LPP (i.e., higher microvolts) indicates larger attention engagement

Time frame
baseline, 1 month, 6 month

Secondary outcomes

1

Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)

Score range: 0-27; lower score is indicative of lower risk

Time frame
baseline, 1 month, 6 month
2

Center for Epidemiologic Studies Depression Scale (CESDR-10)

Scale range: 0-40; lower score = lower depression

Time frame
baseline, 1 month, 6 month
3

General Anxiety Disorder-7 (GAD-7)

Scale range: 7-28; lower scores indicates lower anxiety

Time frame
baseline, 1 month, 6 month
4

Self-rated (physical, mental, spiritual) health

Adapted from the Composite International Diagnostic Interview; Score ranges 1-5 for physical health; Score ranges 1-5 for mental health; Score ranges 1-5 for spiritual health; lower score is better

Time frame
baseline, 1 month, 6 month

Other outcomes

1

Oslo Social Support Scale (OSSS)

Scale range: 3-14; higher score is better

Time frame
baseline, 1 month, 6 month
2

Cultural efficacy

Adapted from Native Wellness Assessment; Score range: 20-28; lower score is better

Time frame
baseline, 1 month, 6 month
3

Traditional Spiritual Activities score

Score range: 12-24; lower score is better

Time frame
baseline, 1 month, 6 month
4

Spiritual Values score

Score range: 1-4; lower score is better

Time frame
baseline, 1-month post, 6-month post

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Johns Hopkins Bloomberg School of Public Health

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator