About this trial
This study aims to test the Returning to the Land intervention in partnership with a tribal community. The program is designed to address caregiver substance use and child emotional and behavioral development.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Reside on or near the Rocky Boy Reservation (~50-mile round trip);
Aged 14-19 years;
Parent or primary caregiver to at least one child who will be age 1-5 years at the start of the intervention.
Disqualifiers
Any condition preventing meaningful participation (e.g., lacking capacity to consent or planned relocation precluding attendance).
Trial design
Parallel
Treatments tested in this trial
Returning to the Land - Biodiverse Outdoor Setting
BehavioralReturning to the Land is a land-based healing substance misuse intervention for young Native American caregivers and the caregiver's children. The intervention will take place in a bio-diverse outdoor setting
Control
BehavioralThe control condition is the Returning to the Land program that takes place in an indoor classroom setting
Treatment groups
Trial outcomes
Primary outcomes
Child social-emotional functioning as assessed by the Brief Infant Toddler Social Emotional Assessment (BITSEA)
Caregivers will complete the Brief Infant Toddler Social Emotional Assessment (BITSEA) for children ages 12-18 months. The total BITSEA Problems Score is the sum of responses, score range from 0-62. Higher scores indicate poorer functioning.
Child social-emotional functioning as assessed by the Child Behavior Checklist (CBCL 11/2-5)
Caregivers will complete the Child Behavior Checklist (CBCL/1½-5) for children ages 18 months-5 years. Minimum score is 0, maximum score is 72. Higher scores indicates more of the behaviors.
Child social-emotional functioning as assessed by the Child Behavior Checklist (CBCL/6-18)
Caregivers will complete the Child Behavior Checklist (CBCL/6-18) for children who turn age 6 or older. Minimum score is 0, maximum score is 72. Higher scores indicates more of the behaviors.
Caregiver alcohol use
Measured using the Q-F substances \& screens. Scores rang from 0 to 450, with higher score indicating more drinks per day.
Sponsors and contacts
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Johns Hopkins Bloomberg School of Public Health
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator