Intertribal Talking Circle for the Prevention of Substance Abuse in Native Youth

• ClinicalTrials.gov Identifier: NCT03086434
• Recruitment Status: Completed
• First Posted: March 22, 2017
• Last Update Posted: February 7, 2020
• Sponsor: Florida State University
• Collaborators: Northern Arizona University; Choctaw Nation of Oklahoma; University of North Carolina; University of Minnesota
• Information provided by (Responsible Party): Florida State University

Study Description

Brief Summary:

This project will evaluate an after-school substance abuse prevention intervention, compared to a standard substance abuse education program, targeting 6th grade AI youth in three AI communities: Ojibwe/Chippewa in Minnesota, Choctaw in Oklahoma, and Lumbee in North Carolina.

A community-based participatory research approach will be used to culturally and technologically adapt the intervention. A two-condition controlled study will evaluate the efficacy of the intervention to increase AI youth Native self-reliance while decreasing AI youth substance use involvement. An adult training program second level intervention study will also be implemented to train tribal personnel from the three regional tribes on how to implement the intervention as a tribal program beyond the study period.

Effectiveness will be determined by a small partial cross-over randomized trial comparing the intervention to a wait-list control condition. Process evaluations will focus on the future adoption and implementation of the intervention, and recommendations for sustainable adaptations.

Condition or disease	Intervention/treatment	Phase
Substance Use	Other: Culturally Tailored Intervention; Other: Standard Substance Abuse Education	Not Applicable

Detailed Description:

The proposed study will consist of a 5-year plan: Year 1 has been completed and consisted of strengthening and extending community partnerships in each community and collecting data that will inform the cultural adaptation and tailoring of the intervention; Years 2, 3, and 4 will entail implementation by using a two-condition controlled study in which the culturally competent intervention is compared to standard care; and Year 5 will consist of final data collection, analysis of results, dissemination of results to local communities, and finalization of a sustainability plan for each Tribe.

Participants in the proposed study will consist of 540 male and female American Indian 6th grade students who represent at least three different Tribes - Choctaw, Ojibwe/ Chippewa, and Lumbee, in three different regions of the U.S. Participants will also include 70 tribal personnel (adults 18 and over) who be trained to implement the intervention in Years 3 & 4 of the project. Finally, 15-20 stakeholders and community partnership members will be interviewed at various stages of this project.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 630 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Primary Purpose: Prevention
• Official Title: Intertribal Talking Circle for the Prevention of Substance Abuse in Native Youth
• Actual Study Start Date: May 2014
• Actual Primary Completion Date: September 2019
• Actual Study Completion Date: September 29, 2019

Arms and Interventions

Arm	Intervention/treatment
Experimental: Culturally tailored intervention; The participants of the experimental condition will receive the intervention in a talking circle format. They will meet for 10 weekly 50 minute sessions.	Other: Culturally Tailored Intervention; School-based substance use prevention
Active Comparator: Standard Substance Abuse Education; The control condition participants are assigned to the standard substance abuse education program which is delivered in a classroom format format. They will meet for 10 weekly 50 minute classroom sessions.	Other: Standard Substance Abuse Education; Class room program

Outcome Measures

Primary Outcome Measures :

1. Substance Use [ Time Frame: Change overtime at baseline, 6 months, 12 months ]
   Self-report to substance use

Secondary Outcome Measures :

1. Native Self-Reliance [ Time Frame: Change overtime at baseline, 6 months, 12 months ]
   Cultural identity

Eligibility Criteria

• Ages Eligible for Study: 10 Years to 55 Years (Child, Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• Inclusion criteria for youth participants include:
• AIl students enrolled in the 6th grade at each of the 3 regions
• Active parental consent
• Student willingness to participate and signed assent. Inclusion criteria for adult participants include: adults over 18 years of age currently employed as personnel, educators, and counselors at tribal schools among the three regions.

Exclusion Criteria:

• Exclusion criteria include students who are not identified as American Indian, no active parental consent, and no signed assent.

Contacts and Locations

Sponsors and Collaborators

Florida State University

Northern Arizona University

Choctaw Nation of Oklahoma

University of North Carolina

University of Minnesota

Investigators

• Principal Investigator: John Lowe, PhD; Florida State University

More Information

• Responsible Party: Florida State University
• ClinicalTrials.gov Identifier: NCT03086434
• Other Study ID Numbers: 2017.19687
• First Posted: March 22, 2017
• Last Update Posted: February 7, 2020
• Last Verified: August 2018

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Yes
• Plan Description: This study and project will be presented to the other researchers and at national conferences and submitted for publication after study completion.

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Florida State University:

Culturally tailored intervention; American Indian early adolescents; Prevention of substance use

Additional relevant MeSH terms:

Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders