Clinical trial NCT04096937: Journey of Hope in Appalachia: Supporting Resilience in the Region's Youth
Official title: Journey of Hope in Appalachia: Supporting Resilience in the Region's Youth
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Adverse Childhood Experiences
Keywords: Resilience
Appalachian youth
Community-based participatory research
Lead sponsor: University of Kentucky
Sponsor class: OTHER
Collaborators: name: West Virginia University
First posted: 2019-09-20
Enrollment: 42
Sex: ALL
Minimum age (years): 10
Maximum age (years): 99
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Youth of Appalachia Kentucky and West Virginia and adults who are parents of youth or are stakeholders in the health and well-being of Appalachian youth.

Brief summary: Rural youth have heightened exposure to adverse childhood experiences (ACES) such as poverty, social isolation, chronic hunger, and drug use in the home. These threats can lead to downstream problems with emotion regulation, substance abuse, and heightened vulnerability to chronic disease. Resilience is the capacity to adapt positively in the face of such disadvantage. Youth resilience interventions can buffer the negative effects of ACES. Unfortunately, rural schools and other youth-serving agencies often have inadequate capacity to provide such interventions. Thus, there is a critical need to develop cost-effective, sustainable, and culturally-relevant youth resilience interventions that can be delivered by trained personnel with dedicated time and resources. WVU, UK, and Save The Children have a long-term goal to establish a sustained community-engaged research partnership to promote resilience in Appalachian youth. This is a community-based participatory research (CBPR)-guided study being conducted for the purpose of developing a culturally relevant, intervention to promote Appalachian youth resilience. The intervention, called Journey of Hope in Appalachia (JOHA), has as it's starting point Save The Children's evidence-based Journey of Hope (JOH) program that targets youth experiencing acute stress from natural disasters and similar events. This program will be culturally adapted to promote resilience among Appalachian youth experiencing ACES. JOHA will incorporate positive aspects of Appalachian culture (e.g., storytelling, theater, music) and will be designed for sustainability and eventual dissemination by Save through the Appalachian Translational Research Network (ATRN) and other regional Networks.


Eligibility criteria: Inclusion Criteria:

* Youth or adults who are residents of Appalachia
* Able to read and speak in English

Exclusion Criteria:

* Youth or adults who are not residents of Appalachia Kentucky or West Virginia
* Children under the age of 10

Primary outcomes:
measure: Number of themes
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Hazard
country: United States
facility: University of Kentucky, Center of Excellence in Rural Health
state: Kentucky
city: Morgantown
country: United States
facility: West Virginia University
state: West Virginia
Study officials:
affiliation: University of Kentucky
name: Gia Mudd-Martin, PhD
role: PRINCIPAL_INVESTIGATOR
References: