Clinical trial NCT06781736: Talking Circle for Native American Youth
Official title: Talking Circle for Native American Youth Living Well (AYoLi)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Health Wellness 1
Behavior, Health
Emotional Stress
Keywords: mental well-being
emotional well-being
behavioral well-being
Lead sponsor: University of Texas at Austin
Sponsor class: OTHER
Collaborators: name: National Institutes of Health (NIH)
name: National Center for Complementary and Integrative Health (NCCIH)
First posted: 2025-01-17
Enrollment: 20
Sex: ALL
Minimum age (years): 10
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Mental Health Wellness (mental, emotional and behavioral health issues)
Primary purpose: PREVENTION

Brief summary: Native American youth have higher rates of depression and lifetime major depressive episodes, and, by age 11, are more likely to have initiated alcohol and substance use than any other racial/ethnic group. The COVID19 pandemic only compounded this suffering--anxiety, stress, depression, substance use, and suicide related mental health disorders skyrocketed in many Native American communities, especially among youth. Though many are desperate for help, treatment options are scarce to non-existent. To meet this urgent need, our overarching objective is to leverage the empirically proven, highly effective, school based, Talking Circle intervention to promote the mental, emotional, and behavioral (MEB) health of geographically diverse (rural, urban) Native American youth. This study, "Talking Circle for Native American Youth Living Well (A Yo Li)" uses a Community Based Participatory Research (CBPR) approach to evaluate Talking Circle effectiveness, partnering with the United Keetoowah Band (UKB) of Cherokee Indians Tribe in Oklahoma, with members living in two geographically diverse areas, Adair County (rural), and Tulsa City (urban). "A Yo Li" in the UKB tribal language means "youth".

Detailed description: Specific aims for Phase 1 (UG3) include:

UG3 Aim 1. To inform adaptation of the school-based Talking Circle intervention, a Community Partnership Committee (CPC) of UKB members will be developed to conduct a needs/asset mapping process to assess the needs, priorities, and resources for MEB health of UKB youth, paying special attention to the nuances of cultural difference between rural and urban UKB communities in Oklahoma.

UG3 Aim 2. To conduct a Talking Circle intervention Facilitator Training Program with rural and urban UKB tribal community members to catalyze capacity building and sustainability for future intervention.

UG3 Aim 3. To pilot the adapted evidenced-based Talking Circle intervention for the promotion of MEB health among (N=20) 10 to 12 year-olds UKB youth in Oklahoma.

Eligibility criteria: Inclusion Criteria:

* Native American students
* English speakers
* Read and write English
* At risk for mental health and behavioral health issues

Exclusion Criteria:

* Not Native American
* Non-English speakers
* Not able to read and write English
* Not at risk for mental health or behavioral health issues

Primary outcomes:
measure: Native Reliance Questionnaire (NRQ)
timeFrame: Baseline and 3 month post-intervention
measure: Global Assessment of Individual Needs-Quick (GAIN-Q)
timeFrame: Baseline and 3 month post-intervention
measure: Commercial Tobacco Use
timeFrame: baseline and 3 month post-intervention
Secondary outcomes:
measure: Depression
timeFrame: baseline and 3 month post-intervention
measure: Suicide Ideation
timeFrame: baseline and 3 month post-intervention
Other outcomes:
Locations:
city: Tahlequah
country: United States
facility: United Keetoowah Band of Cherokee Indians in Oklahoma
state: Oklahoma
Study officials:
References: