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Talking Circle for Native American Youth Living Well (AYoLi) (AYoLi)

10 augusti 2026 uppdaterad av: Melessa Kelley
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 American Indians in Texas at the Spanish Colonial Missions (AIT-SCM) in Central Texas.

Studieöversikt

Detaljerad beskrivning

The UH3 will now continue with a new site in Central Texas the American Indian Texas-Spanish Colonial Mission Tribes (AIT-SCM). This study will test the effectiveness of the Talking Circle intervention primarily for increasing Native-Reliance, and reducing anxiety, stress, depression, and substance use (alcohol, drugs, commercial tobacco,), and secondarily for suicide ideation, among rural and urban Native American youth, ages 10-12 via a cluster randomized trial with a 2 (intervention v. wait-list control) x 2 (rural v. urban) factorial design across three timepoints (baseline, 3-months, 6-months). For youth assigned to the intervention group, Native Reliance will increase more, and anxiety, stress, substance use (alcohol, drugs, commercial tobacco) and suicide ideation will decrease significantly more across the 3 measurement occasions (baseline, 3 months post-intervention, 6 months post-intervention) than for youth assigned to the control group. This study will also examine whether primary and secondary outcomes differ by location (rural vs urban), and the extent to which the intervention's impact on outcomes is moderated by location.

Studietyp

Interventionell

Inskrivning (Beräknad)

200

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Texas
      • San Antonio, Texas, Förenta staterna, 78207
        • American Indians In Texas at the Spanish Colonial Missions

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn

Tar emot friska volontärer

Ja

Beskrivning

Participant criteria include Native American students in 5th or 6th grade (ages 10-12) and part of one of the Urban or Rural School After School Programs (5 Urban and 5 Rural).

Inclusion Criteria includes:

  • Native American students enrolled in the 5th and 6th grades
  • English-speaking
  • Able to read and write English
  • Willingness to provide Assent
  • Not part of another Mental, Emotional or Behavioral Health Program

Exclusion Criteria includes

  • Not Native American or in 5th or 6th grades,
  • Non-English speakers,
  • Unable to read and write English
  • Unwillingness to provide Assent
  • Part of another Mental, Emotional or Behavioral Health Program

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Faktoriell uppgift
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Talking Circle Intervention Group
The intervention group is receiving the talking circle intervention.
The intervention group is receiving a 10-week manual-based guide delivered in a talking circle format. A talking circle is a sacred space for youth to share information with a group in a respectful way. This instructional guide includes cultural materials as well as healthy ways to cope with and manage stress.
Övrig: Wait-List Control Group
Mental Health
The wait-list control group will receive general education materials on mental, emotional, and behavioral wellness as well as healthy ways to cope and manage stress. The wait-list control group will receive the talking circle intervention at the completion of the 10 weeks.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Native Reliance Questionnaire
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Native Reliance Questionnaire is a cultural derived self-report instrument measuring self-reliance (or cultural identity), using a five-point Likert scale (1-5) varying from strongly disagree to strongly agree with a minimum score of 24 and a maximum score of 120. A higher score indicates a better outcome or a strong connection to self-reliance cultural identity.
Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Global Assessment of Individual Needs-Quick (GAIN-Q)- Sources of Stress Index
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Global Assessment of Individual Needs-Quick (GAIN-Q) sources of stress scale is a self-report and brief assessment designed for use in diverse settings. This assessment includes questions on general life problems such as sources of stress and health distress. The sources of stress index, is a 13-item scale used to measure stress and includes a score of 0 to 13 with a minimum score of 0 and a maximum score of 13. A higher score indicates higher sources or stress or a worse outcome.
Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Generalized Anxiety Disorder-7 (GAD-7)
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention

The Generalized Anxiety Disorder-7 (GAD-7) is a brief self-report instrument used to evaluate anxiety using a 3-point Likert scale of 0 to 3. All 7 items are added together to create a total score. This scale has a score of 0 to 30, with 0 being the minimum score and 30 being the maximum score. Further evaluation is recommended when the score is 10 or greater. A higher score indicates a worse outcome and higher anxiety.

disorder

Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Center for Epidemiologic Studies Depression Scale Revised-10 (CESD-R-10)
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Center for Epidemiologic Studies Depression Scale-Revised-10 (CESD-R-10) is a 10-item self-reported instrument used to measure depression. Items are summed to create a total score of 30. The total score is calculated by finding the sum of 10 items. The scale has a score of 0 to 30 with a minimum score of 0 and a maximum score of 30. Any score equal to or above 10 is considered a worse outcome and defined as depressed.
Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Global Youth Commercial Tobacco-Survey
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Global Youth Commercial Tobacco Survey is a self-reported instrument measuring tobacco. In this survey we are utilizing 13-items with a score of 0 to 13 with a minimum score of 0 and a maximum score of 13. A higher score indicates a worse outcome and a higher use of commercial tobacco products.
Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Suicidal Ideation Questionnaire-Junior-15
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Suicidal Ideation will be measured using the 15-item scale. Each item is rated on a 7-point scale to indicate the frequency of having suicidal thoughts.
Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
Global Assessment of Needs Assessment-Q Substance Use Scale
Tidsram: Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention
The Global Assessment of Needs Assessment-Q Substance Use scale is a sub-scale used to measure substance use. For this study, we are utilizing 14 items with a score of 0 to 14, with a minimum score of 0 and a maximum score of 14. A higher score indicates a worse outcome and higher substance use.
Baseline, 3-Month Post-Intervention and 6-Month-Post-Intervention

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Pediatric Symptom Checklist-17 (PSC-17) is a pre-screening tool
Tidsram: Baseline prior to start of the Intervention
The Pediatric Symptom Checklist is being used as a pre-screening tool. The Pediatric Symptom Checklist-17 is not meant to be used as a diagnostic tool. It includes a 17-item checklist. Each of the 17 items is rated as "NEVER" (0), "SOMETIMES" (1), or "OFTEN" (2). The total score is the sum of these ratings ranging from 0 to 34, with a minimum score of 0 and a maximum score of 34. A higher score is a worse outcome and may indicate impairment in psycho-social functioning, which may include cognitive, emotional, and behavioral problems. Higher scores suggest that individuals may be 'at risk' and require further assessment by a qualified health professional.
Baseline prior to start of the Intervention

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Utredare

  • Studierektor: Jennifer N Baumgartner, PhD, National Center for Complementary and Integrative Health (NCCIH)
  • Huvudutredare: John R Lowe, PhD, RN, University of Texas at Austin

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

23 juni 2026

Primärt slutförande (Beräknad)

31 december 2028

Avslutad studie (Beräknad)

31 augusti 2029

Studieregistreringsdatum

Först inskickad

29 juli 2026

Först inskickad som uppfyllde QC-kriterierna

29 juli 2026

Första postat (Faktisk)

5 augusti 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

12 augusti 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

10 augusti 2026

Senast verifierad

1 augusti 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • STUDY00004266-02
  • UH3AT012547 (U.S.S. NIH-anslag/kontrakt)

Plan för individuella deltagardata (IPD)

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NEJ

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