University of Colorado Anschutz Medical Campus
Aurora, Colorado, 80045, United States
NCT Number: NCT02383225
This study involves adaptation, implementation, and rigorous evaluation of a family-based program designed to prevent early initiation of substance use on a Northern Plains Indian reservation. The program, Thiwáhe Gluwáš'akapi, is a cultural adaptation of the Iowa Strengthening Families Program for Parents and Youth 10-14. Youth and their parents/caregivers will participate in weekly group sessions for 7 weeks and complete pre- and post-intervention surveys assessing a variety of risk and protective factors and youth outcomes. The evaluation design will allow the assessment of the effectiveness of different components within the program.
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Notify Me10 year–85 year
All sexes
Interventional
Not applicable
Aurora, Colorado, 80045, United States
Feasibility Pilot
A feasibility pilot for the Thiwáhe Gluwáš'akapi (TG) program will be conducted in the Spring of 2015. In the pilot, the intervention will be delivered to two groups of youth and families and the implementation process will be carefully evaluated to determine what works well and where further adaptation of the intervention or the study procedures may be necessary. Particular attention will be paid to retention of families and, if possible, any who drop out will be interviewed to understand barriers to participation.
As with the intervention evaluation itself (see below) youth aged 10-14 will be recruited to participate, along with their parents and/or other adults (up to 3 adults per child) who are actively involved in raising them (e.g., grandparents, aunts, uncles). Pilot groups will be conducted in each of two different communities on the reservation.
Once the feasibility pilot is complete, the intervention will be finalized for efficacy evaluation. Tasks for this phase will include refining the manual for the intervention and further developing training materials for interventionists.
Implementation/Component Evaluation
The formal evaluation of TG will begin in the fall of 2015 and will utilize the principles of Multiphase Optimization Strategy (MOST; Collins et al., 2009) for intervention development and a fractional factorial design to evaluate the relative effectiveness of different components within the intervention. Three components will be evaluated: (1) A Lakota language enhancement (Lakota), (2) a Facebook social media enhancement (FB), and (3) substance use resistance skill content (SU). A total of 24 intervention groups will be randomly assigned to one of 4 MOST design conditions, with the content of each condition determined using SAS PROC FACTEX, as recommended by Collins, et al, 2009. All 4 conditions will consist of the basic TG program, each supplemented by one or more of 3 components designated above: Condition A will include the substance use resistance content (SU; no Lakota or FB); Condition B will include the FB social media supplement (FB; no Lakota or SU); Condition C will include the Lakota language enhancement (Lakota; no FB or SU); and Condition D will include all three components (Lakota + FB + SU).
A cumulative evidence design will be utilized, with the intervention implemented in 5 cohorts across 3 years. The intervention will be delivered to 4 groups (8 families each) in Cohort 1 in the fall of 2015. Additional cohorts will receive the intervention each fall and spring through 2017 as follows: Cohort 2, Spring 2016, 4 groups; Cohort 3, Fall 2016, 6 groups; Cohort 4, Spring 2017, 6 groups; and Cohort 5, Fall 2017, 4 groups. Thus, by the end of 2017, 24 intervention groups (each 8 families, total of 192 families) will have participated in the TG program. Cohorts will be randomly assigned to the 4 MOST design conditions in order to control for potential order of implementation effects.
Power analysis
Power analyses suggest that this design will result in adequate power (>.80) to detect a small effect (d=.15) with 48 families per condition; for the 4 conditions in the design, this will require a total of 192 families (not including 16 pilot families). TG, following Iowa Strengthening Families Program (ISFP) recommendations, will be delivered in family groups of 8 families each; thus, in order to involve 192 families, we plan a total of 24 intervention groups, with 6 in each the 4 experimental conditions. Each component targeted for evaluation will be implemented in 2 of the 4 conditions (see conditions A-B above), and estimates of each effect will thus be based on marginal Ns of 96 families. As is standard with MOST designs, there will not be a no-intervention control group nor will there be a group that receives every component. While this is a different approach than an randomized controlled trial (RCT) design, it is a rigorous and optimal approach for identifying the most effective components to include in an intervention. The intervention created using this process will be ready for a standard RCT evaluation, and more likely to be proven effective there.
Implementation evaluation
Fidelity across implementations will be ensured by using a detailed manual of procedures, providing extensive training for interventionists, and using fidelity logs to asses delivery of key session components. The intervention director, a clinical psychologist, will observe sessions periodically and verify the extent to which implementation is occurring with fidelity to the TG program manual.
Efficacy evaluation
The primary impetus for the development and implementation of the TG program is the desire to reduce risk for substance abuse problems among American Indian adolescents by preventing early initiation of substance use. Assessment of the success of the TG program components will hinge on observed impacts on substance use initiation and on the putative mediators of parental self-efficacy, strengthened family relationships, and cultural knowledge and values. Given the short timeline of the outcome evaluations (limited to 6 months post-intervention), effects on mediators are anticipated to stronger than distal effects on behavioral outcomes.
Measures
Measures used to assess study outcomes draw heavily from the investigators' previous research with young American Indian adolescents and their parents, and from previous evaluations of the Iowa Strengthening Families Program for Parents and Youth 10-14. Two instruments will be used to assess an array of outcomes expected to be affected by the TG intervention, along with demographic data: a Parent Survey (for parents and other caregivers participating in the TG program with youth), and a Youth Survey. Both the Parent Survey and Youth Survey will be administered electronically, using tablet computers connected to the Internet, with data uploaded directly. In addition, a Social Network Survey will be administered (either on an electronic tablet or on paper) to participating parents/caregivers; this survey is designed to assess the strength of the connections among participants in the program, both before and after participation in the program. A small number of participants (3-4) in each group assigned to the FaceBook condition will be asked to participate in Exit Interviews (by phone) to ascertain their use of and response to the social media messages provided between TG sessions. Data will also be captured from Facebook, including page visits, posts, and responses to online quizzes. Finally, participants will be asked to complete a Program Evaluation Form (Parent or Youth versions, on paper) at their last TG session, to provide feedback on the program and facilitators.
Data Collection Schedule
Time 1 - One week prior to the first TG session: Parent and Youth surveys (all participants).
Time 2 - First TG session: Social Network Surveys (adults).
Time 3 - One week after last TG session: Parent and Youth Surveys (all participants); Social Network Survey (adults)
Time 4 - Within two weeks after final TG session: FaceBook Exit Interviews (3-4 adult participants in each condition including the FaceBook supplement)
Time 5 - Approximately 6 months after the last TG session: Parent and Youth Surveys (all participants in the first two intervention cohorts)
Analyses
The simplest analyses for the evaluation of the TG program, using the MOST design, will involve analysis of variance (ANOVA), using the fractional factorial design described above, comparing post-intervention values (Time 3 and Time 5) on both mediators and outcomes across conditions (assuming that randomization across conditions will result in roughly equivalent pre-intervention values). Repeated measures ANOVA will also be performed, including both pre- and post-intervention measures, looking for interactions between time and condition. Finally, multivariate ANOVAs will be estimated for groups of outcome variables, to examine patterns of effects across outcomes. For all analyses, the focus will be on effect sizes (rather than significance tests and p values) to compare effect sizes across components to guide decisions about what should be retained in the optimized TG intervention. As noted above, standard errors will be adjusted to account for intraclass correlations and clustering of families within intervention groups. Analyses of the Social Network Measure will focus on assessing density and cohesion at the network level, to address two primary questions: First, do network characteristics at the beginning of the program (pre-existing relationships within intervention groups) modify the effect of the TG intervention within those groups and, second, do network characteristics change over the course of the TG intervention as new relationships are formed and existing relationships changed. Analyses will be conducted using UCINET or similar social network analysis software. Analyses of the Facebook data will be primarily descriptive, examining the frequency with which participants engage with the Facebook page for their TG group by posting comments, or responding to polls or quizzes. Exploratory analyses may be used to examine correlations between group rates of Facebook use and group-level outcomes, such as increased cohesion as measured by the Social Network Analysis. Analyses of Facebook Exit Interviews will be primarily notes-based content analysis and will involve three major stages of analysis: open coding, axial coding, and selective coding.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
This intervention component includes more extensive adaptation for Lakota families, focusing on use of Lakota language specifically around relationship/kinship terms. Study arms without this component will include the same adapted intervention but with use of English language rather than Lakota.
This intervention component includes a social media supplement to engage families outside of weekly intervention sessions and will include postings and polls for participating parents/other caregivers to complete between sessions.
This intervention component consists of the original substance use resistance skills training from the Iowa Strengthening Families Program for Parents and Youth 10-14; arms without this component will include a session on healthy eating and exercise (attention control).
Time frame: Baseline (1 week before program start)
Lifetime prevalence of alcohol use
Time frame: Post-intervention (1 week after program conclusion)
Lifetime prevalence of alcohol use
Time frame: Follow-up (6 months after program conclusion)
Lifetime prevalence of alcohol use
Time frame: Baseline (1 week before program start)
Mean frequency of past month alcohol use
Time frame: Post-intervention (1 week after program conclusion)
Mean frequency of past month alcohol use
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month alcohol use
Time frame: Baseline (1 week before program start)
Mean maximum quantity of past month alcohol consumption
Time frame: Post-intervention (1 week after program conclusion)
Mean maximum quantity of past month alcohol consumption
Time frame: Follow-up (6 months after program conclusion)
Mean maximum quantity of past month alcohol consumption
Time frame: Baseline (1 week before program start)
Mean age of first alcohol use
Time frame: Post-intervention (1 week after program conclusion)
Mean age of first alcohol use
Time frame: Follow-up (6 months after program conclusion)
Mean age of first alcohol use
Time frame: Baseline (1 week before program start)
Lifetime prevalence of cigarette use
Time frame: Post-intervention (1 week after program conclusion)
Lifetime prevalence of cigarette use
Time frame: Follow-up (6 months after program conclusion)
Lifetime prevalence of cigarette use
Time frame: Baseline (1 week before program start)
Mean frequency of past month cigarette use
Time frame: Post-intervention (1 week after program conclusion)
Mean frequency of past month cigarette use
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month cigarette use
Time frame: Baseline (1 week before program start)
Mean age of first cigarette use
Time frame: Post-intervention (1 week after program conclusion)
Mean age of first cigarette use
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month cigarette use
Time frame: Baseline (1 week before program start)
Lifetime prevalence of smokeless tobacco use
Time frame: Post-intervention (1 week after program conclusion)
Lifetime prevalence of smokeless tobacco use
Time frame: Follow-up (6 months after program conclusion)
Lifetime prevalence of smokeless tobacco use
Time frame: Baseline (1 week before program start)
Mean frequency of past month smokeless tobacco use
Time frame: Post-intervention (1 week after program conclusion)
Mean frequency of past month smokeless tobacco use
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month smokeless tobacco use
Time frame: Baseline (1 week before program start)
Mean age of first smokeless tobacco use
Time frame: Post-intervention (1 week after program conclusion)
Mean age of first smokeless tobacco use
Time frame: Follow-up (6 months after program conclusion)
Mean age of first smokeless tobacco use
Time frame: Baseline (1 week before program start)
Lifetime prevalence of e-cigarette use
Time frame: Post-intervention (1 week after program conclusion)
Lifetime prevalence of e-cigarette use
Time frame: Follow-up (6 months after program conclusion)
Lifetime prevalence of e-cigarette use
Time frame: Baseline (1 week before program start)
Mean frequency of past month e-cigarette use
Time frame: Post-intervention (1 week after program conclusion)
Mean frequency of past month e-cigarette use
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month e-cigarette use
Time frame: Baseline (1 week before program start)
Lifetime prevalence of marijuana use
Time frame: Post-intervention (1 week after program conclusion)
Lifetime prevalence of marijuana use
Time frame: Follow-up (6 months after program conclusion)
Lifetime prevalence of marijuana use
Time frame: Baseline (1 week before program start)
Mean frequency of past month marijuana use
Time frame: Post-intervention (1 week after program conclusion)
Mean frequency of past month marijuana use
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month marijuana us
Time frame: Baseline (1 week before program start)
Mean age of first marijuana use
Time frame: Post-intervention (1 week after program conclusion)
Mean age of first marijuana use
Time frame: Follow-up (6 months after program conclusion)
Mean age of first marijuana use
Time frame: Baseline (1 week before program start)
Lifetime prevalence of huffing
Time frame: Post-intervention (1 week after program conclusion)
Lifetime prevalence of huffing
Time frame: Follow-up (6 months after program conclusion)
Lifetime prevalence of huffing
Time frame: Baseline (1 week before program start)
Mean frequency of past month huffing
Time frame: Post-intervention (1 week after program conclusion)
Mean frequency of past month huffing
Time frame: Follow-up (6 months after program conclusion)
Mean frequency of past month huffing
Time frame: Baseline (1 week before program start)
Mean age of first huffing
Time frame: Post-intervention (1 week after program conclusion)
Mean age of first huffing
Time frame: Follow-up (6 months after program conclusion)
Mean age of first huffing
Time frame: baseline (1 week before program start)
Mean perceived consistency of parental discipline practices score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived consistency of parental discipline practices score
Time frame: follow-up (6 months after program conclusion)
Mean perceived consistency of parental discipline practices score
Time frame: baseline (1 week before program start)
Mean perceived parental standard setting score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parental standard setting score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parental standard setting score
Time frame: baseline (1 week before program start)
Mean perceived parental monitoring score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parental monitoring score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parental monitoring score
Time frame: baseline (1 week before program start)
Mean perceived parental positive affect score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parental positive affect score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parental positive affect score
Time frame: baseline (1 week before program start)
Mean perceived parental approval score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parental approval score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parental approval score
Time frame: baseline (1 week before program start)
Mean perceived parental negative affect score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parental negative affect score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parental negative affect score
Time frame: baseline (1 week before program start)
Mean perceived parent-child communication score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parent-child communication score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parent-child communication score
Time frame: baseline (1 week before program start)
Mean perceived parent-child communication about alcohol and drugs score
Time frame: post-intervention (1 week after program conclusion)
Mean perceived parent-child communication about alcohol and drugs score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parent-child communication about alcohol and drugs score
Time frame: baseline (1 week before program start)
Mean perceived enforcement of family rules score
Time frame: post-intervention (1 week after program conclusion); follow-up (6 months after program conclusion)
Mean perceived enforcement of family rules score
Time frame: follow-up (6 months after program conclusion)
Mean perceived enforcement of family rules score
Time frame: baseline (1 week before program start)
Mean perceived parental autonomy support score
Time frame: post-intervention (1 week after program conclusion); follow-up (6 months after program conclusion)
Mean perceived parental autonomy support score
Time frame: follow-up (6 months after program conclusion)
Mean perceived parental autonomy support score
Time frame: baseline (1 week before program start)
Count of parent-child shared activities
Time frame: post-intervention (1 week after program conclusion)
Count of parent-child shared activities
Time frame: follow-up (6 months after program conclusion)
Count of parent-child shared activities
Time frame: baseline (1 week before program start)
Mean family cohesion score
Time frame: post-intervention (1 week after program conclusion)
Mean family cohesion score
Time frame: follow-up (6 months after program conclusion)
Mean family cohesion score
Time frame: baseline (1 week before program start)
Mean family conflict resolution score
Time frame: post-intervention (1 week after program conclusion)
Mean family conflict resolution score
Time frame: follow-up (6 months after program conclusion)
Mean family conflict resolution score
Time frame: baseline (1 week before program start)
Mean family expressiveness score
Time frame: post-intervention (1 week after program conclusion)
Mean family expressiveness score
Time frame: follow-up (6 months after program conclusion)
Mean family expressiveness score
Time frame: baseline (1 week before program start)
Mean Lakota cultural socialization score
Time frame: post-intervention (1 week after program conclusion)
Mean Lakota cultural socialization score
Time frame: follow-up (6 months after program conclusion)
Mean Lakota cultural socialization score
Time frame: baseline (1 week before program start)
Mean disapproval of alcohol, tobacco, and marijuana score
Time frame: post-intervention (1 week after program conclusion)
Mean disapproval of alcohol, tobacco, and marijuana score
Time frame: follow-up (6 months after program conclusion)
Mean disapproval of alcohol, tobacco, and marijuana score
Time frame: baseline (1 week before program start)
Mean descriptive norms for alcohol, tobacco, and marijuana score
Time frame: post-intervention (1 week after program conclusion)
Mean descriptive norms for alcohol, tobacco, and marijuana score
Time frame: follow-up (6 months after program conclusion)
Mean descriptive norms for alcohol, tobacco, and marijuana score
Time frame: baseline (1 week before program start)
Mean antisocial behavior score
Time frame: post-intervention (1 week after program conclusion)
Mean antisocial behavior score
Time frame: follow-up (6 months after program conclusion)
Mean antisocial behavior score
Time frame: baseline (1 week before program start)
Mean prosocial behavior score
Time frame: post-intervention (1 week after program conclusion)
Mean prosocial behavior score
Time frame: follow-up (6 months after program conclusion)
Mean prosocial behavior score
Time frame: baseline (1 week before program start)
Mean deviant peer influences score
Time frame: post-intervention (1 week after program conclusion)
Mean deviant peer influences score
Time frame: follow-up (6 months after program conclusion)
Mean deviant peer influences score
Time frame: baseline (1 week before program start)
Mean prosocial peer influences score
Time frame: post-intervention (1 week after program conclusion)
Mean prosocial peer influences score
Time frame: follow-up (6 months after program conclusion)
Mean prosocial peer influences score
Time frame: baseline (1 week before program start)
Mean peer resistance skills score
Time frame: post-intervention (1 week after program conclusion)
Mean peer resistance skills score
Time frame: follow-up (6 months after program conclusion)
Mean peer resistance skills score
Time frame: baseline (1 week before program start)
Count of stressful events
Time frame: post-intervention (1 week after program conclusion)
Count of stressful events
Time frame: follow-up (6 months after program conclusion)
Count of stressful events
Time frame: baseline (1 week before program start)
Mean stress management skills score
Time frame: post-intervention (1 week after program conclusion)
Mean stress management skills score
Time frame: follow-up (6 months after program conclusion)
Mean stress management skills score
Time frame: baseline (1 week before program start)
Mean psychological well-being score
Time frame: post-intervention (1 week after program conclusion)
Mean psychological well-being score
Time frame: follow-up (6 months after program conclusion)
Mean psychological well-being score
Time frame: baseline (1 week before program start)
Count of correct Lakota kinship terms
Time frame: post-intervention (1 week after program conclusion)
Count of correct Lakota kinship terms
Time frame: follow-up (6 months after program conclusion)
Count of correct Lakota kinship terms
Time frame: baseline (1 week before program start)
Mean self-esteem score
Time frame: post-intervention (1 week after program conclusion)
Mean self-esteem score
Time frame: follow-up (6 months after program conclusion)
Mean self-esteem score
Time frame: baseline (1 week before program start)
Mean general parent-child communication score
Time frame: post-intervention (1 week after program conclusion)
Mean general parent-child communication score
Time frame: follow-up (6 months after program conclusion)
Mean general parent-child communication score
Time frame: baseline (1 week before program start)
Mean general parent-child communication about family issues score
Time frame: post-intervention (1 week after program conclusion)
Mean general parent-child communication about family issues score
Time frame: follow-up (6 months after program conclusion)
Mean general parent-child communication about family issues score
Time frame: baseline (1 week before program start)
Mean parent-child communication about alcohol and drugs score
Time frame: post-intervention (1 week after program conclusion)
Mean parent-child communication about alcohol and drugs score
Time frame: follow-up (6 months after program conclusion)
Mean parent-child communication about alcohol and drugs score
Time frame: baseline (1 week before program start)
Mean youth behavior score
Time frame: post-intervention (1 week after program conclusion)
Mean youth behavior score
Time frame: follow-up (6 months after program conclusion)
Mean youth behavior score
Time frame: baseline (1 week before program start)
Count of shared activities
Time frame: post-intervention (1 week after program conclusion)
Count of shared activities
Time frame: follow-up (6 months after program conclusion)
Count of shared activities
Time frame: baseline (1 week before program start)
Mean parental monitoring score
Time frame: post-intervention (1 week after program conclusion)
Mean parental monitoring score
Time frame: follow-up (6 months after program conclusion)
Mean parental monitoring score
Time frame: baseline (1 week before program start)
Mean family rules score
Time frame: post-intervention (1 week after program conclusion)
Mean family rules score
Time frame: follow-up (6 months after program conclusion)
Mean family rules score
Time frame: baseline (1 week before program start)
Mean substance use rules score
Time frame: post-intervention (1 week after program conclusion)
Mean substance use rules score
Time frame: follow-up (6 months after program conclusion)
Mean substance use rules score
Time frame: baseline (1 week before program start)
Mean parent discipline practices score
Time frame: post-intervention (1 week after program conclusion)
Mean parent discipline practices score
Time frame: follow-up (6 months after program conclusion)
Mean parent discipline practices score
Time frame: baseline (1 week before program start)
Mean other household member discipline practices score
Time frame: post-intervention (1 week after program conclusion)
Mean other household member discipline practices score
Time frame: follow-up (6 months after program conclusion)
Mean other household member discipline practices score
Time frame: baseline (1 week before program start)
Mean standard setting score
Time frame: post-intervention (1 week after program conclusion)
Mean standard setting score
Time frame: follow-up (6 months after program conclusion)
Mean standard setting score
Time frame: baseline (1 week before program start)
Mean parent-child conflict score
Time frame: post-intervention (1 week after program conclusion)
Mean parent-child conflict score
Time frame: follow-up (6 months after program conclusion)
Mean parent-child conflict score
Time frame: baseline (1 week before program start)
Mean parent support score
Time frame: post-intervention (1 week after program conclusion)
Mean parent support score
Time frame: follow-up (6 months after program conclusion)
Mean parent support score
Time frame: baseline (1 week before program start)
Mean parental positive affect score
Time frame: post-intervention (1 week after program conclusion)
Mean parental positive affect score
Time frame: follow-up (6 months after program conclusion)
Mean parental positive affect score
Time frame: baseline (1 week before program start)
Mean parental negative affect score
Time frame: post-intervention (1 week after program conclusion)
Mean parental negative affect score
Time frame: follow-up (6 months after program conclusion)
Mean parental negative affect score
Time frame: baseline (1 week before program start)
Mean parental anger management score
Time frame: post-intervention (1 week after program conclusion)
Mean parental anger management score
Time frame: follow-up (6 months after program conclusion)
Mean parental anger management score
Time frame: baseline (1 week before program start)
Mean parental self-efficacy
Time frame: post-intervention (1 week after program conclusion)
Mean parental self-efficacy
Time frame: follow-up (6 months after program conclusion)
Mean parental self-efficacy
Time frame: baseline (1 week before program start)
Mean family meetings score
Time frame: post-intervention (1 week after program conclusion)
Mean family meetings score
Time frame: follow-up (6 months after program conclusion)
Mean family meetings score
Time frame: baseline (1 week before program start)
Mean family cohesion score
Time frame: post-intervention (1 week after program conclusion
Mean family cohesion score
Time frame: follow-up (6 months after program conclusion)
Mean family cohesion score
Time frame: baseline (1 week before program start)
Mean family conflict resolution score
Time frame: post-intervention (1 week after program conclusion)
Mean family conflict resolution score
Time frame: follow-up (6 months after program conclusion)
Mean family conflict resolution score
Time frame: baseline (1 week before program start)
Mean family expressiveness score
Time frame: post-intervention (1 week after program conclusion)
Mean family expressiveness score
Time frame: follow-up (6 months after program conclusion)
Mean family expressiveness score
Time frame: baseline (1 week before program start)
Mean Lakota cultural socialization score
Time frame: post-intervention (1 week after program conclusion)
Mean Lakota cultural socialization score
Time frame: follow-up (6 months after program conclusion)
Mean Lakota cultural socialization score
Time frame: baseline (1 week before program start)
Mean Lakota parenting practices score
Time frame: post-intervention (1 week after program conclusion)
Mean Lakota parenting practices score
Time frame: follow-up (6 months after program conclusion)
Mean Lakota parenting practices score
Time frame: baseline (1 week before program start)
Count of correct Lakota kinship terms
Time frame: post-intervention (1 week after program conclusion)
Count of correct Lakota kinship terms
Time frame: follow-up (6 months after program conclusion)
Count of correct Lakota kinship terms
Time frame: baseline (1 week before program start)
Lifetime prevalence of alcohol use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of alcohol use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of alcohol use
Time frame: baseline (1 week before program start)
Mean frequency of past month alcohol use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month alcohol use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month alcohol use
Time frame: baseline (1 week before program start)
Mean usual quantity of past month alcohol consumption
Time frame: post-intervention (1 week after program conclusion)
Mean usual quantity of past month alcohol consumption
Time frame: follow-up (6 months after program conclusion)
Mean usual quantity of past month alcohol consumption
Time frame: baseline (1 week before program start)
Mean maximum quantity of past month alcohol consumption
Time frame: post-intervention (1 week after program conclusion)
Mean maximum quantity of past month alcohol consumption
Time frame: follow-up (6 months after program conclusion)
Mean maximum quantity of past month alcohol consumption
Time frame: baseline (1 week before program start)
Mean usual quantity of past month alcohol consumption
Time frame: post-intervention (1 week after program conclusion)
Mean usual quantity of past month alcohol consumption
Time frame: follow-up (6 months after program conclusion)
Mean usual quantity of past month alcohol consumption
Time frame: baseline (1 week before program start)
Mean frequency of past month alcohol intoxication
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month alcohol intoxication
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month alcohol intoxication
Time frame: baseline (1 week before program start)
Mean age of first alcohol use
Time frame: post-intervention (1 week after program conclusion)
Mean age of first alcohol use
Time frame: follow-up (6 months after program conclusion)
Mean age of first alcohol use
Time frame: baseline (1 week before program start)
Mean age of first alcohol intoxication
Time frame: post-intervention (1 week after program conclusion)
Mean age of first alcohol intoxication
Time frame: follow-up (6 months after program conclusion)
Mean age of first alcohol intoxication
Time frame: baseline (1 week before program start)
Lifetime prevalence of cigarette use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of cigarette use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of cigarette use
Time frame: baseline (1 week before program start)
Mean frequency and quantity of past month cigarette use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency and quantity of past month cigarette use
Time frame: follow-up (6 months after program conclusion)
Mean frequency and quantity of past month cigarette use
Time frame: baseline (1 week before program start)
Mean age of first cigarette use
Time frame: post-intervention (1 week after program conclusion)
Mean age of first cigarette use
Time frame: follow-up (6 months after program conclusion)
Mean age of first cigarette use
Time frame: baseline (1 week before program start)
Lifetime prevalence of smokeless tobacco use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of smokeless tobacco use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of smokeless tobacco use
Time frame: baseline (1 week before program start)
Mean frequency and quantity of past month smokeless tobacco use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency and quantity of past month smokeless tobacco use
Time frame: follow-up (6 months after program conclusion)
Mean frequency and quantity of past month smokeless tobacco use
Time frame: baseline (1 week before program start)
Mean age of first smokeless tobacco use
Time frame: post-intervention (1 week after program conclusion)
Mean age of first smokeless tobacco use
Time frame: follow-up (6 months after program conclusion)
Mean age of first smokeless tobacco use
Time frame: baseline (1 week before program start)
Lifetime prevalence of e-cigarette use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of e-cigarette use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of e-cigarette use
Time frame: baseline (1 week before program start)
Mean frequency of past month e-cigarette use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month e-cigarette use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month e-cigarette use
Time frame: baseline (1 week before program start)
Lifetime prevalence of marijuana use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of marijuana use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of marijuana use
Time frame: baseline (1 week before program start)
Mean frequency of past month marijuana use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month marijuana use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month marijuana use
Time frame: baseline (1 week before program start)
Mean age of first marijuana use
Time frame: post-intervention (1 week after program conclusion)
Mean age of first marijuana use
Time frame: follow-up (6 months after program conclusion)
Mean age of first marijuana use
Time frame: baseline (1 week before program start)
Lifetime prevalence of huffing/inhalant use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of huffing/inhalant use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of huffing/inhalant use
Time frame: baseline (1 week before program start)
Mean frequency of past month huffing/inhalant use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month huffing/inhalant use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month huffing/inhalant use
Time frame: baseline (1 week before program start)
Mean age of first huffing/inhalant use
Time frame: post-intervention (1 week after program conclusion)
Mean age of first huffing/inhalant use
Time frame: follow-up (6 months after program conclusion)
Mean age of first huffing/inhalant use
Time frame: baseline (1 week before program start)
Lifetime prevalence of non-prescription painkiller use
Time frame: post-intervention (1 week after program conclusion
Lifetime prevalence of non-prescription painkiller use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of non-prescription painkiller use
Time frame: baseline (1 week before program start)
Mean frequency of past month non-prescription painkiller use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month non-prescription painkiller use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month non-prescription painkiller use
Time frame: baseline (1 week before program start)
Lifetime prevalence of stimulant use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of stimulant use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of stimulant use
Time frame: baseline (1 week before program start)
Mean frequency of past month huffing/inhalant use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month huffing/inhalant use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month huffing/inhalant use
Time frame: baseline (1 week before program start)
Lifetime prevalence of sedative use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of sedative use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of sedative use
Time frame: baseline (1 week before program start)
Mean frequency of past month sedative use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month sedative use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month sedative use
Time frame: baseline (1 week before program start)
Lifetime prevalence of heroin use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of heroin use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of heroin use
Time frame: baseline (1 week before program start)
Mean frequency of past month heroin use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month heroin use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month heroin use
Time frame: baseline (1 week before program start)
Lifetime prevalence of methamphetamine use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of methamphetamine use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of methamphetamine use
Time frame: baseline (1 week before program start)
Mean frequency of past month methamphetamine use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month methamphetamine use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month methamphetamine use
Time frame: baseline (1 week before program start)
Lifetime prevalence of hallucinogen use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of hallucinogen use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of hallucinogen use
Time frame: baseline (1 week before program start)
Mean frequency of past month hallucinogen use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month hallucinogen use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month hallucinogen use
Time frame: baseline (1 week before program start)
Lifetime prevalence of club drug use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of club drug use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of club drug use
Time frame: baseline (1 week before program start)
Mean frequency of past month club drug use
Time frame: post-intervention (1 week after program conclusion)
Mean frequency of past month club drug use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month club drug use
Time frame: baseline (1 week before program start)
Lifetime prevalence of cocaine/crack use
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of cocaine/crack use
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of cocaine/crack use
Time frame: baseline (1 week before program start)
Mean frequency of past month cocaine/crack use
Time frame: follow-up (6 months after program conclusion)
Mean frequency of past month cocaine/crack use
Time frame: baseline (1 week before program start)
Lifetime prevalence of HIV risk behavior
Time frame: post-intervention (1 week after program conclusion)
Lifetime prevalence of HIV risk behavior
Time frame: follow-up (6 months after program conclusion)
Lifetime prevalence of HIV risk behavior
Time frame: baseline (1 week before program start)
Mean psychological distress score
Time frame: post-intervention (1 week after program conclusion)
Mean psychological distress score
Time frame: follow-up (6 months after program conclusion)
Mean psychological distress score
Time frame: baseline (1 week before program start)
Mean life satisfaction score
Time frame: post-intervention (1 week after program conclusion)
Mean life satisfaction score
Time frame: follow-up (6 months after program conclusion)
Mean life satisfaction score
University of Colorado, Denver
Other
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