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Completed

NCT Number: NCT06290180

Healing Lodge First Face Training Evaluation Study

The purpose of this study is to evaluate a culturally grounded training program, xaʔtus (meaning First Face) for Mental Health. This program will train community members in how to recognize and respond to youth and adults experiencing mental health crises and ways to serve as a bridge between these individuals and the help they need. All Healing Lodge staff are being asked to complete First Face training.

To evaluate First Face, the investigators will ask all trainees to complete surveys before and after training, and again 3 months later. These surveys will measure knowledge about mental health and addiction, as well as the ability and confidence to respond appropriately to mental health crises. The study will help the investigators understand whether the First Face training program influences mental health and attitudes, as well as responses to mental health crisis situations.

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Key information

Conditions

Addiction Anxiety Disorders Behavior Behavior, Addictive Behavioral Symptoms Chemically-Induced Disorders Compulsive Behavior Depression Depression/Anxiety Impulsive Behavior Mental Disorders Personal Satisfaction Psychological Trauma Psychological Well-Being Self-Harm Self-Injurious Behavior Stress Disorders, Traumatic Substance-Related Disorders Trauma and Stressor Related Disorders Trauma, Psychological

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Healing Lodge of the Seven Nations

Spokane Valley, Washington, 99212, United States

About this study

With funding from the National Institutes for Health, the investigators created First Face for Mental Health. First Face is a culturally-appropriate community-based mental health training that prepares trainees to provide assistance to someone having a mental health crisis. The more community members within Tribal nations who are trained in a culturally sensitive program to provide support to youth in recovery and members struggling with mental health problems or crises, the better positioned that community is to create a supportive recovery environment for its youth. The investigators are in the process of launching First Face trainings and evaluations among several Tribal communities. Additionally, they will be training staff from the Healing Lodge of the Seven Nations (HL) in the First Face program. This particular application concerns the evaluation of First Face training among HL staff. The investigators will measure primary and secondary outcomes at pre-training, post-training, and 3-month follow-up.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Employment at the Healing Lodge of the Seven Nations
  • Selection to participate in First Face for Mental Health training

Exclusion criteria

° Previous completion of First Face for Mental Health training

Treatment and study plan

First Face for Mental Heatlh

Behavioral

First Face for Mental Health is a culturally-appropriate community-based mental health training for lay persons and others that prepares learners to provide assistance to someone having a mental health crisis. The course takes approximately 8 hours to complete.

Primary outcomes

  1. Attitudes Towards Serious Mental Illness - Adolescent Version

    Time frame: Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

    The Attitudes Towards Serious Mental Illness - Adolescent Version (ATSMI-AV) is a validated 21-item self-report scale designed to measure attitudes towards mental illness. Participants respond on a 5-point Likert scale. The scale measures five aspects of mental health attitudes: threat, social construction/concern, wishful thinking, categorical thinking and out of control. The investigators will calculate an overall score as well as factor-specific scores, if they observe adequate internal reliability.

    Each item has response categories ranging from Completely disagree (coded as 1) to Completely agree (coded as 5), and a mean of all 21 items is calculated to create the scale. The scale has a possible range of 1 to 5 Higher scores indicate higher levels of stigma towards mental illness.

  2. First Face Knowledge Assessment

    Time frame: Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

    This is a 12-question quiz testing participants' knowledge of concepts taught in the First Face training. Some questions offer the opportunity to earn more than one point. The investigators will score each response as correct or incorrect and sum scores (possible range = 0-17) on each occasion. Higher scores indicate better knowledge of First Face concepts.

  3. Perceived Competence to Respond

    Time frame: Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

    A 10-item measure that taps respondents' confidence in their competence to respond to and help people experiencing mental health problems (i.e., Confidence in Recognizing, Intervening and Connecting Individual(s) with Resources Scale). Each response option has a possible range of 1 (Not at all confident) to 5 (Very confident), and a mean score will be calculated from all 10 items to yield a scale with a possible range of 1 to 5. Higher values indicate greater perceived competence respond to and help people experiencing mental health problems.

Secondary outcomes

  1. Satisfaction With Training

    Time frame: Post-training (i.e. immediately after training)

    One item administered immediately post-training asking about satisfaction with training (from 1 ("very dissatisfied") to 7 ("very satisfied")), with higher scores indicating greater satisfaction.

  2. Use of First Face Learnings

    Time frame: 3-months post-training

    Yes/no measure assessing whether participants used their training at all (in either personal or professional life) in the 3 months following training.

  3. Intended Use of First Face Learnings in Personal Life

    Time frame: Post-training (i.e. immediately after training)

    Participants will report how likely they are to use the First Face training in the personal life on a 4-point scale from Not at all to To a great extent.

  4. Intended Use of First Face Learnings in Professional Life

    Time frame: Post-training (i.e. immediately after training)

    Participants will report how likely they are to use the First Face training in the professional life on a 4-point scale from Not at all to To a great extent.

Sponsors and collaborators

Lead sponsor

Cambridge Health Alliance

Other

Collaborators

  • National Institute of General Medical Sciences (NIGMS)

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Mar 4, 2024
Registry last updated
Dec 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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