Skip to main content
OpenTrials
Completed

NCT Number: NCT06781736

Talking Circle for Native American Youth

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".

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Mental Health Wellness 1 Behavior Behavior, Health Behavioral Symptoms Emotional Stress Health Behavior Personal Satisfaction Psychological Well-Being Stress, Psychological

Age range

10 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

United Keetoowah Band of Cherokee Indians in Oklahoma

Tahlequah, Oklahoma, 74464, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

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

Treatment and study plan

Talking Circle intervention

Behavioral

Talking Circle intervention

Primary outcomes

  1. Native Reliance Questionnaire (NRQ)

    Time frame: Baseline and 3 month post-intervention

    24-items rated on a 5-point Likert scale to evaluate the presence of Native Reliance cultural identity; (minimum score of 24; maximum score of 120); higher score indicates a better outcome

  2. Global Assessment of Individual Needs-Quick (GAIN-Q)

    Time frame: Baseline and 3 month post-intervention

    Subscales: Anxiety (7-items), ( minimum score of 0; maximum score of 7; lower score indicates better outcome) Stress (20-items; minimum score of 0; maximum score of 20; lower score indiciates better outcome) and Substance Use (16-items; minimum score of 0; maximum score of 16; lower score indicates better outcome)

  3. Commercial Tobacco Use

    Time frame: baseline and 3 month post-intervention

    Global Youth Tobacco Survey (GYTS) a 43 item measure to assess key tobacco-control indicators, minimum score of 0; maximum score of 43 including use, cessation, and availability; lower score indicates better outcome

Secondary outcomes

  1. Depression

    Time frame: baseline and 3 month post-intervention

    Center for Epidemiologic Studies Depression Scale Revised (CESD-R-10) a 10 item measure of depressed affect used in samples of NA youth with good reliability and validity (minimum score of 6; maximum score of 24) higher score is a worse outcome and lower score is a better outcome

  2. Suicide Ideation

    Time frame: baseline and 3 month post-intervention

    Suicidal Ideation Questionnaire-Junior (SIQ-JR-15),15-items is rated on a 7-point scale indicating the frequency of suicidal thoughts, showing excellent validity and reliability, and an effective predictor of suicide risks in the Native American adolescent population (minimum score of 15 maximum score 105); the higher score indicates the greater risk of suicidal Ideation and lower score indicates lower risk of suicidal ideation.

Sponsors and collaborators

Lead sponsor

University of Texas at Austin

Other

Collaborators

  • National Center for Complementary and Integrative Health (NCCIH)
  • National Institutes of Health (NIH)

Registry information

Official study title

Talking Circle for Native American Youth Living Well (AYoLi)

Acronym: AYoLi

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jan 17, 2025
Registry last updated
Jan 20, 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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.