Substance Use Clinical Trial
Official title:
Intertribal Talking Circle for the Prevention of Substance Abuse in Native Youth
This project will evaluate an after-school substance abuse prevention intervention, compared
to a standard substance abuse education program, targeting 6th grade AI youth in three AI
communities: Ojibwe/Chippewa in Minnesota, Choctaw in Oklahoma, and Lumbee in North Carolina.
A community-based participatory research approach will be used to culturally and
technologically adapt the intervention. A two-condition controlled study will evaluate the
efficacy of the intervention to increase AI youth Native self-reliance while decreasing AI
youth substance use involvement. An adult training program second level intervention study
will also be implemented to train tribal personnel from the three regional tribes on how to
implement the intervention as a tribal program beyond the study period.
Effectiveness will be determined by a small partial cross-over randomized trial comparing the
intervention to a wait-list control condition. Process evaluations will focus on the future
adoption and implementation of the intervention, and recommendations for sustainable
adaptations.
The proposed study will consist of a 5-year plan: Year 1 has been completed and consisted of
strengthening and extending community partnerships in each community and collecting data that
will inform the cultural adaptation and tailoring of the intervention; Years 2, 3, and 4 will
entail implementation by using a two-condition controlled study in which the culturally
competent intervention is compared to standard care; and Year 5 will consist of final data
collection, analysis of results, dissemination of results to local communities, and
finalization of a sustainability plan for each Tribe.
Participants in the proposed study will consist of 540 male and female American Indian 6th
grade students who represent at least three different Tribes - Choctaw, Ojibwe/ Chippewa, and
Lumbee, in three different regions of the U.S. Participants will also include 70 tribal
personnel (adults 18 and over) who be trained to implement the intervention in Years 3 & 4 of
the project. Finally, 15-20 stakeholders and community partnership members will be
interviewed at various stages of this project.
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