Healing Lodge First Face Training Evaluation Study

Addiction Clinical Trial

Official title:

Healing Lodge First Face Training Evaluation Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06290180
• Other study ID #: 13632
• Secondary ID: 1S06GM146095
• Status: Recruiting
• Phase: N/A
• Start date: April 4, 2024
• Est. completion date: March 31, 2025

Study information

• Verified date: May 2024
• Source: Cambridge Health Alliance
• Contact: Melinda Bowman, EdD
• Phone: (509) 795-8342
• Email: melindab[@]healinglodge.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: March 31, 2025
• Est. primary completion date: March 31, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

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

Related Conditions & MeSH terms

• Addiction
• Behavior, Addictive
• Depression/Anxiety
• Psychological Trauma
• Self-harm
• Trauma, Psychological

Intervention

Behavioral:
• First Face for Mental Heatlh
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.

Locations

Country	Name	City	State
United States	Healing Lodge of the Seven Nations	Spokane Valley	Washington

Sponsors (2)

Lead Sponsor	Collaborator
Cambridge Health Alliance	National Institute of General Medical Sciences (NIGMS)

Country where clinical trial is conducted

United States, 

References & Publications (2)

Talbot JA, Ziller EC, Szlosek DA. Mental Health First Aid in Rural Communities: Appropriateness and Outcomes. J Rural Health. 2017 Jan;33(1):82-91. doi: 10.1111/jrh.12173. Epub 2016 Jan 28. — View Citation

Watson AC, Miller FE, Lyons JS. Adolescent attitudes toward serious mental illness. J Nerv Ment Dis. 2005 Nov;193(11):769-72. doi: 10.1097/01.nmd.0000185885.04349.99. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Attitudes Towards Serious Mental Illness - Adolescent Version	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.	Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training
Primary	First Face knowledge assessment	This is a 12-question quiz testing participants' knowledge of concepts taught in the First Face training. The investigators will score each response as correct or incorrect and sum scores (possible range = 0-12) on each occasion. Higher scores indicate better knowledge of First Face concepts.	Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training
Primary	Perceived Competence to Respond	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.	Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training
Secondary	Satisfaction with Training	Three items administered immediately post-training asking about (1) satisfaction with training (from 1 ("very dissatisfied") to 7 ("very satisfied")), with higher scores indicating greater satisfaction; (2) intended professional use of the information (from 1 ("not at all") to 4 ("to a great extent")) with higher scores indicating greater likelihood of using the training; and (3) intended personal use of the information (from 1 ("not at all") to 4 ("to a great extent")) with higher scores indicating higher likelihood of using the training.	Post-training (i.e. immediately after training)
Secondary	Use of First Face learnings in professional/personal life	This is a novel 2-question instrument asking about use of First Face learnings in professional or personal life, including self-reported skill use (for those who indicate they have used their First Face training) and barriers (for those who indicate that they have not used their First Face training).	3-months post-training
Secondary	Intended Use of First Face learnings in professional/personal life	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. They will do the same for their personal life.	Post-training (i.e. immediately after training)