Journey of Hope in Appalachia: Supporting Resilience in the Region's Youth

Adverse Childhood Experiences Clinical Trial

— JOHA  

Official title:

Journey of Hope in Appalachia: Supporting Resilience in the Region's Youth

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04096937
• Other study ID #: 46776
• Status: Completed
• Start date: May 1, 2021
• Est. completion date: March 22, 2022

Study information

• Verified date: November 2022
• Source: University of Kentucky
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Rural youth have heightened exposure to adverse childhood experiences (ACES) such as poverty, social isolation, chronic hunger, and drug use in the home. These threats can lead to downstream problems with emotion regulation, substance abuse, and heightened vulnerability to chronic disease. Resilience is the capacity to adapt positively in the face of such disadvantage. Youth resilience interventions can buffer the negative effects of ACES. Unfortunately, rural schools and other youth-serving agencies often have inadequate capacity to provide such interventions. Thus, there is a critical need to develop cost-effective, sustainable, and culturally-relevant youth resilience interventions that can be delivered by trained personnel with dedicated time and resources. WVU, UK, and Save The Children have a long-term goal to establish a sustained community-engaged research partnership to promote resilience in Appalachian youth. This is a community-based participatory research (CBPR)-guided study being conducted for the purpose of developing a culturally relevant, intervention to promote Appalachian youth resilience. The intervention, called Journey of Hope in Appalachia (JOHA), has as it's starting point Save The Children's evidence-based Journey of Hope (JOH) program that targets youth experiencing acute stress from natural disasters and similar events. This program will be culturally adapted to promote resilience among Appalachian youth experiencing ACES. JOHA will incorporate positive aspects of Appalachian culture (e.g., storytelling, theater, music) and will be designed for sustainability and eventual dissemination by Save through the Appalachian Translational Research Network (ATRN) and other regional Networks.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 42
• Est. completion date: March 22, 2022
• Est. primary completion date: March 22, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 10 Years to 99 Years

Eligibility

Inclusion Criteria:

• Youth or adults who are residents of Appalachia

• Able to read and speak in English

Exclusion Criteria:

• Youth or adults who are not residents of Appalachia Kentucky or West Virginia

• Children under the age of 10

Related Conditions & MeSH terms

• Adverse Childhood Experiences

Intervention

Other:
• Focus groups
Focus groups will be conducted with adult stakeholders and with youth in Appalachia. Feedback from the focus groups will guide cultural tailoring of the Journey of Hope in Appalachia intervention for use in a later phase.

Locations

Country	Name	City	State
United States	University of Kentucky, Center of Excellence in Rural Health	Hazard	Kentucky
United States	West Virginia University	Morgantown	West Virginia

Sponsors (2)

Lead Sponsor	Collaborator
Gia Mudd	West Virginia University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of themes	Number of themes that emerge from the focus group data useful for guiding cultural tailoring of the Journey of Hope in Appalachia intervention.	6 months