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".
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
20
Talking Circle intervention
United Keetoowah Band of Cherokee Indians in Oklahoma
Tahlequah, Oklahoma, United States
Native Reliance Questionnaire (NRQ)
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
Time frame: Baseline and 3 month post-intervention
Global Assessment of Individual Needs-Quick (GAIN-Q)
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)
Time frame: Baseline and 3 month post-intervention
Commercial Tobacco Use
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
Time frame: baseline and 3 month post-intervention
Depression
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
Time frame: baseline and 3 month post-intervention
Suicide Ideation
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.
Time frame: baseline and 3 month post-intervention
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