JOT: Journey of Transformation
Study Details
Study Description
Brief Summary
The investigators will conduct a waitlist control trial to test the efficacy of the Journey of Transformation-Native Youth Health Leadership Program (JOT) in terms of delaying or reducing tobacco and other substance use and improving sexual health.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Immediate group Study participants in the immediate group will be randomly assigned to start the intervention immediately at the beginning of the fall trimester. |
Behavioral: Journey of Transformation-Native Youth Health Leadership Program curriculum
Curriculum activities will include traditional storytelling and other Native American cultural arts activities (i.e., drum making, film making), as well as Traditional Ecological Knowledge (TEK) activities and field trips. Curriculum content explains leadership skills and promotes healthy decision-making around substance use and sexual health.
|
| Experimental: Waitlist group Study participants in the waitlist group will be randomly assigned to start the intervention at the beginning of the winter trimester. |
Behavioral: Journey of Transformation-Native Youth Health Leadership Program curriculum
Curriculum activities will include traditional storytelling and other Native American cultural arts activities (i.e., drum making, film making), as well as Traditional Ecological Knowledge (TEK) activities and field trips. Curriculum content explains leadership skills and promotes healthy decision-making around substance use and sexual health.
|
Outcome Measures
Primary Outcome Measures
- Change in patterns of 30 day substance use assessed by self-report [Baseline to 3 month (post-intervention) follow-up; Baseline to 6 month follow-up; Baseline to 8 month follow-up; Baseline to 12-month follow-up (immediate group only)]
Patterns of substance use (Monitoring the Future [MTF] 30-day self-report assessed on an ordinal scale [0 occasions, 1-2 occasions, 3-5 occasions, 6-9 occasions, 10-19 occasions, 20-39 occasions, 40 or more occasions]). Substances include tobacco, alcohol, marijuana, stimulants, inhalants, opioids, and other drugs.
- Change in sexual behavior assessed by the Adolescent Sexual Activity Index (ASAI) [Baseline to 3 month (post-intervention) follow-up; Baseline to 6 month follow-up; Baseline to 8 month follow-up; Baseline to 12-month follow-up (immediate group only)]
The Adolescent Sexual Activity Index (ASAI) is a 13-item index which assesses pre-coitus sexual behaviors and produces an 11-point scale from 0-10 (Hansen et al., 1999).
Secondary Outcome Measures
- Change in intentions to use alcohol, cigarettes, and marijuana in the next year (assessed by Monitoring the Future [MTF]) [Baseline to 3 month (post-intervention) follow-up; Baseline to 6 month follow-up; Baseline to 8 month follow-up; Baseline to 12-month follow-up (immediate group only)]
Assess intention to use alcohol, cigarettes, and marijuana in the next year (3 items) on a 5-point scale (I have already tried [substance], I definitely will, I probably will, I probably will not, I definitely will not). Scores are summed and standardized on a scale of 0 to 100 percent.
- Change in the Specific Event Drug and Alcohol Refusal Self-Efficacy (SEDARE) Measure [Baseline to 3 month (post-intervention) follow-up; Baseline to 6 month follow-up; Baseline to 8 month follow-up; Baseline to 12-month follow-up (immediate group only)]
The Specific Event Drug and Alcohol Refusal Self-Efficacy (SEDARE) measure captures the perceived likelihood that youth will use drugs and alcohol in specific situations on a 3-point scale (Yes, No, Unsure). Higher scores reflect higher perceived ability to refuse alcohol or drugs.
- Change in the Health Belief Model-Intentions for Safer Sex Intentions (HBMI) (Lux & Petosa, 1994) [Baseline to 3 month (post-intervention) follow-up; Baseline to 6 month follow-up; Baseline to 8 month follow-up; Baseline to 12-month follow-up (immediate group only)]
7 items will be used to predict safer sex intentions on a 5-point Likert scale (strongly agree to strongly disagree, where 1 is strongly agree).
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Between 13 years of age and 16 years of age
-
Attending an off-reservation boarding school in the ninth grade at time of enrollment
Exclusion Criteria:
-
Under 13 years old, or over 16 years old
-
Does not attend an off-reservation boarding school in the ninth grade at time of enrollment
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Washington | Seattle | Washington | United States | 98105 |
Sponsors and Collaborators
- University of Washington
- National Institute on Drug Abuse (NIDA)
- Elderberry Wisdom Farm
Investigators
- Principal Investigator: Teresa A Evans-Campbell, MSW, PhD, University of Washington
Study Documents (Full-Text)
None provided.More Information
Publications
- Belgrave FZ, Reed MC, Plybon LE, Corneille M. The impact of a culturally enhanced drug prevention program on drug and alcohol refusal efficacy among urban African American girls. J Drug Educ. 2004;34(3):267-79.
- Hansen WB, Paskett ED, Carter LJ. The Adolescent Sexual Activity Index (ASAI): a standardized strategy for measuring interpersonal heterosexual behaviors among youth. Health Educ Res. 1999 Aug;14(4):485-90.
- Miech, Richard A., Johnston, Lloyd D., Bachman, Jerald G., O'Malley, Patrick M., Schulenberg, John E., and Patrick, Megan E. Monitoring the Future: A Continuing Study of American Youth (8th- and 10th-Grade Surveys), 2020. Inter-university Consortium for Political and Social Research [distributor], 2021-10-26. https://doi.org/10.3886/ICPSR38189.v1
- National Institute on Drug Abuse, University of Michigan, Institute for Social Research. (2016). Monitoring the Future, 2016 (Combined Forms - Part B). Ann Arbor, MI: Institute for Social Research, University of Michigan.
- Petosa R, Jackson K. Using the health belief model to predict safer sex intentions among adolescents. Health Educ Q. 1991 Winter;18(4):463-76.
- STUDY00012676
- 1R01DA050521-01A1