JOHA: Journey of Hope in Appalachia: Supporting Resilience in the Region's Youth
Study Details
Study Description
Brief 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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Appalachian adults Adults in Appalachia invested in well-being of youth. |
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.
|
| Appalachian youth Youth from 7th through 12th grade. |
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.
|
Outcome Measures
Primary Outcome Measures
- Number of themes [6 months]
Number of themes that emerge from the focus group data useful for guiding cultural tailoring of the Journey of Hope in Appalachia intervention.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Youth or adults who are residents of Appalachia
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Able to read and speak in English
Exclusion Criteria:
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Youth or adults who are not residents of Appalachia Kentucky or West Virginia
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Children under the age of 10
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Kentucky, Center of Excellence in Rural Health | Hazard | Kentucky | United States | 40536-0232 |
| 2 | West Virginia University | Morgantown | West Virginia | United States | 26506 |
Sponsors and Collaborators
- Gia Mudd
- West Virginia University
Investigators
- Principal Investigator: Gia Mudd-Martin, PhD, University of Kentucky
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 46776