Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
176 participants
INTERVENTIONAL
2023-04-28
2027-04-30
Brief Summary
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Detailed Description
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Recruitment strategies:
The following Recruitment strategies will be used: posting flyers, posters and brochures in stores, community centers, and other locations identified by our community advisors; and posting flyers in the tribal newspaper, school newsletters, tribal gathering areas, tribal health fairs, pow wows, local boys and girls clubs, youth centers, other local news outlets, and on a study webpage.
Screening:
* Participants will mainly be screened in-person, some may be screened over phone using the same talking points.
* Youth who are screened out will be given a community resource list.
* If a person is eligible, but declines to participate, they will be given a brief one-item exit question regarding general reason for non-participation.
* Eligible youth who agree to participate will be asked to schedule their baseline assessment.
After consent or assent and parental permission are obtained, CNO study staff will set up the study laptop and headphones that the participant will use to enter their responses to the baseline computer-assisted questionnaire.
Assessments:
The baseline assessment consists of a brief physical health assessment and a computer-assisted behavioral health survey administered by study staff. Youth participants are required to take a non-invasive physical health assessment (BMI with portable digital weight scale and height measure), identify the age they began puberty (girls \< 12 years old began menstruation; boys \<14 when voice changed "a lot" will be classified as early puberty) and to use an accelerometer for 7 days after the baseline assessment. They will also be asked to run or walk for 12 minutes. The computer-assisted behavioral health survey will ask a series of questions and take under 45 minutes to complete.
The assessments will be conducted via Audio-Computer Assisted Self-Interviews (ACASI) programmed into study computers. Participants will complete 4 surveys: baseline, immediately after Trail of Tears Walk, a three-month follow up,and a six-month follow-up.
Intervention Schedule:
Month 1-3: Up to 20 group sessions on Choctaw history, traditions, cultural systems and health beliefs. Experiential, outdoor activities are incorporated to promote group cohesion, improve relational worldviews, and connectedness to nature and the environment. Examples include activities on an outdoor ropes course or increasing physical activity by walking or gardening. Fitbits will be given to participants and peers can choose to support each other to meet goals on a social media platform. Up to 3 individual Motivational Interviewing sessions to identify personal change goals and community leadership.
Month 2-3: Attend an Overnight Culture Camp to strengthen group cohesion and synthesize goals.
Month 3: Walk on the Choctaw Trail of Tears and visit ancient sites. Upon completion, make a commitment to conduct a community-wide event based on personal and leadership goals and Trail experience.
Months 4-12: Up to 6 group meetings to plan community leadership events related to obesity prevention, includes an individual MI booster session to revise their personal \& community leadership goals, digital storytelling training, and a community Traditional Games Olympiad. Participants may create a story related to healthful food habits, obesity prevention and alcohol, tobacco and other drug use (ATOD).
Month 9: Share digital stories, community events, and participate in a leadership ceremony.
Post-intervention: Ripple Effect Mapping focus groups among 64 individuals. A random selection of 12 youth per region and 4 nonparticipant community stakeholders i.e., elders, leaders in the community.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
PREVENTION
NONE
Study Groups
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Wait List Control
Participants in the Wait List group will be randomly assigned to start the intervention 3 months later in the Summer.
Wakaya: Rising Up for Choctaw Youth Curriculum
An experiential, outdoor, nature-based program grounded in Choctaw values. It is a multi-level intervention that increases individual motivation and leadership skills to make healthy behavioral choices for behavior and exercise.
Wakaya (Immediate Group)
Participants in the immediate group will be randomly assigned to start the intervention immediately in the Spring.
Wakaya: Rising Up for Choctaw Youth Curriculum
An experiential, outdoor, nature-based program grounded in Choctaw values. It is a multi-level intervention that increases individual motivation and leadership skills to make healthy behavioral choices for behavior and exercise.
Interventions
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Wakaya: Rising Up for Choctaw Youth Curriculum
An experiential, outdoor, nature-based program grounded in Choctaw values. It is a multi-level intervention that increases individual motivation and leadership skills to make healthy behavioral choices for behavior and exercise.
Eligibility Criteria
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Inclusion Criteria
* Live within CNO tribal region for 12 months
YES to one of the following:
* Consumed sweetened beverages or processed/fast food 2x or more per week; OR
* Engaged in excessive sitting or lying around (\>540 min/day) or engage in small screen recreation (\>2 hours/day); OR
* Physical activity - spend \<60 minutes/day outdoors or \<2.5 hrs per week in moderate or vigorous physical activity OR spend \<60 minutes a day in moderate or vigorous intensity aerobic activity; OR
* Engage in any T.V., small screen/video game recreation (\> 2 hours/day)
Exclusion Criteria
* allergic reactions to food (e.g. peanuts), plant (poison oak or ivy) or insects (e.g. bees, fire ants) that caused difficulty in breathing or necessitated hospitalization or caused an anaphylactic reaction
* disability that prevents student from walking or from engaging in exercise
* aggressive, violent, combative or inappropriate behaviors
* inability to follow directions
* psychotic symptoms
12 Years
19 Years
ALL
Yes
Sponsors
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National Institute on Drug Abuse (NIDA)
NIH
University of Washington
OTHER
Responsible Party
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Michelle Johnson-Jennings
Professor, School of Social Work
Principal Investigators
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Michelle Johnson-Jennings, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Washington
Locations
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Choctaw Nation of Oklahoma
Durant, Oklahoma, United States
University of Washington, IWRI, School of Social Work
Seattle, Washington, United States
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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STUDY00015208
Identifier Type: -
Identifier Source: org_study_id
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