Trial Outcomes & Findings for Healing Lodge First Face Training Evaluation Study (NCT NCT06290180)

Last Updated: 2025-12-02

Results Overview

The Attitudes Towards Serious Mental Illness - Adolescent Version (ATSMI-AV) is a validated 21-item self-report scale designed to measure attitudes towards mental illness. Participants respond on a 5-point Likert scale. The scale measures five aspects of mental health attitudes: threat, social construction/concern, wishful thinking, categorical thinking and out of control. The investigators will calculate an overall score as well as factor-specific scores, if they observe adequate internal reliability. Each item has response categories ranging from Completely disagree (coded as 1) to Completely agree (coded as 5), and a mean of all 21 items is calculated to create the scale. The scale has a possible range of 1 to 5 Higher scores indicate higher levels of stigma towards mental illness.

Recruitment status

COMPLETED

Study phase

Target enrollment

92 participants

Primary outcome timeframe

Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

Results posted on

2025-12-02

Participant Flow

Pre- and post-training data were collected in April and December, 2024. During 2024, the Healing Lodge employed 107 unique staff members. All were instructed that they were required to complete a First Face training. In total, 102 employees (95.3% of the year-round total) completed the First Face training. Not all trainees enrolled in the study. A total of 92 trainees in the study. Follow-up data were collected until April, 2025.

All participants were assigned to complete the First Face training; there was no comparison group.

Participant milestones

Participant milestones
Measure	Intervention group All participants were assigned to receive the First Face for Mental Health training.
Overall Study STARTED	92
Overall Study COMPLETED	47
Overall Study NOT COMPLETED	45

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

As mentioned above, we did not collect age data in this study.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Healing Lodge First Face Training Evaluation Study n=92 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Age, Customized Age	0 Participants As mentioned above, we did not collect age data in this study.
Sex/Gender, Customized Gender · Man	41 Participants n=92 Participants
Sex/Gender, Customized Gender · Woman	47 Participants n=92 Participants
Sex/Gender, Customized Gender · Another description	4 Participants n=92 Participants
Race/Ethnicity, Customized Tribal membership · Enrolled in or descended from a federally-recognized Tribe	32 Participants n=92 Participants
Race/Ethnicity, Customized Tribal membership · Not enrolled in or descended from a federally-recognized Tribe	60 Participants n=92 Participants
Reside on a reservation Reside on a reservation	0 Participants n=92 Participants
Reside on a reservation Do not reside on a reservation	92 Participants n=92 Participants
Years working with at-risk youth	8.23 Years STANDARD_DEVIATION 8.98 • n=92 Participants
Department Maintenance	6 Participants n=92 Participants
Department Behavioral health	44 Participants n=92 Participants
Department Administration	13 Participants n=92 Participants
Department Medical	5 Participants n=92 Participants
Department Mental health	4 Participants n=92 Participants
Department Programs and support services	16 Participants n=92 Participants
Department Missing	4 Participants n=92 Participants

PRIMARY outcome

Timeframe: Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

Population: Some missing data, some participants lost to attrition.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=38 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Attitudes Towards Serious Mental Illness - Adolescent Version Pre-training	2.05 Score on a scale Standard Error 0.11
Attitudes Towards Serious Mental Illness - Adolescent Version Post-training	1.94 Score on a scale Standard Error 0.10
Attitudes Towards Serious Mental Illness - Adolescent Version 3-month follow-up	1.96 Score on a scale Standard Error 0.11

PRIMARY outcome

Timeframe: Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

This is a 12-question quiz testing participants' knowledge of concepts taught in the First Face training. Some questions offer the opportunity to earn more than one point. The investigators will score each response as correct or incorrect and sum scores (possible range = 0-17) on each occasion. Higher scores indicate better knowledge of First Face concepts.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=39 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
First Face Knowledge Assessment Pre-training	9.18 Score on a scale Standard Error 0.42
First Face Knowledge Assessment Post-training	13.04 Score on a scale Standard Error 0.53
First Face Knowledge Assessment 3-month follow-up	12.26 Score on a scale Standard Error 0.58

PRIMARY outcome

Timeframe: Included at pre-training, post-training (i.e. immediately after training), and 3-months post-training

A 10-item measure that taps respondents' confidence in their competence to respond to and help people experiencing mental health problems (i.e., Confidence in Recognizing, Intervening and Connecting Individual(s) with Resources Scale). Each response option has a possible range of 1 (Not at all confident) to 5 (Very confident), and a mean score will be calculated from all 10 items to yield a scale with a possible range of 1 to 5. Higher values indicate greater perceived competence respond to and help people experiencing mental health problems.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=37 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Perceived Competence to Respond Pre-training	4.17 Score on a scale Standard Error 0.14
Perceived Competence to Respond Post-training	4.44 Score on a scale Standard Error 0.09
Perceived Competence to Respond 3-month follow-up	4.28 Score on a scale Standard Error 0.13

SECONDARY outcome

Timeframe: Post-training (i.e. immediately after training)

One item administered immediately post-training asking about satisfaction with training (from 1 ("very dissatisfied") to 7 ("very satisfied")), with higher scores indicating greater satisfaction.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=90 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Satisfaction With Training	2.92 Score on a scale Standard Deviation 1.98

SECONDARY outcome

Timeframe: 3-months post-training

Population: Some missing data

Yes/no measure assessing whether participants used their training at all (in either personal or professional life) in the 3 months following training.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=46 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Use of First Face Learnings Missing	1 Participants
Use of First Face Learnings Yes-used training	37 Participants
Use of First Face Learnings No - did not use training	9 Participants

SECONDARY outcome

Timeframe: Post-training (i.e. immediately after training)

Participants will report how likely they are to use the First Face training in the personal life on a 4-point scale from Not at all to To a great extent.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=90 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Intended Use of First Face Learnings in Personal Life Missing	4 Participants
Intended Use of First Face Learnings in Personal Life Somewhat	28 Participants
Intended Use of First Face Learnings in Personal Life To a great extent	58 Participants
Intended Use of First Face Learnings in Personal Life Very little	0 Participants
Intended Use of First Face Learnings in Personal Life Not at all	0 Participants

SECONDARY outcome

Timeframe: Post-training (i.e. immediately after training)

Participants will report how likely they are to use the First Face training in the professional life on a 4-point scale from Not at all to To a great extent.

Outcome measures

Outcome measures
Measure	Healing Lodge First Face Training Evaluation Study n=90 Participants All participants in this evaluation will be assigned to the First Face for Mental Health training condition. The investigators will use a pre-post design to measure change in relevant outcomes from pre-training, to post-training, to 3-months post-training.
Intended Use of First Face Learnings in Professional Life Missing	5 Participants
Intended Use of First Face Learnings in Professional Life Somewhat	21 Participants
Intended Use of First Face Learnings in Professional Life To a great extent	62 Participants
Intended Use of First Face Learnings in Professional Life Very little	2 Participants
Intended Use of First Face Learnings in Professional Life Not at all	0 Participants

Adverse Events

Healing Lodge First Face Training Evaluation Study

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Heather Gray

Cambridge Health Alliance

Phone: (617) 575-5612

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place