124 Participants Needed

Cultural-Based Intervention for Psychological Trauma in Native American Caregivers

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TB
Overseen ByTeresa Brockie, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Johns Hopkins University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your healthcare provider.

What data supports the idea that Cultural-Based Intervention for Psychological Trauma in Native American Caregivers is an effective treatment?

The available research shows that Cultural-Based Intervention for Psychological Trauma in Native American Caregivers is effective because it focuses on healing through traditional knowledge and culturally based practices. One study highlights the importance of addressing historical trauma and current stressors like poverty and violence, suggesting that these interventions help build resilience and survival skills. Another study emphasizes the healing process through reclaiming indigenous heritage and spirituality, which helps neutralize the negative effects of colonization. These approaches are seen as beneficial in promoting mental health and well-being among Native American communities.12345

What data supports the effectiveness of the treatment Wakȟáŋyeža (Little Holy One) for psychological trauma in Native American caregivers?

Research suggests that culturally based healing practices, like those used in Wakȟáŋyeža, can be effective by addressing historical trauma and promoting resilience through traditional knowledge and community strengths. Additionally, integrating cultural traditions and spirituality has been shown to help Native American individuals recover from trauma by fostering a sense of identity and belonging.12345

What safety data exists for the Wakȟáŋyeža (Little Holy One) intervention?

The available research does not provide specific safety data for the Wakȟáŋyeža (Little Holy One) intervention. However, the intervention is being evaluated through a randomized controlled trial with an embedded single-case experimental design, as described in the protocol for the trial. Additionally, the intervention has been adapted for Native American Head Start teachers using a systematic process within a participatory framework, which included community input and iterative feedback. The safety and feasibility of this adapted intervention will be reported in a future publication.23678

Is the Wakȟáŋyeža (Little Holy One) intervention safe for humans?

The available research does not provide specific safety data for the Wakȟáŋyeža (Little Holy One) intervention, but it is designed to address trauma in Native American communities by incorporating cultural practices, which suggests a focus on culturally sensitive and supportive methods.23679

Is the treatment Wakȟáŋyeža (Little Holy One) a promising treatment for psychological trauma in Native American caregivers?

Yes, Wakȟáŋyeža (Little Holy One) is a promising treatment because it focuses on healing through cultural practices, addressing historical trauma, and strengthening community and family support, which are important for Native American caregivers dealing with psychological trauma.1231011

How is the Wakȟáŋyeža treatment different from other treatments for psychological trauma in Native American caregivers?

The Wakȟáŋyeža treatment is unique because it incorporates cultural-based healing practices that focus on reclaiming indigenous heritage, identity, and spirituality, which are believed to counteract the negative effects of historical trauma. This approach is distinct from conventional treatments as it emphasizes community and cultural engagement, addressing trauma through a culturally sensitive framework.1231011

What is the purpose of this trial?

This trial tests a program called 'Wakȟáŋyeža' for Native American caregivers and their young children. It aims to reduce stress and trauma, improve parenting skills, and support children's development using culturally relevant methods. The program includes lessons on managing stress, better parenting, and promoting healthy child growth. The Wakȟáŋyeža program is an intergenerational intervention designed for Native American parents and children, incorporating unique cultural lesson-components to improve parent-child outcomes.

Research Team

TB

Teresa Brockie, PhD

Principal Investigator

Johns Hopkins University

Eligibility Criteria

This trial is for Native American caregivers on a Northern Plains reservation with children aged 2-5. Participants must have experienced trauma or stress and be willing to join all study parts, including random assignment. Children should be members or descendants of the Fort Peck Tribes.

Inclusion Criteria

Child is an enrolled member of Fort Peck Tribes or the descent of an enrolled member
Parent or caregiver must be willing to participate in all aspects of the study including random assignment
The parent or caregiver has experienced a traumatic event during their childhood or in the past.
See 1 more

Exclusion Criteria

My parent or caregiver is younger than 18.
I cannot fully participate in the treatment plan.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive 12 weekly individual lessons on parenting, stress, and culture at Head Start facilities

16 weeks
12 visits (in-person)

Follow-up

Participants are monitored for mental health and behavioral outcomes after the intervention

12 months

Treatment Details

Interventions

  • Wakȟáŋyeža (Little Holy One)
Trial Overview The 'Wakȟáŋyeža (Little Holy One)' intervention includes active nutrition control, cultural components, adapted parenting lessons from Family Spirit, and CETA modules to reduce trauma symptoms in parents and improve child development outcomes.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Little Holy One interventionExperimental Treatment1 Intervention
The participants will receive 12 1-hour lessons on parenting, stress, and culture over a period of 16 weeks.
Group II: Nutrition controlActive Control1 Intervention
The active control condition will receive nutrition information, weekly food boxes and recipes based on seasonal foods, as well as a shopping list for making future meals.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Johns Hopkins University

Lead Sponsor

Trials
2,366
Recruited
15,160,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

Annie E. Casey Foundation

Collaborator

Trials
6
Recruited
1,600+

Findings from Research

Interviews with 19 staff and clients at a Native American healing lodge revealed that addressing historical trauma involves recognizing and confessing pain, which is linked to adult dysfunction like substance abuse.
The healing process emphasizes the importance of reclaiming indigenous heritage and spirituality, suggesting that culturally sensitive approaches can effectively address the impacts of colonization and promote self-improvement.
A community-based treatment for Native American historical trauma: prospects for evidence-based practice.Gone, JP.[2009]
A study involving 74 ethnographic interviews with 37 Diné youth, parents, and grandparents found that addressing historical trauma is crucial for understanding behavioral health inequities among Diné youth.
The research emphasizes the importance of current stressors like poverty and violence, and suggests that interventions should incorporate traditional knowledge and culturally based healing practices to promote resilience and social transformation.
"We're still in a struggle": Diné resilience, survival, historical trauma, and healing.Goodkind, JR., Hess, JM., Gorman, B., et al.[2021]
Native American and Alaska Native people face a higher incidence of traumatic events and are more susceptible to posttraumatic stress disorder, highlighting a significant public health concern.
Interviews with six Native healers revealed key themes related to trauma, emphasizing the importance of cultural competence in healthcare to better support Native trauma patients and improve their recovery outcomes.
"Our culture is medicine": perspectives of Native healers on posttrauma recovery among American Indian and Alaska Native patients.Bassett, D., Tsosie, U., Nannauck, S.[2022]

References

A community-based treatment for Native American historical trauma: prospects for evidence-based practice. [2009]
"We're still in a struggle": Diné resilience, survival, historical trauma, and healing. [2021]
"Our culture is medicine": perspectives of Native healers on posttrauma recovery among American Indian and Alaska Native patients. [2022]
Art therapy as emotional and spiritual medicine for Native Americans living with HIV/AIDS. [2007]
Native American children and adolescents: cultural distinctiveness and mental health needs. [2019]
Wakȟáŋyeža (Little Holy One) - an intergenerational intervention for Native American parents and children: a protocol for a randomized controlled trial with embedded single-case experimental design. [2022]
Honoring children, mending the circle: cultural adaptation of trauma-focused cognitive-behavioral therapy for American Indian and Alaska native children. [2022]
The Pre-implementation Process of Adapting a Culturally Informed Stress Reduction Intervention for Native American Head Start Teachers. [2023]
Lessons from child of water. [2019]
10.United Statespubmed.ncbi.nlm.nih.gov
Iwankapiya American Indian pilot clinical trial: Historical trauma and group interpersonal psychotherapy. [2022]
A Culturally Informed Systematic Review of Mental Health Disparities Among Adult Indigenous Men and Women of the USA: What is known? [2020]
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