Qungasvik (Tools for Life) for Suicide

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
University of Alaska Fairbanks, Fairbanks, AK
Suicide+2 More
Qungasvik (Tools for Life) - Behavioral
Eligibility
< 65
All Sexes
What conditions do you have?
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Study Summary

For the past 20+ years the investigators have focused on addressing two interrelated public health issues, alcohol use disorder (AUD) and suicide in Alaska. There is no greater source of health disparity in American Indian and Alaska Native (AI/AN) communities than that involving AUD and suicide, and no greater necessity in addressing this disparity than the development of sustained, trusting, collaborative, and non-exploitive research relationships with those who historically experienced forced acculturation and exploitation. Yup'ik community leaders have made addressing AUD and suicide among their highest priorities. Working with Yup'ik community members, the investigators developed a multilevel (individual, family, peer, and community) intervention that uses a culturally-based AUD and suicide prevention framework. The Qungasvik (kung-az-vik; a Yup'ik word meaning 'toolbox') intervention is a Yup'ik AN approach to prevention organized and implemented utilizing a local indigenous theory of change and process model to build protective factors against AUD and suicide. The purposes of the proposed research are to: (a) validate results obtained from previous smaller intervention studies aimed at reducing the incidence of AUD and suicide in 12-18 year old Yup'ik Alaska Native (AN) youth; and (b) learn more about the relative importance of the individual, family, peer, and community variables that underscore the Qungasvik intervention. This study will: (a) assess the efficacy of the Qungasvik intervention through a two group community level trial using an interrupted time series design with wait-listed control, and (b) examine mechanisms of change in response to intervention. Specific aims (SA) of the project are to: (SA1) test the Qungasvik intervention efficacy through impact on the ultimate outcome variables of reasons for life and reflective processes on alcohol use consequences, and on suicidal ideation and alcohol use; (SA2) examine the mechanisms of change in response to the Qungasvik intervention through (a) self-report outcome measures of protective factors (b) social network assessment and (c) process evaluation; (SA3) test levels of fidelity of the implementation of the intervention with regard to the Yup'ik indigenous theory-driven intervention model outlined in the Qungasvik manual of operations.

Eligible Conditions

  • Suicide
  • Alcohol Use Disorder

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

4 Primary · 4 Secondary · Reporting Duration: Baseline, 1-year, 2-year, 3-year, 4-year

Year 2
Change in Social Relationships
Baseline, 1-year, 2-year, 3-year, 4-year
Change in Alcohol Consequences
Change in Community Protective Factors
Change in Family Protective Factors
Change in Individual Protective Factors
Change in Peer Influences
Change in Reasons for Life
Change in Reflective Processes
Change in Rollnick's Readiness Ruler

Trial Safety

Trial Design

1 Treatment Group

Qungasvik Intervention Group
1 of 1
Experimental Treatment

542 Total Participants · 1 Treatment Group

Primary Treatment: Qungasvik (Tools for Life) · No Placebo Group · N/A

Qungasvik Intervention Group
Behavioral
Experimental Group · 1 Intervention: Qungasvik (Tools for Life) · Intervention Types: Behavioral

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 1-year, 2-year, 3-year, 4-year
Closest Location: University of Alaska Fairbanks · Fairbanks, AK
Photo of alaska 1Photo of alaska 2Photo of alaska 3
2021First Recorded Clinical Trial
1 TrialsResearching Suicide
1 CompletedClinical Trials

Who is running the clinical trial?

University of MinnesotaOTHER
1,227 Previous Clinical Trials
1,453,861 Total Patients Enrolled
4 Trials studying Suicide
778 Patients Enrolled for Suicide
University of Alaska FairbanksLead Sponsor
6 Previous Clinical Trials
10,458 Total Patients Enrolled
1 Trials studying Suicide
585 Patients Enrolled for Suicide

Eligibility Criteria

Age < 65 · All Participants · 1 Total Inclusion Criteria

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About The Reviewer

Michael Gill preview

Michael Gill - B. Sc.

First Published: October 9th, 2021

Last Reviewed: August 12th, 2022

Michael Gill holds a Bachelors of Science in Integrated Science and Mathematics from McMaster University. During his degree he devoted considerable time modeling the pharmacodynamics of promising drug candidates. Since then, he has leveraged this knowledge of the investigational new drug ecosystem to help his father navigate clinical trials for multiple myeloma, an experience which prompted him to co-found Power Life Sciences: a company that helps patients access randomized controlled trials.