Alaska Native Collaborative Hub for Resilience Research (ANCHRR)
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|ClinicalTrials.gov Identifier: NCT03131739|
Recruitment Status : Not yet recruiting
First Posted : April 27, 2017
Last Update Posted : April 27, 2017
The goal of the Alaska Native Resilience Research Study (ANRRS) is to identify community-level protective factors that can most effectively reduce co-occurring youth suicide and alcohol risk. The following specific aims will help us achieve this overarching goal. The research team will: (1): Assess the association of a set of modifiable cultural, community and institutional factors (protective community factors) with suicide, suicidal behaviors (ideation, attempt), and associated adverse outcomes (accidental death, alcohol-misuse requiring healthcare) in 64 rural and remote Alaska Native villages to identify community-level factors that are most predictive of youth health outcomes; (2): In a stratified random sample of six communities, use quantitative methods to test a multi-level model of individual-level youth protective factors as predictors of individual-level youth resilience from suicide risk outcomes; and (3): Develop and disseminate a method—Alaska Community Resilience Mapping (AK-CRM)—for communities to measure and strategically strengthen their protective capabilities to increase youth health and reduce the risk for suicide.
|Condition or disease|
|Study Type :||Observational|
|Estimated Enrollment :||585 participants|
|Observational Model:||Ecologic or Community|
|Official Title:||Alaska Native Resilience Research Study|
|Anticipated Study Start Date :||December 2018|
|Estimated Primary Completion Date :||August 2021|
|Estimated Study Completion Date :||August 2021|
Community Level Assessment
65 communities will undergo assessment of community / structural variables through review of public records and 3-5 key community interviewees per community.
Individual Level Assessment
A subset of 6 communities will be elected through a stratification process. Youth will complete a set of protective factors measures and outcomes. Adults will complete a section of the Neighborhood Matters survey.
- Community Level Assessment: suicide and accidental deaths [ Time Frame: Year 2 ]The Trauma Registry and the Alaska Violent Death Reporting System (AKVDRS) will be used to document suicide and accidental deaths
- Individual Level Assessment: Youth: Individual: Communal Mastery Scale [ Time Frame: Year 4 ]Collective efficacy: solving life challenges through joining with others
- Individual Level Assessment: Youth: Family: Family Relationship Scale [ Time Frame: Year 4 ]Quality of family relationships
- Individual Level Assessment: Suicide Risk Resilience: Reasons for Life [ Time Frame: Year 4 ]Alaska Native cultural beliefs and experiences that make life enjoyable, worthwhile, and provide meaning
- Community Level Assessment: Community Protective Factors [ Time Frame: Year 2 ]A structured interview guide will ask community experts in each village about the extent to which protective factors related to effective services, community development, self-determination/local control, cultural continuity are present
- Individual Level Assessment: Alcohol Risk: Reflective Processes Resilience: Reflective Processes [ Time Frame: Year 4 ]9-item measure of awareness of the reciprocal consequences of one's behavior across people and time, and focuses on reasons for sobriety through a culturally patterned type of awareness used in thinking over potential negative consequences of alcohol
- Individual Level Assessment: Youth: Community: Community Protective Factors [ Time Frame: Year 4 ]Perceived support and opportunities in community
- Individual Level Assessment: Youth: Social Connection: Awareness of Connectedness [ Time Frame: Year 4 ]Awareness of the interrelated welfare of the individual with family, community, and the natural environment
- Individual Level Assessment: Adult: Protective Community Factors: Protective Community Factors [ Time Frame: Year 4 ]Community level organizational features of local control and cultural continuity
- Individual Level Assessment: Adult: Community Social Processes: Informal Social Control [ Time Frame: Year 4 ]Question stem for generally held beliefs was, "People in this village believe that…" 6-items related to child welfare ("adults should know where their children are.", 10 items for child management ("adults should do something if a child is doing something dangerous"), 4-items related to adolescent behavior ("It is wrong for teenagers to fist fight."), 6-items related to crime ("People should do something if a neighbor's house is being vandalized.") and 5 items related to community member responsibility ("People should take action to make the village better.")
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03131739
|Contact: Stacy M Rasmus, PhDfirstname.lastname@example.org|
|Contact: James Allen, PhDemail@example.com|