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Family Spirit Strengths

Recruiting

Who can join

Ages 14 and older · Women

Full eligibility criteria

Inclusion Criteria:

* Self-identify as female; and
* Pregnant or be a primary caregiver of a child that is 24 months or younger; and
* 14 years or older at time of enrollment; and
* Report a family history of high-risk substance use and/or report high-risk levels of personal substance use; and
* Have elevated symptoms of depression and/or anxiety and/or risk of substance use disorder; and
* Be part of the service population of one of the participating sites.

Exclusion Criteria:

* Profound disability that limits the ability to participate in assessments or interventions; and
* Unlikely to be residing in or near the research service area for the next 6 months.

About the study

This project addresses the disproportionate morbidity and mortality associated with mental and behavioral health problems in American Indian and Alaska Native communities. Access to culturally competent and effective behavioral health services is limited in many of these communities. The investigators aim to address this gap by testing the effectiveness of a trans-diagnostic secondary prevention program, Family Spirit Strengths (FSS) that can be embedded within home visiting services. The FSS program is a skills-based program that incorporates elements of evidence-based practice, the Common Elements Treatment Approach (CETA), and materials informed and developed based on an Indigenous advisory group. The FSS program aims to help participants build self-efficacy and coping skills, as well as build stronger connections to others, the participants' community, and cultural resources. The investigators will use a randomized controlled trial, whereby half of the participants will receive FSS and the other half will receive an evidence-based nutrition education program. The investigators' study is grounded in participatory processes and led by a team of Indigenous and allied researchers.

What is being tested

Family Spirit Strengths (FSS) (behavioral)
Family Spirit Nurture (behavioral)

Sponsor: Johns Hopkins Bloomberg School of Public Health · Participants: 188 · Started: Apr 20, 2023

Contact the study team

Emily Haroz, PhD · Phone: 410-449-0051
Leonela Nelson, MPH · Phone: 505-368- 4234

Official record on ClinicalTrials.gov — NCT05836090

Locations in the U.S.

Arizona	Johns Hopkins Center for Indigenous Health, Chinle
Michigan	Pokagon Health Services, Pokagon
New Mexico	Johns Hopkins Center For Indigenous Health, Shiprock

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.