Chinle

Researchers are evaluating an intervention designed to increase breast cancer screening mammography among women in a community on the Navajo Nation. The study compares two approaches a culturally tailored tablet-based education program called TEAM, and TEAM combined with personalized monthly support from a Din peer-navigator. This study aims to address disparities in mammography screening among Native American women. Participants will be randomly assigned to one of two groups. One group receives the TEAM education modules on a tablet, while the other group receives TEAM plus additional monthly one-on-one support from a Din peer-navigator. This peer support is designed to help women navigate the screening process more effectively. During the study, researchers will monitor how many participants receive mammography within 3 months after starting the intervention. Participants will be asked to complete the education modules and, for those in the navigation group, engage in monthly support sessions. The study lasts at least 3 months post-baseline, and safety or additional follow-up details are not specified. Johns Hopkins Bloomberg School of Public Health sponsors this trial.

Researchers are evaluating the Family Spirit Strengths FSS program to address mental and behavioral health challenges among American Indian and Alaska Native communities, where access to culturally appropriate care is limited. This study aims to test the effectiveness of FSS, a skills-based secondary prevention program that combines evidence-based practices and Indigenous cultural elements to help participants build coping skills, self-efficacy, and stronger community ties. The study uses a randomized controlled design comparing FSS with an evidence-based nutrition education program. Participants assigned to the FSS group will receive between 4 and 16 intervention sessions, averaging 6 to 8 visits, tailored to their mental and behavioral health needs based on regular in-session surveys. The comparison group will receive six bi-weekly nutrition education lessons from the Family Spirit Nurture curriculum, promoting healthy early childhood growth over a period of up to four months. Both programs are delivered through home visiting services. During the study, participants will be assessed at baseline, 3 to 4 months, and 6 to 8 months after starting the program. Researchers will measure changes in mental health, including the number of poor mental health days, substance use, depressive symptoms, and anxiety levels using validated scales. The study is sponsored by Johns Hopkins Bloomberg School of Public Health and focuses on culturally tailored interventions for improving mental health outcomes. The total duration of participation varies depending on timing of assessments.

Researchers are evaluating the Hastiin Bidziil Strong Man Intervention, a secondary prevention program aimed at reducing substance use among Native American Indian men aged 18 years and older. This study is part of the CIRCLE Center of Excellence, which works with Indigenous communities to address drug-related health issues. The trial is a randomized controlled study designed to measure the programs effectiveness in this population. The study compares two groups one receiving the Hastiin Bidziil intervention, which is a culturally and gender-adapted version of the Common Elements Treatment Approach CETA and a control group attending five sessions on basic vehicle maintenance selected by the Community Research Council. The vehicle maintenance sessions include practical skills like changing tires and checking fluid levels. The adaptation phase for the intervention happens before the randomized trial begins. Participants will be assessed for substance use using the Time Line Follow-back method at 8 months after starting the program. During the study, men will attend intervention or control sessions and complete substance use assessments. The research team will monitor how many days participants use substances to evaluate the impact of the program. The study runs through June 2028, and participation involves regular engagement with study activities and follow-up assessments.