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Caring Texts, a strength-based, suicide prevention trial in 5 native communities: Research design and methods.
Hebert, Luciana E; Fruhbauerova, Martina; Evanson, Anna; Bogic, Marija; Petras, Anthippy; Shaw, Jennifer; Muller, Clemma J; Nelson, Lonnie; Comtois, Katherine Anne.
  • Hebert LE; WSU Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America. Electronic address: Luciana.Hebert@wsu.edu.
  • Fruhbauerova M; University of Kentucky, 106-B Kastle Hall, Lexington, KY 40506-0044, United States of America; University of Washington, Box 359911, Harborview Medical Center, Seattle, WA 98195, United States of America. Electronic address: antitram@uky.edu.
  • Evanson A; WSU Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America. Electronic address: Anna.Evanson@wsu.edu.
  • Bogic M; WSU Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America. Electronic address: Marija.Bogic@wsu.edu.
  • Petras A; WSU Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America. Electronic address: Anthippy.Petras@wsu.edu.
  • Shaw J; Southcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK 99577, United States of America. Electronic address: jshaw@scf.cc.
  • Muller CJ; WSU Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America. Electronic address: clemma.muller@wsu.edu.
  • Nelson L; WSU Health Sciences Spokane, 412 E. Spokane Falls Blvd., Spokane, WA 99202, United States of America. Electronic address: Lonnie.Nelson@wsu.edu.
  • Comtois KA; University of Washington, Box 359911, Harborview Medical Center, Seattle, WA 98195, United States of America. Electronic address: kcomtois@uw.edu.
Contemp Clin Trials ; 123: 106966, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2075975
ABSTRACT

BACKGROUND:

Despite their intrinsic strengths and resilience, some American Indian and Alaska Native (AI/AN) communities experience among the highest rates of suicide of any racial and ethnic group. Caring Contacts is one of the only interventions shown to reduce suicide in clinical trials, but it has not been tested in AI/AN settings.

OBJECTIVE:

To compare the effectiveness of Enhanced Usual Care (control) to Enhanced Usual Care augmented with a culturally adapted version of Caring Contacts (intervention) for reducing suicidal ideation, suicide attempts, and suicide-related hospitalizations.

METHODS:

We are implementing a single blind randomized controlled trial of Caring Contacts in five AI/AN communities across the country (South Dakota, Montana, Oklahoma, and Alaska). Eligible participants have to be (1) actively suicidal or have made a suicide attempt within the past year; (2) at least 18 years of age; (3) AI/AN; (4) able to speak and read English; (5) able to participate voluntarily; (6) willing to be contacted by text, email or postal mail; and (7) able to provide consent. Following consent and baseline assessment, participants are randomized to receive either Enhanced Usual Care alone, or Enhanced Usual Care with 12 months (25 messages) of culturally adapted Caring Contacts. Follow-up assessments are conducted at 12 and 18 months.

CONCLUSIONS:

If effective, this study of Caring Contacts will inform programs to reduce suicide in the study communities as well as inform future research on Caring Contacts in other tribal settings. Modifications to continue the trial during the COVID-19 pandemic are discussed. CLINICAL TRIALS REGISTRATION NCT02825771.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Research Design / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Contemp Clin Trials Journal subject: Medicine / Therapeutics Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Research Design / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Contemp Clin Trials Journal subject: Medicine / Therapeutics Year: 2022 Document Type: Article