The Family Spirit Trial for American Indian Teen Mothers and Their Children

CBPR Rationale, Design, Methods and Baseline Characteristics

Britta Mullany*, Allison Barlow, Nicole Neault, Trudy Billy, Tanya Jones, Iralene Tortice, Sherilynn Lorenzo, Julia Powers, Kristin Lake, Raymond Reid, John Walkup

*Corresponding author for this work

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The purpose of this paper is to describe the rationale, design, methods and baseline results of the Family Spirit trial. The goal of the trial is to evaluate the impact of the paraprofessional-delivered "Family Spirit" home-visiting intervention to reduce health and behavioral risks for American Indian teen mothers and their children. A community based participatory research (CBPR) process shaped the design of the current randomized controlled trial of the Family Spirit intervention. Between 2006 and 2008, 322 pregnant teens were randomized to receive the Family Spirit intervention plus Optimized Standard Care, or Optimized Standard Care alone. The Family Spirit intervention is a 43-session home-visiting curriculum administered by American Indian paraprofessionals to teen mothers from 28 weeks gestation until the baby's third birthday. A mixed methods assessment administered at nine intervals measures intervention impact on parental competence, mother's and children's social, emotional and behavioral risks for drug use, and maladaptive functioning. Participants are young (mean age = 18. 1 years), predominantly primiparous, unmarried, and challenged by poverty, residential instability and low educational attainment. Lifetime and pregnancy drug use were ~2-4 times higher and ~5-6 times higher, respectively, than US All Races. Baseline characteristics were evenly distributed between groups, except for higher lifetime cigarette use and depressive symptoms among intervention mothers. If study aims are achieved, the public health field will have new evidence supporting multi-generational prevention of behavioral health disparities affecting young American Indian families and the utility of indigenous paraprofessional interventionists in under-resourced communities.

Original languageEnglish (US)
Pages (from-to)504-518
Number of pages15
JournalPrevention Science
Volume13
Issue number5
DOIs
StatePublished - Sep 1 2012

Fingerprint

Community-Based Participatory Research
North American Indians
Research Design
Mothers
Pregnancy
Health
Poverty
Tobacco Products
Pharmaceutical Preparations
Curriculum
Mental Competency
Randomized Controlled Trials
Public Health
Depression

Keywords

  • American Indian
  • Home-visiting
  • Parenting interventions
  • Randomized trial
  • Substance use
  • Teen parenting

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Mullany, Britta ; Barlow, Allison ; Neault, Nicole ; Billy, Trudy ; Jones, Tanya ; Tortice, Iralene ; Lorenzo, Sherilynn ; Powers, Julia ; Lake, Kristin ; Reid, Raymond ; Walkup, John. / The Family Spirit Trial for American Indian Teen Mothers and Their Children : CBPR Rationale, Design, Methods and Baseline Characteristics. In: Prevention Science. 2012 ; Vol. 13, No. 5. pp. 504-518.
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Mullany, B, Barlow, A, Neault, N, Billy, T, Jones, T, Tortice, I, Lorenzo, S, Powers, J, Lake, K, Reid, R & Walkup, J 2012, 'The Family Spirit Trial for American Indian Teen Mothers and Their Children: CBPR Rationale, Design, Methods and Baseline Characteristics', Prevention Science, vol. 13, no. 5, pp. 504-518. https://doi.org/10.1007/s11121-012-0277-2

The Family Spirit Trial for American Indian Teen Mothers and Their Children : CBPR Rationale, Design, Methods and Baseline Characteristics. / Mullany, Britta; Barlow, Allison; Neault, Nicole; Billy, Trudy; Jones, Tanya; Tortice, Iralene; Lorenzo, Sherilynn; Powers, Julia; Lake, Kristin; Reid, Raymond; Walkup, John.

In: Prevention Science, Vol. 13, No. 5, 01.09.2012, p. 504-518.

Research output: Contribution to journalArticle

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AU - Billy, Trudy

AU - Jones, Tanya

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AU - Walkup, John

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