Lakota-adapted Family Acceptance Program for Indigenous 2SLGBTQ+ youth and caregivers
Development and Evaluation of an Indigenized Family Acceptance Project for Lakota LGBTQ2S+ Youth
This program will try an eight-week Lakota-adapted family support intervention to help Indigenous 2SLGBTQ+ youth and their caregivers reduce family rejection and improve youth mental health.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 28 (estimated) |
| Ages | 13 Years and up |
| Sex | All |
| Sponsor | University of Michigan Academic / other |
| Locations | 2 sites (Pine Ridge, South Dakota and 1 other locations) |
| Trial ID | NCT07326748 on ClinicalTrials.gov |
What this trial studies
This open pilot develops and tests a Lakota-adapted Family Acceptance Project (LFAP) for Indigenous 2SLGBTQ+ youth and their caregivers, with primary aims of acceptability, feasibility, and safety. Enrolled youth and a participating caregiver complete a baseline survey and then attend eight weekly two-hour group sessions using the adapted LFAP curriculum. Participants complete surveys before and immediately after the program, plus additional post-program surveys and an exit interview. Investigators will examine pre-to-post changes on measures (for example depression) to ensure scores move in the hypothesized direction and to inform future larger trials.
Who should consider this trial
Good fit: Indigenous 2SLGBTQ+ youth ages 13–18 who report moderate to high family rejection and have a caregiver willing and able to attend eight weekly two-hour sessions are ideal candidates.
Not a fit: Youth without a participating caregiver, those who are not Indigenous or not 2SLGBTQ+, non-English speakers, or those with low levels of family rejection are unlikely to benefit from this pilot.
Why it matters
Potential benefit: If successful, the program could increase caregiver support, lower family rejection, and reduce depression and other mental health risks for Indigenous 2SLGBTQ+ youth.
How similar studies have performed: The Family Acceptance Project has prior evidence showing reductions in family rejection and improved youth outcomes across diverse groups, but the Lakota-adapted version is novel and being piloted specifically for Indigenous 2SLGBTQ+ communities.
Eligibility criteria
Show full inclusion / exclusion criteria
Youth Inclusion Criteria: * Identify as 2SLGBTQ+ (and their identity must be known to their participating caregiver) * Identify as Indigenous (multiracial youth who are also Indigenous are eligible) * Youth should be between the ages of 13 and 18 years * Read and speak English * Report moderate to high levels of caregiver/family rejection (as evidenced by agreement on items that assess the presence and frequency of specific family rejecting behaviors \[includes ambivalent and moderately and highly rejecting caregivers\] * Report an ability and commitment to attending eight sessions at two hours a week over eight weeks with their caregiver Participating Caregiver Inclusion Criteria: * Caregivers are broadly defined and may include a biological parent, stepparent, grandparent, aunt/uncle, or other adult who provides care to the Indigenous 2SLGBTQ+ youth * Must be over the age of 18 * Read and speak English * Be aware of the SGM identity of their Indigenous 2SLGBTQ+ youth * report an ability and commitment to attending eight sessions at two hours a week over eight weeks with their teen Exclusion Criteria: * We will exclude Indigenous 2SLGBTQ+ youth and caregivers at imminent risk for suicide and/or who are experiencing current psychosis symptoms as determined by results on the safety items screener.
Where this trial is running
Pine Ridge, South Dakota and 1 other locations
- Wahwala Iyohlogya/Peaceful Means — Pine Ridge, South Dakota, United States (Recruiting)
- University of Michigan/Rapid City — Rapid City, South Dakota, United States (Recruiting)
Study contacts
- Principal investigator: Katie Edwards, PhD — University of Michigan
- Study coordinator: Katie Edwards (Principal Investigator), PhD
- Email: edkatie@umich.edu
- Phone: 734-647-8812
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.