Perkins Tamara, Lee Brian, Mackin Juliette, Donovan Dennis, Rushing Stephanie Craig, Caughlan Colbie, Kakuska Amanda Gchachu, Walker Leanza
NPC Research, Portland, OR, USA.
Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.
Prev Sci. 2025 Apr 28. doi: 10.1007/s11121-025-01806-x.
Healing of the Canoe (HOC) is a community-derived, culturally grounded, and flexible curriculum for Native youth that builds a connection to culture and community and teaches skills that increase participants' feelings of hope, optimism, and self-efficacy. This exploratory study is the first to examine self-reported survey outcomes after the addition of suicide prevention and intervention modules into the curriculum and includes a comparison group of similar youth. Repeated measures analysis of variance (rANOVA) models examined changes in scores from the Pre-Survey to the Post-Survey for an intervention group and a comparison group of youth in 2018-2019. Survey responses were combined into composite scores for the following categories of interest: hope, mental health, help-seeking and helping, suicide attempts, culture, and resilience. There were 74 youth in the intervention group (IG) and 59 in the non-intervention group (NIG) who completed both Pre- and Post-Surveys. The IG experienced significant positive effects on the hope and resilience scales from Pre- to Post-Survey, while the youth in the NIG saw a decrease in these same scales from Pre- to Post-Survey. The NIG experienced worse outcomes for mental health, while the IG saw a slight improvement. Despite a small number of youth participants and the naturalistic setting, which limited the ability to control for potential confounding variables, the results from this preliminary study are promising. Future studies with larger numbers of youth and more ability to account for additional factors may potentially show even more benefits of the HOC curriculum.
“独木舟康复计划”（HOC）是一项源自社区、基于文化且灵活的针对本土青年的课程，它建立起与文化和社区的联系，并教授一些技能，这些技能能增强参与者的希望感、乐观情绪和自我效能感。这项探索性研究首次在课程中加入自杀预防和干预模块后，对自我报告的调查结果进行了考察，并且纳入了一组类似青年作为对照组。重复测量方差分析（rANOVA）模型检验了2018 - 2019年干预组和青年对照组从预调查到后调查分数的变化。调查回复被合并为以下感兴趣类别的综合分数：希望、心理健康、寻求帮助与提供帮助、自杀未遂、文化和复原力。干预组有74名青年，非干预组有59名青年完成了预调查和后调查。干预组从预调查到后调查在希望和复原力量表上经历了显著的积极影响，而非干预组的青年在这些相同量表上从预调查到后调查出现了下降。非干预组在心理健康方面结果更差，而干预组有轻微改善。尽管青年参与者数量较少且是自然主义环境，这限制了控制潜在混杂变量的能力，但这项初步研究的结果很有前景。未来对更多青年且有更多能力考虑其他因素的研究可能会显示出“独木舟康复计划”课程有更多益处。
