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Mind4Health: decolonizing gatekeeper trainings using a culturally relevant text message intervention.
Colbie Caughlan1, Amanda Kakuska1, Jane Manthei1
1Northwest Portland Area Indian Health Board, Portland, OR, United States.
Frontiers in Public Health
|September 17, 2024
Summary
Mind4Health, a culturally tailored gatekeeper training, improved American Indian/Alaska Native youth mental health support. The program enhanced adults' skills in discussing mental health and referring youth to resources.
Area of Science:
- Public Health
- Mental Health Services
- Digital Health Interventions
Background:
- Suicide profoundly impacts families and communities, with increased mental health crises observed on social media among youth.
- Culturally tailored gatekeeper training is a vital strategy for responsive suicide prevention and mental health support.
- The Northwest Portland Area Indian Health Board (NPAIHB) developed Mind4Health, an online and text-based intervention for American Indian/Alaska Native (AI/AN) youth.
Purpose of the Study:
- To evaluate the effectiveness of the Mind4Health intervention in improving the capacity of adults to support AI/AN youth mental health.
- To assess changes in participants' knowledge, beliefs, comfort, and self-efficacy in discussing mental health with youth.
- To determine the feasibility and impact of a culturally tailored, digital gatekeeper training program.
Main Methods:
- A multi-phase, single-arm, pre-and post-test study design was employed for the Mind4Health intervention.
- The intervention was delivered via a 90-minute online, self-paced training or a text message (SMS) based program.
- Data were collected through pre- and post-surveys, Mobile Commons data, and Google Analytics, with qualitative data analyzed using thematic content analysis.
Main Results:
- 280 individuals enrolled in the SMS training, with 250 completing the 8-week intervention; over 21,500 messages were exchanged.
- Pre-survey data indicated a high proportion of female participants (94%) comfortable discussing mental health with youth (92%).
- Post-survey results demonstrated significant improvements in participants' knowledge, beliefs, comfort levels, and self-efficacy regarding mental health conversations and resource referral for youth.
Conclusions:
- The Mind4Health intervention effectively enhanced participants' skills in addressing youth mental health concerns.
- The program demonstrated success in improving adults' ability to engage in mental health conversations and connect AI/AN youth with community resources.
- Culturally tailored digital gatekeeper training shows promise as a scalable solution for suicide prevention and mental health support in underserved communities.
Keywords:
American Indiangatekeeper traininghealth educationsuicide preventiontext message interventionMore Related Videos
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