RECRUITING Phase 2 ClinicalTrials.gov

Parenting in 2 Worlds Multisite Trial

Sponsor: Arizona State University • ClinicalTrials.gov ID: NCT06324318

Registry updated: 2026-09-08

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Description

This research study will test the effectiveness of a culturally grounded parenting intervention called Parenting in 2 Worlds (P2W). This intervention is designed for American Indian / Alaska Native (AI) parents/guardians of adolescents who reside in urban areas. This will be a multi-regional effectiveness trial across four regions: Northeast (Buffalo/Niagara), Midwest (St. Paul/Minneapolis), Mountain (Denver), and Southwest (Phoenix). There are four specific aims. First, this study will test the effectiveness of Parenting in Two Worlds (P2W) as compared to an informational family health intervention, Healthy Families in 2 Worlds (HF2W), in improving parenting and family functioning. Second, this study will test if the relative effectiveness of P2W, compared to HF2W, varies by parent's/guardian's level of socioeconomic vulnerability, experiences of historical loss, or AI cultural identity. Third, this study will examine if P2W can reduce adolescent (ages 12 - 17) risky health behaviors including substance use, depressive symptoms, suicidality, and risky sexual behaviors. Fourth, this study will examine whether positive changes in parenting and family functioning that result from P2W lead to positive changes in adolescent's health behaviors.

Interventions

Parenting in 2 Worlds (P2W) (Behavioral)
P2W is a culturally-adapted parenting intervention designed specifically for urban American Indian families. It is a 10-week, 10-lesson manualized curriculum with accompanying videos, designed to be facilitated by American Indians from the local communities. The workshop lessons cover topics like the identification of family values, culturally influenced child rearing values and traditions, sources of support for parents, and ways to improve parenting skills to communicate with, monitor, and guide adolescents to avoid substance use, unprotected sex and other risk behaviors
Healthy Families in 2 Worlds (HF2W) (Behavioral)
HF2W is a 10-week informational family health program. The workshop lessons cover topics such as oral health, CPR and first aid, dating safety, and teen mental health.

Eligibility criteria

Inclusion Criteria: Adult participants: * Must be American Indian parents or guardians of American Indian children aged 12 to 17 who attend urban schools * Must reside in the service areas of the four urban Indian centers who are participating in this study * Self-identifies as American Indian * Must be primary caregiver responsible for day-to-day decisions for an American Indian child ages 12 to 17 Child Participants: * Aged 12 - 17 * Identified by their parent/guardian as American Indian * Attends an urban school Exclusion Criteria: * Not applicable

Conditions

Parenting Mental Health Wellness 1 Substance Use Risky Health Behavior

Locations

Phoenix Indian Center — Phoenix, Arizona, United States
Denver Indian Center — Denver, Colorado, United States
Ain Dah Yung Center — Saint Paul, Minnesota, United States
Native American Community Services Erie and Niagara Counties — Buffalo, New York, United States

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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