Lakota Family Acceptance Project

Conditions

• Anxiety
• Depression
• Drug Use
• Family Relationships
• LGBTQ
• Minority Stress
• Racial Disparities
• Sexual Risk Reduction
• Teen Dating Violence

Eligibility Criteria

Sex

ALL

Age

13 Years - N/A

Healthy Volunteers

Accepted

Interventions

• Adapted Lakota Family Acceptance Program — BEHAVIORAL
  Tiwahe Tewichaglapi ("The Family Loves Them") Program Overview Tiwahe Tewichaglapi is a culturally grounded, family-centered intervention adapted from the Family Acceptance Project® (FAP) to promote caregiver acceptance, respect, support, and family bonding for 2SLGBTQ+ Lakota youth. The program was developed in partnership with the Lakota Oyate to address family rejection rooted in colonization and historical trauma and to honor traditional Two Spirit roles that have long held important and respected places within Lakota communities. The program aims to strengthen families, increase youth pride and hope for the future, and reduce mental health risks such as depression, anxiety, substance use, dating violence, and suicide among 2SLGBTQ+ Lakota youth. Tiwahe Tewichaglapi includes eight family-centered group sessions delivered by Lakota facilitators. Each session begins with Lakota cultural and spiritual practices - including smudging, a Lakota prayer, and a shared meal - to ground the

Study Details

The goal of this open pilot trial (OPT) is to develop a Lakota-adapted Family Acceptance Project (LFAP) for Indigenous 2SLGBTQ+ youth and their caregivers. The OPT is specifically focused on acceptability, feasibility, and safety of programming and research protocols. The investigators will also examine pre- to post- changes on outcomes for the sole purposes of making sure scores on measures are changing in the hypothesized direction (e.g., depression scores are going from moderate to minimal as opposed to no change or depression scores increasing). Once enrolled in the study, participants complete a baseline survey. Then participants will engage in LFAP which is an 8-session group intervention; sessions will be scheduled once a week for eight weeks (at 2 hours per session). Participants will complete survey instruments before and immediately after the program sessions, in addition to post-program surveys and an exit interview.

Key Dates

Start date

Jan 20, 2026

Status verified

Jan 2026

Primary completion

Jan 31, 2027

Completion

Jan 31, 2027

Study Design

Enrollment

28 participants (estimated)

Allocation

NA

Intervention model

SINGLE_GROUP

Primary purpose

PREVENTION

Arms

• Other: Intervention
  There is only one arm in this OPT and that is the intervention group that will participate in the 8-session LFAP intervention

Primary Outcome Measure

Suicidality (Youth and Caregivers) [ Time Frame: Past month at pre-test (enrollment) and post-test (within 1 week of intervention conclusion). ]

Central Contacts

• Katie Edwards (Principal Investigator), PhD
  734-647-8812
  [email protected]

Locations (2)

Find similar trials in Pine Ridge, SD

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