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Trial · NCT07897838

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in Framingham Risk ScoreBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Estimated 10-year risk of coronary heart disease, using the Framingham Risk Score based on age, sex, total cholesterol, HDL cholesterol, systolic blood pressure, blood pressure medication use, diabetes status, and smoking status. Total and HDL cholesterol are measured from a fasting finger-stick blood sample using a Cholestech LDX point-of-care analyzer, and blood pressure is measured using an OMRON IntelliSense professional digital monitor. Remaining inputs are self-reported on the Demographic and Medical History Questionnaire. Higher scores indicate greater estimated 10-year cardiovascular disease risk.
SecondaryChange in perceived stressBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Perceived stress will be assessed using the 10-item Perceived Stress Scale (PSS-10), which measures the degree to which participants perceive situations in their lives as stressful, including feelings of overload and lack of control. Higher scores indicate greater perceived stress.
SecondaryChange in historical loss-associated symptomsBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Historical loss-associated symptoms will be assessed using an adapted Historical Loss Associated Symptoms Scale (HLASS), which measures emotional and behavioral responses associated with thinking about historical losses, including grief, anger, shame, and feelings of loss. Higher scores indicate more frequent symptoms associated with historical loss.
SecondaryChange in Yup'ik wellnessBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Assessed using the Yup'ik Wellness Questionnaire, which measures two dimensions of engagement with Yup'ik cultural systems: frequency of participation in cultural practices and the importance participants place on those practices. Higher frequency ratings indicate more frequent engagement, and higher importance ratings indicate greater importance placed on the activity.
SecondaryChange in Yup'ik cultural identityBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Cultural identity will be assessed using one item measuring the degree to which participants identify with Yup'ik way of life. Higher ratings indicate greater identification with/following of a Yup'ik way of life.
SecondaryChange in Kass'aq (non-Native) cultural identityBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Cultural identity will be assessed using one item measuring the degree to which participants identify with Kass'aq way of life. Higher ratings indicate greater identification with/following of a Kass'aq way of life.
SecondaryChange in connectednessBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Connectedness will be assessed using the Awareness of Connectedness scale, which assesses reciprocity and connectedness to family, community, and land. Higher scores indicate greater awareness of connectedness.
SecondaryChange in family relationshipBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Family relationships are assessed using 16 items from the Brief Family Relationship Scale (BFRS) addressing family support and cohesion, communication and expressiveness, and conflict. Higher scores indicate greater cohesion and lower conflict.
SecondaryChange in traditional food consumptionBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Traditional food consumption will be assessed using a six-item survey measuring frequency of consumption across six traditional food categories: fish, marine mammals, land mammals, wild birds or eggs, berries, and wild plants or greens. Higher responses indicate more frequent traditional food consumption.
SecondaryChange in Indigenous food sovereigntyBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Indigenous food sovereignty is assessed using 19 items addressing subsistence knowledge and skills, teaching and learning, food sharing, relationships, access, adaptability, stewardship, and impacts of colonization and changes in traditional food systems.
SecondaryChange in well-beingBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Well-being is assessed using 14 item Warwick-Edinburgh Mental Well-being Scale (WEMWBS) addressing positive mental well-being during the previous two weeks, including optimism, feeling useful, relaxation, energy, coping, clear thinking, positive self-regard, connection with others, confidence, and feeling loved. Higher scores indicate greater positive mental well-being.
SecondaryChange in stable isotope biomarker of traditional food intakeBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)Stable isotope ratios are measured from dried blood spot samples collected by finger stick as objective biomarkers of traditional food intake.
OtherChange in frequency of thoughts about historical lossBaseline (B), 6-month intervention midpoint (T1), 12-month end of intervention (T2), and 18-month follow-up (T3)
Historical loss will be assessed using the 15-item Historical Loss Scale (HLS), which assesses the frequency with which participants think about collective losses experienced by Yup'ik people, including loss of land, language, cultural and spiritual practices, family ties, traditional foods, natural resources, and traditional knowledge. Higher scores indicate more frequent thoughts about historical losses when responses are coded in that direction.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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