Evidence map›Paper›PMID 37224700›Full record

Trial reportBehaviour research and therapy2023

"Keep up the messages, sometimes it was a lifesaver": Effects of cultural adaptation on a suicide prevention clinical trial in American Indian/Alaska Native communities.

Marija Bogic, Luciana E Hebert, Anna Evanson, Barbara D Wright, Anthippy Petras, Kelley Jansen, Jennifer Shaw, Katherine Anne Comtois, Lonnie Nelson

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Behaviour research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Examining the Etiology of Asian American Suicide in the United States.Journal of racial and ethnic health disparities · 2025
    Article
  3. Care packages to promote universal suicide prevention for remote Alaska Native communities: What worked?The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Marija BogicWashington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA. Electronic address: Marija.Bogic@wsu.edu.
Luciana E HebertWashington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA. Electronic address: Luciana.Hebert@wsu.edu.
Anna EvansonWashington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA. Electronic address: Anna.Evanson@wsu.edu.
Barbara D WrightWashington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA. Electronic address: Barbara.D.Wright@wsu.edu.
Anthippy PetrasWashington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA. Electronic address: Anthippy.Petras@wsu.edu.
Kelley JansenSouthcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK, 99577, USA. Electronic address: KJansen@SouthcentralFoundation.com.
Jennifer ShawSouthcentral Foundation, 4085 Tudor Centre Drive, Anchorage, AK, 99577, USA. Electronic address: jshaw@scf.cc.
Katherine Anne ComtoisUniversity of Washington, Box 359911, Harborview Medical Center, Seattle, WA, 98195, USA. Electronic address: kcomtois@uw.edu.
Lonnie NelsonWashington State University Health Sciences Spokane, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA. Electronic address: Lonnie.Nelson@wsu.edu.
Washington State University Spokane · USSouthcentral Foundation · USUniversity of Washington · US

Funding

Caring Texts: A Strength-based, Suicide Prevention Trial in 4 Native CommunitiesR01MH106419 · NIMH · WASHINGTON STATE UNIVERSITY · PI COMTOIS, KATHERINE ANNE, NELSON, LONNIE A. · 2016 to 2023
$4.7M
NIMH NIH HHS R01 MH106419
6 · The paper itself

Abstract

Suicide disproportionately affects many American Indian/Alaska Native (AI/AN) communities. Caring Contacts is one of the few suicide prevention interventions with demonstrated success in diverse populations, but its acceptability and effectiveness have not been evaluated in AI/AN communities. Using community-based participatory research (Phase 1), we conducted focus groups and semi-structured interviews with AI/AN adults, healthcare providers, and leaders in four communities to improve study design and maximize intervention acceptability and effectiveness for implementation in a randomized controlled trial (Phase 2). This paper describes how adaptations made during Phase 1 affected the acceptability, fit, and responsiveness of the study features to the communities' needs. Acceptability of the study procedures and materials in this community appears to be high, with 92% of participants indicating the initial assessment interview was a positive experience. Broadening eligibility criteria with regard to age and possession of a cellular device resulted in the recruitment of an additional 48% and 46% of participants, respectively. Inclusion of locally-informed methods of self-harm allowed us to capture a wider range of suicidal behavior than would have otherwise been identified. Clinical trials would benefit from community-engaged, cultural adaptation studies with populations in which the interventions would eventually be applied.

Indexed as

Indians, North AmericanSuicideAdultAmerican Indian or Alaska NativeHumansSuicide PreventionAlaska nativeAmerican IndianCBPRCultural adaptationSuicide preventionTribal

Identifiers

PMID37224700
PMCPMC10354378
OpenAlexW4376130029

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.