Evidence map›Paper›PMID 41673888›Full record

ArticlePilot and feasibility studies2026

My Pathway to Healing (MP2H): a pilot randomized implementation trial to promote healing from the impacts of adverse childhood experiences, trauma, and suicide risk among Native American adults-trial rationale and protocol.

Meredith Stifter, Fiona Grubin, Novalene Goklish, Francene Larzelere Sinquah, Rosemarie Suttle, Mitchell Garcia, Cindy Kaytoggy, Tina Minjarez, Robin Tessay, Mary Cwik and 1 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04585906 (My Pathway to Healing), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT04585906 nacompletednot on this map

My Pathway to Healing: Adaptation and Testing of a Common Elements Treatment Approach to Address Trauma, Suicide Ideation and Substance Abuse

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2022 to 2024Enrolled36ConditionsSuicide, Trauma, Binge DrinkingArmsCommon Elements Treatment Approach
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Meredith Stifter *Johns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA. mstifte1@jhu.edu.ORCID http://orcid.org/0009-0004-5765-5267
Fiona Grubin *Johns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Novalene GoklishJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Francene Larzelere SinquahJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Rosemarie SuttleJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Mitchell GarciaJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Cindy KaytoggyJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Tina MinjarezJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Robin TessayJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Mary CwikJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
Emily E HarozJohns Hopkins Center for Indigenous Health, 415 N. Washington St., Baltimore, MD, 21231, USA.

Funding

SuSt-AInS: Sustainment of suicide prevention programs in American Indian SettingsK01MH116335 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HAROZ, EMILY · 2018 to 2022
$733k
Native American Research Centers for Health S06GM142120NIMH NIH HHS K01MH116335
6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) are common in many communities. In Native American communities, ACEs are also related to historical trauma. ACEs are correlated with a variety of health problems, among them substance abuse and suicidal behaviors. Despite historical and contemporary efforts to assimilate and eradicate American Indian communities and cultures, these communities are resilient and continue to benefit from unique cultural strengths and values surrounding health today. The White Mountain Apache Tribe (WMAT) leverages tribal sovereignty to implement programs and policies to address health inequities in their community. The Johns Hopkins Center for Indigenous Health supported work toward health equity in the community through developing the My Pathway to Healing intervention aimed at supporting adults struggling with substance abuse and/or suicidal behaviors by addressing trauma, including historical trauma and ACEs.

methodsThis pilot randomized trial will assess the feasibility and preliminary impacts of the My Pathway to Healing intervention with a two-armed randomized wait-list controlled trial. We will use stratified randomization and 1:1 allocation to assign participants to receive either the intervention or the current standard of care (those randomized to receive standard of care will be offered the intervention upon completion of the study). We aim to enroll N = 30 adults from the WMAT community who are between ages 18 and 65, have engaged in recent (i.e., past 90 days) suicidal, self-harm, or binge substance use behavior, who have experienced at least two ACEs, and who are currently experiencing elevated symptoms of posttraumatic stress. Participants will be recruited through the local community-based suicide surveillance system by community mental health specialists. Analysis will be conducted to assess feasibility of implementing a larger trial in the future and whether the intervention decreases symptoms of posttraumatic stress and increases hopefulness and communal mastery. DISCUSSION: The My Pathway to Healing intervention leverages WMA cultural strengths and fills an important gap in programming available to older adults in the WMAT community. This trial will yield results on the utility of a multi-problem approach to addressing similar issues stemming from historical and contemporary trauma.

trial registrationClinicalTrials.gov Identifier: NCT04585906. Registered 14 October 2020, https://classic. CLINICALTRIALS: gov/ct2/show/NCT04585906 .

Indexed as

Adverse childhood experiencesAI/ANAmerican IndianAmerican Indian/Alaska NativeHistorical traumaMental healthNative AmericanSubstance abuseSuicidal behaviors

Identifiers

PMID41673888
PMCPMC12997673

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Registered trials

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.