Results: A total of 833 AI/AN teenagers and young adults were included in the analysis. The impacts of the BRAVE intervention were tested using linear mixed-effect models and linear regressions. AI/AN teenagers and young adults enrolled in the study received either BRAVE SMS text messages, designed to improve mental health, help-seeking skills, and cultural resilience, or 8 weeks of science, technology, engineering, and math (STEM) SMS text messages, designed to elevate and reaffirm Native voices in STEM and medicine and then received the BRAVE SMS text messages. Methods: From October to December 2019, we recruited 2334 AI/AN teenagers and young adults nationwide via social media channels and SMS text messages and enrolled 1044 participants. Objective: We aim to conduct a randomized controlled trial of the BRAVE intervention among AI/AN teenagers and young adults (aged 15-24 years) to assess its impact on their physical, mental, and spiritual health their resilience and self-esteem and their coping and help-seeking skills.
The program is delivered via SMS text messaging and includes role model videos, mental wellness strategies, links to culturally relevant resources, and social support from family and friends. Leveraging We R Native, a multimedia health resource for Native teenagers and young adults, staff of the Northwest Portland Area Indian Health Board designed the BRAVE intervention for Native youth. Northwest Portland Area Indian Health BoardĮmail: Culturally relevant interventions are needed to help American Indian and Alaska Native (AI/AN) teenagers and young adults navigate common risky situations involving family and friends, including drug and alcohol misuse, dating violence, and suicidality. JMIR Bioinformatics and Biotechnology 23 articles.JMIR Biomedical Engineering 61 articles.JMIR Perioperative Medicine 69 articles.Journal of Participatory Medicine 71 articles.JMIR Rehabilitation and Assistive Technologies 177 articles.JMIR Pediatrics and Parenting 230 articles.Interactive Journal of Medical Research 259 articles.JMIR Public Health and Surveillance 964 articles.Journal of Medical Internet Research 6898 articles.
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