[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100651994":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":20,"centralContacts":21,"locations":31,"responsibleParty":93,"collaborators":20,"id":95,"slug":96,"hasResults":97,"nctId":98,"briefTitle":99,"officialTitle":100,"acronym":101,"eligibilityCriteria":102,"healthyVolunteers":97,"sex":103,"minAge":104,"maxAge":105,"enrollmentInfo":106,"targetDuration":20,"studyType":109,"phases":110,"briefSummary":112,"conditions":113,"keywords":115,"overallStatus":34,"whyStopped":20,"lastUpdateSubmitDate":127,"lastUpdatePostDateStruct":128,"startDateStruct":131,"completionDateStruct":133,"leadSponsor":135,"locationsCount":136},{"fullName":5,"class":6},"McLaughlin Research Institute for Biomedical Sciences, Inc.","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Grow with Grit School Nurse-Led SBIRT","EXPERIMENTAL","Participants complete child and parent anxiety screening. Students who screen positive receive a brief school nurse-led coping-skills intervention, referral through the school's existing mental health support pathway, and follow-up assessments at approximately three and six months. Students who screen negative do not continue into the intervention and follow-up phase.",[13],"Behavioral: Grow with Grit",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":20},"BEHAVIORAL","Grow with Grit","After targeted case-finding and enrollment, students and their parents or guardians complete the child and parent versions of the Screen for Child Anxiety Related Emotional Disorders (SCARED). Students with a score of 25 or higher on either version receive a standardized three- to five-minute, school nurse-delivered micro-CBT intervention during the same or next clinically appropriate encounter. The nurse provides brief psychoeducation about connections among body signals, thoughts, feelings, and stress; practices a coping skill matched to the student's concern, such as paced breathing, grounding, gentle movement, or cognitive reframing; and develops a brief plan for using the skill and returning to class when appropriate. The nurse also initiates a referral through the school's existing MTSS-aligned mental health pathway. Coping skills may be reinforced during subsequent school nurse encounters. Students who screen negative do not receive the study micro-CBT intervention or enter the",[9],null,[22,27],{"name":23,"role":24,"phone":25,"phoneExt":20,"email":26},"Donna Sanders R Principal Investigator, DNP-PMH, BSN","CONTACT","406-799-6554","donna.sanders@mclaughlinresearch.org",{"name":28,"role":24,"phone":29,"phoneExt":20,"email":30},"Rebecca Brown Clinical Research Coordinator, BSN","406-454-6045","rebecca@mclaughlinresearch.org",[32,56,69,81],{"facility":33,"status":34,"city":35,"state":36,"zip":37,"country":38,"countryCode":39,"cosmosGeoPoint":40,"geoPoint":45,"contacts":46},"West Elementary School","RECRUITING","Great Falls","Montana","59404","United States","US",{"type":41,"coordinates":42},"Point",[43,44],-111.30081,47.50024,{"lat":44,"lon":43},[47,51,53],{"name":48,"role":24,"phone":49,"phoneExt":20,"email":50},"Erica Harp Lead School Nurse, RN,BSN","4062687700","erica_harp@gfps.k12.mt.us",{"name":52,"role":24,"phone":29,"phoneExt":20,"email":30},"Rebecca Brown R Clinical Research Coordinator, RN",{"name":54,"role":55,"phone":20,"phoneExt":20,"email":20},"Donna Sanders, DNP, PMH","PRINCIPAL_INVESTIGATOR",{"facility":57,"status":34,"city":35,"state":36,"zip":58,"country":38,"countryCode":39,"cosmosGeoPoint":59,"geoPoint":61,"contacts":62},"Longfellow Elementary","59405",{"type":41,"coordinates":60},[43,44],{"lat":44,"lon":43},[63,66,68],{"name":64,"role":24,"phone":65,"phoneExt":20,"email":50},"Brianna St. Lawrence School Nurse, RN","4062686845",{"name":67,"role":24,"phone":49,"phoneExt":20,"email":50},"Erica Harp R Lead School Nurse, RN, BSN",{"name":54,"role":55,"phone":20,"phoneExt":20,"email":20},{"facility":70,"status":34,"city":35,"state":36,"zip":58,"country":38,"countryCode":39,"cosmosGeoPoint":71,"geoPoint":73,"contacts":74},"Mountain View Elementary School",{"type":41,"coordinates":72},[43,44],{"lat":44,"lon":43},[75,79,80],{"name":76,"role":24,"phone":77,"phoneExt":20,"email":78},"Laura Chouinard School Nurse, RN","4062687305","laura_chouinard@gfps.k12.mt.us",{"name":67,"role":24,"phone":49,"phoneExt":20,"email":50},{"name":54,"role":55,"phone":20,"phoneExt":20,"email":20},{"facility":82,"status":34,"city":35,"state":36,"zip":58,"country":38,"countryCode":39,"cosmosGeoPoint":83,"geoPoint":85,"contacts":86},"Sunnyside Elementary School",{"type":41,"coordinates":84},[43,44],{"lat":44,"lon":43},[87,91,92],{"name":88,"role":24,"phone":89,"phoneExt":20,"email":90},"Melanie Knutson School Nurse, RN, BSN","4062687115","melanie_knutson@gfps.k12.mt.us",{"name":67,"role":24,"phone":49,"phoneExt":20,"email":50},{"name":54,"role":55,"phone":20,"phoneExt":20,"email":20},{"type":94,"investigatorFullName":20,"investigatorTitle":20,"investigatorAffiliation":20,"oldNameTitle":20,"oldOrganization":20},"SPONSOR","100651994","grow-with-grit-a-school-nurse-led-sbirt-pilot-for-early-anxiety-detection-100651994",false,"NCT07766785","Grow With Grit: A School Nurse-Led SBIRT Pilot for Early Anxiety Detection","Grow With Grit: A Nurse-Led SBIRT Model for Early Anxiety Detection and School-Based Mental Health Intervention in Rural Youth","GwG","Inclusion Criteria:\n\n1. GFPS students aged 8-12 years and enrolled at one of the following schools:\n\n   Mountain View Elementary West Elementary Longfellow Elementary Sunnyside Elementary School\n2. Participants will be identified through a weekly review of school nurse electronic health records (Frontline EHR) and attendance logs, and will include students who have either:\n\n   1. Three or more nurse visits for somatic complaints within the past 6 weeks. For this study, somatic complaints are defined as the following physical symptoms that are not otherwise linked to exclusionary illness or chronic medical processes: stomach aches, headaches, fatigue, \\& generalized muscle aches.\n   2. Absenteeism greater than or equal to 10% of total school days due to the previously defined somatic complaints, within the past 6 weeks.\n   3. English-speaking without an interpreter (both student and guardian).\n\nExclusion Criteria\n\n1. Currently receiving ongoing behavioral health services, including psychotherapy, psychiatric medication management, or active behavioral health case management.\n\n   1. Brief, one-time crisis counseling is not considered ongoing services.\n   2. Questions about eligibility should be directed to the Principal Investigator.\n2. Presence of a chronic medical diagnosis that fully accounts for the student's repeated somatic visits (e.g., asthma with frequent exacerbations, epilepsy, diabetes, sickle cell disease, or active cancer treatment).\n\n   a. Students with partially explained symptoms who are also suspected to have co-occurring anxiety may be reviewed on a case-by-case basis by the PI\u002Fdesignee.\n3. Documented cognitive or communication impairments that preclude meaningful completion of the SCARED screening tool or informed assent.\n\n   1. Examples include moderate to severe intellectual disability or severe receptive\u002Fexpressive language disorder without feasible accommodations.\n   2. Students with an IEP or 504 plan that includes communication supports may be included if they can complete the tool with reasonable accommodations.\n4. Students who are wards of the state or in foster care.\n5. Non-English speaking students or guardians.\n6. Acute safety concerns at the time of screening (e.g., active suicidal ideation with plan\u002Fintent, recent suicide attempt, or other crisis requiring immediate intervention).\n\n   1. Such students will be triaged to crisis protocols and excluded from study participation at that time.","ALL","8 Years","12 Years",{"count":107,"type":108},60,"ESTIMATED","INTERVENTIONAL",[111],"NA","All enrolled students and their parents or guardians will complete baseline anxiety questionnaires. Students with a positive baseline screen will receive a brief school nurse-delivered coping skill, referral support when indicated, and follow-up assessments at approximately three and six months. Students with a negative screen will not enter the intervention and follow-up phase.",[114],"Anxiety",[116,117,118,119,120,121,122,123,124,125,126],"pediatric anxiety","school nursing","school-based mental health","somatic symptoms","anxiety screening","early identification","Brief cognitive behavioral intervention","rural health","school absenteeism","SBIRT","elementary school students","2026-08-10",{"date":129,"type":130},"2026-08-17","ACTUAL",{"date":132,"type":130},"2026-02-09",{"date":134,"type":108},"2027-12",{"name":5,"class":6},4]