About this trial
Racial and ethnic minority children who live in socioeconomically disadvantaged communities are disproportionately impacted by pandemic and climate-induced disasters. Although effective interventions have been designed to treat mental health related symptoms in post-disaster settings, accessible, empirically supported prevention interventions are needed to prevent the onset of mental and behavioral health issues among these children. Building on our preliminary findings, the proposed study examines the efficacy and implementation of a COVID-19 adapted disaster focused prevention intervention, Journey of Hope-C19, in preventing behavioral health and interpersonal problems among racial and ethnic minority children who live in low-resource high poverty communities.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
child experienced the COVID-19 pandemic and an additional large-scale disaster
child score is 5 or above on the Strengths and Difficulties Questionnaire
child is in 3- 8th grade at enrollment
the parent or guardian must complete informed consent and child assent
Disqualifiers
child is currently receiving treatment for a diagnosed mental health condition
children who are not able to interact with other students in a group work format, regardless of IEP status
Trial design
Parallel
Treatments tested in this trial
JoH-C19
BehavioralJourney of Hope- COVID 19 (JoH-C19) includes eight, 1-hour consecutive sessions delivered in groups of 8 children during the school day and in after school settings. The 1.5 hour JoH-C19 caregiver workshop is delivered with groups of 8 parents prior to the child JoH-C19 curriculum
Switch off Get Active
BehavioralSwitch off Get Active covers 4 topics, and its eight, 1- hour sessions are delivered in groups of 8 children. The 1.5 hour Switch Off Get Active caregiver workshop is delivered with groups of 8 parents prior to the Switch off Get Active child curriculum
Treatment groups
Trial outcomes
Primary outcomes
Changes in Responses to Strengths and Difficulties Questionnaire
Measures children's psychological symptoms and impairments used for children between the ages of 4 to 16. The questionnaire is both parent and youth report and is comprised of five subscales including emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behavior. Total difficulty scores which include emotional symptoms, conduct problems, hyper-activity and peer relationship problems subscales range from 0-40. The pro-social behavior subscale ranges from 0-10.
Changes in Responses to Pediatric Symptom Checklist-Externalizing Subscale
Parent report measure of emotional and behavioral problems in children. The questionnaire is comprised of three subscales: internalizing, attention, and externalizing. The externalizing subscale will be used for this study. This subscale includes 7-items and the subscale scores range from 0-14.
Secondary outcomes
Changes in Responses to Revised Children's Anxiety and Depression Scale-25 (and Subscales) (RCADS)
The Revised Child Anxiety and Depression Scale-25 (RCADS-25) includes 25-items and has both youth self-report and parent report questionnaires. The RCADS-25 is scored on a four point scale from 1-never to 4=Always. Subscales include depression and broad anxiety. The broad anxiety subscale includes 15 items and scores range from 15-60. The depression subscale includes 10-items and scores range from 10-40.
Changes in Responses to Family Functioning Systematic Clinical Outcome Routine Evaluation (SCORE-15)
The SCORE-15 has both youth self-report and parent report measures assessing family functioning.The measure is scored on a five-point scale from 1-describes us very well to 5-describes us not at all. Subscales include: Strength and Adaptability which includes 5-items with scores range from 5-25, Overwhelmed by Difficulties which includes 5-items with scores ranging from 5-25, and Disrupted Communication which includes 5-items with scores ranging from 5-25.
Changes in Responses to Healthy Pathways Academic Performance Report Academic Subscale
Assesses unidimensional aspects of illness, well-being, and health in youth in transition from childhood to adolescence. the parent-report academic subscale which includes 5-items will be used in this study. The first item inquires how the parent describes the child's grades in schools and ranges from 1=Below Average, D's or F's to 5=Excellent, A's. Items 2-5 ranges from 1=Poor to 5=Excellent. Scale scores on items 2-5 range from 4-20.
Changes in Responses to PROMIS Pediatric items (peer relationships)
Assesses the quality of peer relationships and is both parent and child report. The child report version 8-questions with each item ranging from 0=Never to 4=Almost Always. Raw scores range from 0-32. The parent report version consists of 7 questions with each item ranging from 1=Never to 5=Almost Always. Summed scores range from 8-40 with 8 indicating the lowest quality of peer relationships and 40 indicating the highest quality of peer relationships.
Other outcomes
Changes in Responses to Social Support Questionnaire (SSQ) for Children
The SSQ is a child report measure children aged 8-18 years of age with five factors representing distinct sources of supports including: parents, relatives, non-relative adults, siblings and peers. This study will include two subscales measuring sources of support from parents and from peers. Each subscale consists of 12 questions and is measured on a 5-point Likert scale ranging from 1=Never to 6=Always. Scores for each subscale range from 12-72 with lower scores indicating less perceived support.
Changes in Responses to Children's Coping Strategies checklist
Assesses respondents use of a variety of strategies to cope with challenging live events. Subscales in this study include: problem focused coping, positive cognitive restructuring, avoidance, and support seeking
Changes in Responses to Child Self Efficacy Scale
A child-report measure for school-aged children measuring perceived self-efficacy. Subscales for this study will include self-efficacy in enlisting social resources (3-items) and social self-efficacy (3-items). Children are asked to rate their degree of confidence in each question ranging from 0=Cannot do at all to 100 Certainly can do. Scores on each subscale range from 0-300.
Changes in Responses to COVID 19 Exposure
Measures the impact of the COVID-19 pandemic on a family. The parent report measures consists of 25 items that assess exposure to the COVID-19 pandemic and related stressors. Each question is scores 0=No, 1=Yes. Scores range from 0-25, with higher scores representing greater COVID exposure.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Illinois at Urbana-Champaign
Lead sponsor
Save the Children
Collaborator
Care Connections Mental Wellness and Learning Center
Collaborator
Dickinson Independent School District
Collaborator
Bay District Schools
Collaborator
University of Houston
Collaborator
Baylor College of Medicine
Collaborator
University of South Florida
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Coalition for Compassionate Schools
Collaborator
Boys and Girls Club of Manatee County
Collaborator
Communities in Schools of Galveston County
Collaborator
Communities in Schools Palm Beach
Collaborator
Communities in Schools Gulf South
Collaborator
R'Club Child Care Inc.
Collaborator
Boys and Girls Clubs of Tampa Bay
Collaborator