Intervention to Enhance Coping and Help-seeking Among Youth in Foster Care
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ClinicalTrials.gov Identifier: NCT06019377 |
Recruitment Status :
Recruiting
First Posted : August 31, 2023
Last Update Posted : April 9, 2024
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Condition or disease | Intervention/treatment | Phase |
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Adolescent Behavior Psychosocial Functioning Coping Behavior Help-Seeking Behavior Utilization, Health Care Depression Anxiety Stress Disorders, Post-Traumatic Emotion Regulation Child Welfare | Behavioral: Stronger Youth Networks and Coping (SYNC) | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 96 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | 10-module group psychoeducational curriculum model |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Official Title: | Pilot Testing an Intervention to Enhance Coping and Increase Mental Health Help-seeking Among Transition-age Youth in Foster Care |
Estimated Study Start Date : | April 15, 2024 |
Estimated Primary Completion Date : | March 2026 |
Estimated Study Completion Date : | August 2026 |
Arm | Intervention/treatment |
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Experimental: Intervention
The Intervention group receives the SYNC intervention in addition to typical child welfare services (i.e., services as usual). The SYNC intervention includes 10 weekly remote (videoconference) 90-minute sessions delivered by a facilitator and a near-peer young adult aged 20-26, both with lived experience in child welfare.
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Behavioral: Stronger Youth Networks and Coping (SYNC)
SYNC is a 10-module online curriculum adapted from evidence-based cognitive change methods, including Coping Effectiveness Training (CET), co-facilitated by service providers in Independent Living Programs (ILPs; federally-funded transition skill-building services accessed by most foster youth in the US) and near-peers (have lived experience in foster care). SYNC aims to increase youth capacity to appraise stress and regulate emotional responses, to flexibly select adaptive coping strategies, and to specifically promote informal and formal help-seeking as an effective coping strategy. |
No Intervention: Services-as-usual
The Services-as-usual (SAU) group receives typical child welfare services, which include ILP, or federally funded transition planning (e.g., identifying and supporting youth education and employment goals) and life skills (e.g., budgeting, renting an apartment, insurance) services typically delivered through a mix of classes, group activities, and/or individual skill-building with a paraprofessional service provider.
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- Cognitive control and coping flexibility [ Time Frame: immediately after program completion, 6 months after program completion ]Cognitive Control and Flexibility Questionnaire (CCFQ; 18 items with 7-pt Likert-type response scale ranging from 1 'strongly disagree' to 7 'strongly agree', youth report) assesses cognitive control over emotion; and appraisal and coping flexibility. Average scores can range from 1 to 7, with higher scores indicating more (better) control and flexibility.
- Help-seeking intentions [ Time Frame: immediately after program completion, 6 months after program completion ]General Help Seeking Questionnaire (22 items with 7-pt response scale ranging from 1 'Extremely unlikely' to 7 'Extremely likely', youth report) assesses intentions to seek help in the event of a personal or emotional problem and if having suicidal thoughts. Average scores can range from 1 to 7, with higher scores indicating more (better) help-seeking intentions.
- Barriers to seeking help [ Time Frame: immediately after program completion, 6 months after program completion ]Barriers to Adolescent Seeking Help - Brief (BASH-B; 11 items with 7-pt response scale ranging from 1 'strongly disagree' to 7 'strongly agree agree', youth report) assesses perceived autonomy and fears related to seeking help for mental health issues. Average scores can range from 1 to 7, with higher scores indicating more (worse) barriers.
- Self-efficacy and empowerment specific to mental health [ Time Frame: immediately after program completion, 6 months after program completion ]Youth Efficacy/Empowerment Scale-Mental Health (MH) (23 items with 5-pt response scale ranging from 1 'Always or almost always' to 5 'Never or almost never', youth report) assesses extent to which youth manages mental health and directs their own mental health services. Average scores can range from 1 to 5, with higher scores indicating more (better) efficacy and empowerment around mental health services.
- Coping self-efficacy [ Time Frame: immediately after program completion, 6 months after program completion ]Coping Self-Efficacy Scale (26 items with response scale ranging from 0 'I cannot do this at all' to 10 'Certain I can do this', youth report) assesses use of problem-focused, support-seeking, & positive reframing coping strategies. Average scores can range from 1 to 10, with higher scores indicating more (better) coping self-efficacy.
- Domains for psychiatric diagnoses [ Time Frame: immediately after program completion, 6 months after program completion ]Diagnosis and Statistican Manual, Fifth Edition (DSM-5) Self-Rated Level 1 Cross-Cutting Symptom Measure (25 items with yes/no responses, youth report) assesses mental health domains (past 2 weeks) that are important across psychiatric diagnoses including depression, substance use, anxiety, somatic symptoms, sleep problems). Total scores can range from 0 to 25, with higher scores indicating more (worse) psychiatric symptoms.
- Mental health service use [ Time Frame: immediately after program completion, 6 months after program completion ]Service Assessment for Children and Adolescents (4 items with yes/no responses, youth report) assesses service use in past 3 months: Outpatient (counseling, therapy, support group), residential treatment, inpatient hospitalization, psychotropic medication. Total scores can range from 0 to 4, with higher scores indicating more (better) service usage.
- Depression and anxiety [ Time Frame: immediately after program completion, 6 months after program completion ]Revised Children's Anxiety and Depression Scale (RCADS; 25 items with 4-pt response scale ranging from 1 'Never' to 4 'Always', youth report) assesses recent anxiety and depression symptoms. Average scores can range from 1 to 4, with higher scores indicating more (worse) symptoms of anxiety and depression.
- Post-traumatic stress disorder symptoms [ Time Frame: immediately after program completion, 6 months after program completion ]The Post-traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5; 17 items with 5-pt response scale ranging from 0 'Not at all' to 4 'Extremely', youth report) assess the prevalence of various post-traumatic stress disorder (PTSD) symptoms (e.g., difficulty concentrating, loss of interest in activities, trouble falling or staying asleep). Average scores can range from 1 to 5, with higher scores indicating more (worse) PTSD symptoms.
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Ages Eligible for Study: | 16 Years to 20 Years (Child, Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Eligible to receive federally-funded transition-related services in Oregon (ages 16-20 and in foster care at least 90 days after they turned age 14),
- Indicated behavioral health risk. Behavioral health risk is indicated by child welfare administrative indicators of lifetime behavioral health need or service involvement (DSM diagnoses, psychotropic medication, emotional-behavioral disability, congregate care/residential placement)
Exclusion Criteria:
- Inability to actively participate in the intervention, including you who are: non-English speaking, significantly developmentally disabled, or where participation is otherwise contraindicated (e.g., youth is in crisis, youth is in a placement that will not allow for participation)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06019377
Contact: Jennifer Blakeslee, PhD,MSW,BS | 5037258389 | jblakes@pdx.edu | |
Contact: Rebecca A Miller, M.Ed, BA | ramiller@pdx.edu |
United States, Oregon | |
Portland State University | Recruiting |
Portland, Oregon, United States, 97201 | |
Contact: Jennifer Blakeslee, PhD,MSW,BS 503-725-8389 jblakes@pdx.edu | |
Sub-Investigator: Brianne H Kothari, PhD,MA,BA | |
Sub-Investigator: Carrie J Furrer, PhD,MS,BA |
Principal Investigator: | Jennifer Blakeslee, PhD,MSW,BS | Portland State University |
Responsible Party: | Jennifer Blakeslee, Research Associate Professor, Portland State University |
ClinicalTrials.gov Identifier: | NCT06019377 |
Other Study ID Numbers: |
227953-18 1R34MH127141-01A1 ( U.S. NIH Grant/Contract ) |
First Posted: | August 31, 2023 Key Record Dates |
Last Update Posted: | April 9, 2024 |
Last Verified: | April 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Mental health Help-seeking Coping Youth |
Foster care Near-peer Independent living |
Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Trauma and Stressor Related Disorders Mental Disorders |