Bullying Prevention Intervention for Adolescent Primary Care Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-06

Study Completion Date

2019-07-31

Brief Summary

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The purpose of this randomized controlled study is to evaluate acceptability and feasibility, and to gather preliminary data about efficacy, of "iPACT" (intervention to Prevent Adolescent Cyber-victimization with Text messages), a brief in-clinic introductory session + longitudinal automated text-message-based secondary prevention program for adolescents with a history of past-year cyber-victimization presenting to a pediatric clinic for well-child visits.

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Detailed Description

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Cyber-victimization predicts depressive symptoms and suicidality; it correlates with PTSD symptoms, alcohol and other drug use, physical peer violence, and dating violence.

Almost 80% of adolescents have a well-child visit with their pediatrician each year. Pediatricians recognize this visit as an important opportunity for behavioral screening, interventions, and referrals, but they currently lack cyber-victimization interventions that are feasible and effective in the clinical setting. Personalized text-message interventions are accessible, feasible, and may be effective with these adolescents.

The purpose of this study is to test the feasibility and acceptability of a novel text-message-augmented secondary prevention intervention, "iPACT." Drawing on effective cognitive behavioral therapy (CBT) and motivational interviewing (MI) depression and violence prevention interventions, a brief in-clinic session will introduce basic cognitive and behavioral strategies. Following their clinic visit, eight weeks of tailored CBT-informed daily text messages will be sent, to enhance skills and remind participants of self-determined goals.

Participants will be identified in the course of usual clinical care. If eligible, parents will be consented and participants assented. Participants will complete a baseline assessment and will be randomized to experimental (iPACT, n=25) or enhanced usual care (EUC, n=25) care, using stratified block randomization.

iPACT group participants will participate in a brief, structured in-clinic introduction on CBT and the iPACT program, followed by 8 weeks of tailored, two-way, CBT-and MI-informed automated text messages (short message service, SMS). EUC group participants will receive standardized information on cyberbullying. The current standard of care for these patients is no care: no cyber-victimization screening assessment protocols are currently used in our clinic. Both iPACT and EUC conditions therefore exceed current levels of care.

At baseline, 8 week follow-up, and 16 week follow-up, participants will complete assessments on cyberbullying, peer violence, and cognitive/behavioral skill-sets. At the 8-week follow-up, standardized qualitative and quantitative process measures will be administered to assess efficacy, acceptability, usability, and feasibility.

Conditions

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Cyberbullying

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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iPACT Intervention

1. In-clinic brief session, introducing basic principles of cognitive behavioral theory and the structure of the text-message portion of the intervention.
2. Eight-week longitudinal tailored CBT-based text-message program.

Group Type EXPERIMENTAL

iPACT Intervention

Intervention Type BEHAVIORAL

Brief in-person + tailored, daily 8-week text-message secondary prevention intervention.

Control: Enhanced Usual Care (EUC)

The investigators will provide participants with a standard resource sheet with information on bullying and mental health resources.

Group Type ACTIVE_COMPARATOR

Control: Enhanced Usual Care (EUC)

Intervention Type OTHER

EUC group participants will receive standardized information on cyberbullying.

iPACT Intervention- App

1. In-clinic brief session, introducing basic principles of cognitive behavioral theory and the structure of the message portion of the intervention delivered via app.
2. Eight-week longitudinal tailored CBT-based message program delivered via app.

Group Type EXPERIMENTAL

iPACT Intervention- app

Intervention Type BEHAVIORAL

Brief in-person + tailored, daily 8-week message secondary prevention intervention delivered via app.

Interventions

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iPACT Intervention

Brief in-person + tailored, daily 8-week text-message secondary prevention intervention.

Intervention Type BEHAVIORAL

Control: Enhanced Usual Care (EUC)

EUC group participants will receive standardized information on cyberbullying.

Intervention Type OTHER

iPACT Intervention- app

Brief in-person + tailored, daily 8-week message secondary prevention intervention delivered via app.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* presenting to Hasbro Children's pediatric clinic
* being mentally and physically able to assent
* being English-speaking
* having a consentable parent present
* self-reporting cyber-victimization (defined as endorsing \>1 past-year episode of technology-mediated victimization)

Exclusion Criteria

* being cognitively or emotionally unable to take part in the intervention as determined by the pediatric attending clinician
* suspected by clinical staff of being a victim of child abuse
* currently incarcerated or under police custody

Minimum Eligible Age

13 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No