Fostering Healthy Futures for Teens: An RCT

NCT ID: NCT03707366

Last Updated: 2024-12-11

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 234 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-06-30
• Study Completion Date: 2028-09-01

Brief Summary

This study will implement and evaluate a mentoring program designed to promote positive youth development and reduce adverse outcomes among maltreated adolescents with open child welfare cases. Teenagers who have been maltreated are at heightened risk for involvement in delinquency, substance use, and educational failure as a result of disrupted attachments with caregivers and exposure to violence within their homes and communities. Although youth mentoring is a widely used prevention approach nationally, it has not been rigorously studied for its effects in preventing these adverse outcomes among maltreated youth involved in the child welfare system. This randomized controlled trial will permit us to implement and evaluate the Fostering Healthy Futures for Teens (FHF-T) program, which will use mentoring and skills training within an innovative positive youth development (PYD) framework to promote adaptive functioning and prevent adverse outcomes. Graduate student mentors will deliver 9 months of prevention programming in teenagers' homes and communities. Mentors will focus on helping youth set and reach goals that will improve their functioning in five targeted "REACH" domains: Relationships, Education, Activities, Career, and Health. In reaching those goals, mentors will help youth build social-emotional skills associated with preventing adverse outcomes (e.g., emotion regulation, communication, problem solving). The randomized controlled trial will enroll 234 racially and ethnically diverse 8th and 9th grade youth (117 intervention, 117 control), who will provide data at baseline prior to randomization, immediately post-program and 15 months post program follow-up. The aims of the study include testing the efficacy of FHF-T for high-risk 8th and 9th graders in preventing adverse outcomes and examining whether better functioning in positive youth development domains mediates intervention effects. It is hypothesized that youth randomly assigned to the FHF-T prevention condition, relative to youth assigned to the control condition, will evidence better functioning on indices of positive youth development in the REACH domains leading to better long-term outcomes, including adaptive functioning, high school graduation, career attainment/employment, healthy relationships, and quality of life.

Conditions

Child Abuse; Child Neglect; Risk Behavior; Delinquency; Mental Health Impairment; Substance Use; Educational Problems; Adolescent Development; Adolescent Behavior; Sexual Behavior; Child Maltreatment

Keywords

Mentoring; Positive Youth Development; Skills training; Relationships; Child Welfare

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

FHF-T Intervention Group

9 months of 1:1 youth mentoring by graduate-student mentors; workshops; educational advocacy

Group Type: EXPERIMENTAL

FHF-T

Intervention Type: BEHAVIORAL

FHF-T employs mentoring, consisting of relationship development, advocating for and empowering youth, and skill-building activities to promote positive youth development. Mentors meet individually for 2-3 hours per week for 30 weeks with each teen they mentor, in order to engage teens in positive youth development activities and provide skills training in areas including emotion recognition, perspective-taking, problem solving, effective communication, managing anger, healthy coping and resisting peer pressure for deviant activities. Youth also attend group workshops over the course of the program, in which they engage with other participants and mentors in skill-building activities.

Control group

Services as usual

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

FHF-T

FHF-T employs mentoring, consisting of relationship development, advocating for and empowering youth, and skill-building activities to promote positive youth development. Mentors meet individually for 2-3 hours per week for 30 weeks with each teen they mentor, in order to engage teens in positive youth development activities and provide skills training in areas including emotion recognition, perspective-taking, problem solving, effective communication, managing anger, healthy coping and resisting peer pressure for deviant activities. Youth also attend group workshops over the course of the program, in which they engage with other participants and mentors in skill-building activities.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Teens with open child welfare cases placed in foster care, kinship care or living at home
• Starting 8th or 9th grade
• History of child maltreatment according to child welfare and court records
• Live within 35 minutes of the University of Denver (for mentoring feasibility)

Exclusion Criteria

• Youth with a known history of severe violent behavior and/or sexual perpetration
• Youth who are deemed unsafe or unable to participate in a community-based mentoring program by their caseworker
• Incarcerated at baseline
• Moderate or severe developmental delay or physical disability
• Youth who are/will be parenting during the prevention program

• Minimum Eligible Age: 13 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Denver

OTHER

Sponsor Role: lead

Responsible Party

Heather Taussig

Professor and Associate Dean for Research

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Heather Taussig, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Denver

Kimberly Bender, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Denver

Locations

University of Denver

Denver, Colorado, United States

Countries

United States

References

Taussig H, Weiler L, Rhodes T, Hambrick E, Wertheimer R, Fireman O, Combs M. Fostering Healthy Futures for Teens: Adaptation of an Evidence-Based Program. J Soc Social Work Res. 2015 Dec;6(4):617-642. doi: 10.1086/684021.

Reference Type: BACKGROUND

PMID: 27019678 (View on PubMed)

Taussig, H.N., Bender, K., Bennett, R. Massey Combs, K., Fireman, O, & Wertheimer, R. (2020). Mentoring for teens with child welfare involvement: Permanency outcomes from a randomized controlled trial of the Fostering Healthy Futures for Teens program. Child Welfare, 97(5), 1-24.

Reference Type: RESULT

Taussig, H., Bender, K., Racz, S. & Evidence Based Policy Team, A. V. (2022, April 7). Fostering Healthy Futures for Teens. Retrieved from osf.io/673eu.

Reference Type: RESULT

Study Documents

Document Type: Individual Participant Data Set

View Document

Other Identifiers

DU FHF-T

Identifier Type: -

Identifier Source: org_study_id