Middle School Success Over Stress

NCT ID: NCT05117099

Last Updated: 2024-04-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

308 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-11

Study Completion Date

2023-01-23

Brief Summary

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It is clear that the COVID-19 pandemic has impacted families adversely in multiple ways, including economic stressors, mental health-related functioning, social/familial functioning, as well as responses to mandated safety measures (e.g. social distancing, stay-at-home orders, mask-wearing). Furthermore, families of school-age children have had to navigate online instruction and home schooling in the context of these difficult circumstances with little preparation for doing so effectively. School districts have varied widely in their ability to support parents during this crisis. These stressors are likely to have disproportionately adverse effects on lower-income and racial/ ethnic minority populations, for whom economic, academic, and family-level challenges were already pronounced. For instance, health effects of COVID-19 have hit African American and Latinx populations with disproportionate severity, including higher rates of hospitalization and death. Given the scale of pandemic impacts for families with school-aged children, the identification of effective family-focused interventions that target core mechanisms of change with a broad range of benefits for parents and youth across diverse populations, and that can be brought to scale rapidly and with fidelity, represent critical public health goals.

In this research study the investigators will adapt and test the efficacy of the Family Check-Up Online as a treatment to foster resilient family functioning in response to the COVID-19 pandemic. The investigators will test the effects of the adapted FCU Online program on key mechanisms of change that are predicted to directly impact child and family functioning: parenting skills, parental depression, and parent and child self-regulation. The investigators predict that changes in these key targets of the intervention will impact participant's response to the COVID-19 pandemic, including youth depression and behavior problems, the ability to cope with pandemic-focused stressors, and social/familial functioning.

Detailed Description

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Conditions

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Parenting Parent-Child Relations Depression Self-regulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Families will be assigned to treatment vs. waitlist control. The investigators will assess families at baseline and at 2-, 4-, and 6-month follow-ups. Families in the treatment condition will receive the intervention between baseline and the 2-month follow-up.The control group will receive the intervention following the 4-month assessment.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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FCU Online + Coach

Parents in this arm will receive access to the FCU Online website and telehealth coaching/ support provided by a trained mental health provider. The FCU Online website includes a brief 5-minute assessment, feedback on parents' responses, and online tools to support parenting in areas that were identified as challenges by the assessment. These tools include videos, animated videos, parenting tips, and interactives to help practice parenting skills.Telehealth coaching sessions will focus on Healthy Behaviors, Positive Parenting, Rules and Consequences, School Support, and Communication.

Group Type EXPERIMENTAL

Family Check-Up

Intervention Type BEHAVIORAL

This intervention includes access to the Family Check-Up Online website and telehealth coaching provided by trained mental health providers. A minimum of 5 coaching sessions will be offered.

Waitlist Control

Parents in this arm will initially serve as the control group but will receive access to the FCU Online website and telehealth coaching after completing three waves of data collection (baseline, 2-mo, and 4-mo follow-up).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Family Check-Up

This intervention includes access to the Family Check-Up Online website and telehealth coaching provided by trained mental health providers. A minimum of 5 coaching sessions will be offered.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* A caregiver must have a child between the ages of 10 and 14;
* the caregiver must be the parent or legal guardian of the participating youth;
* the caregiver must have a smartphone with text messaging capability and access to email; and
* the caregiver must score at least 1 or above on the Patient Health Questionnaire-2, or score at least 2 on any item of the Perceived Stress Scale-4.

Exclusion Criteria

* the caregiver is unable to read in either English or Spanish;
* the child is unable to complete the survey without parent's help; or
* the family is already participating in another study of the University of Oregon's Prevention Science Institute.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Case Western Reserve University

OTHER

Sponsor Role collaborator

University of Oregon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elizabeth Stormshak, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Oregon

Locations

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University of Oregon Prevention Science Institute

Portland, Oregon, United States

Site Status

Countries

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United States

References

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Stormshak E, Connell A, Mauricio AM, McLaughlin M, Caruthers A. Digital Health Delivery of Parenting Skills to Improve Conduct Problems in Middle School Youth Across Two Distinct Randomized Trials. Prev Sci. 2025 May;26(4):582-591. doi: 10.1007/s11121-024-01750-2. Epub 2024 Nov 18.

Reference Type DERIVED
PMID: 39556238 (View on PubMed)

Mauricio AM, Hails KA, Caruthers AS, Connell AM, Stormshak EA. Family Check-Up Online: Effects of a Virtual Randomized Trial on Parent Stress, Parenting, and Child Outcomes in Early Adolescence. Prev Sci. 2024 Sep 24. doi: 10.1007/s11121-024-01725-3. Online ahead of print.

Reference Type DERIVED
PMID: 39316242 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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3R01MH122213-01S1

Identifier Type: NIH

Identifier Source: org_study_id

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