Trial Outcomes & Findings for ABC Mental Health: A Behavioral Study of K-12 Teachers and School Staff (NCT NCT05574764)

NCT ID: NCT05574764

Last Updated: 2024-11-12

Results Overview

The TSES is used for rating teachers' efficacy in engaging students, providing instructional strategies, and managing classrooms. Total scores range from 1 to 9, with higher scores indicating a greater sense of efficacy. Scores are also calculated for three subscales measuring engagement, instruction and management.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 53 participants
• Primary outcome timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention
• Results posted on: 2024-11-12

Participant Flow

School employees (teachers and staff) from two school districts in North Carolina, Caldwell County and Washington County, participated in this study.

Administrative and Non-Administrative Staff groups were combined due to low enrollment in those groups. Per protocol, "If the number of workshop participants for the administrative or non-administrative staff group is less than 10, then these participants will be grouped together."

Participant milestones

Measure	Teachers This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Overall Study STARTED	37	16
Overall Study COMPLETED	37	16
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

ABC Mental Health: A Behavioral Study of K-12 Teachers and School Staff

Baseline characteristics by cohort

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Total n=53 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	37 Participants n=5 Participants	16 Participants n=7 Participants	53 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Sex/Gender, Customized Gender · Male	7 Participants n=5 Participants	3 Participants n=7 Participants	10 Participants n=5 Participants
Sex/Gender, Customized Gender · Female	29 Participants n=5 Participants	12 Participants n=7 Participants	41 Participants n=5 Participants
Sex/Gender, Customized Gender · Non-binary	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Sex/Gender, Customized Gender · Not reported	0 Participants n=5 Participants	1 Participants n=7 Participants	1 Participants n=5 Participants
Race/Ethnicity, Customized Race/Ethnicity · Asian/Filipino	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Race/Ethnicity, Customized Race/Ethnicity · Black/African American	6 Participants n=5 Participants	4 Participants n=7 Participants	10 Participants n=5 Participants
Race/Ethnicity, Customized Race/Ethnicity · White/Caucasian	29 Participants n=5 Participants	12 Participants n=7 Participants	41 Participants n=5 Participants
Race/Ethnicity, Customized Race/Ethnicity · Not reported	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Region of Enrollment United States	37 Participants n=5 Participants	16 Participants n=7 Participants	53 Participants n=5 Participants
Current grade level Elementary School	17 participants n=5 Participants	8 participants n=7 Participants	25 participants n=5 Participants
Current grade level Middle School	2 participants n=5 Participants	3 participants n=7 Participants	5 participants n=5 Participants
Current grade level High School	18 participants n=5 Participants	7 participants n=7 Participants	25 participants n=5 Participants
Years in current role	11.3 years STANDARD_DEVIATION 6.73 • n=5 Participants	6.2 years STANDARD_DEVIATION 5.88 • n=7 Participants	9.8 years STANDARD_DEVIATION 6.85 • n=5 Participants
Years at current grade level	9.9 years STANDARD_DEVIATION 6.83 • n=5 Participants	6.9 years STANDARD_DEVIATION 6.88 • n=7 Participants	9 years STANDARD_DEVIATION 6.92 • n=5 Participants
Years at current school	8 years STANDARD_DEVIATION 6.38 • n=5 Participants	5.1 years STANDARD_DEVIATION 4.79 • n=7 Participants	7.1 years STANDARD_DEVIATION 6.05 • n=5 Participants

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The TSES is used for rating teachers' efficacy in engaging students, providing instructional strategies, and managing classrooms. Total scores range from 1 to 9, with higher scores indicating a greater sense of efficacy. Scores are also calculated for three subscales measuring engagement, instruction and management.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in the Self-effectiveness of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to one week post-intervention	0.91 score on a scale Interval 0.047 to 1.36	1.04 score on a scale Interval 0.16 to 2.07
Change in the Self-effectiveness of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to two months post-intervention	0.74 score on a scale Interval 0.28 to 1.19	0.80 score on a scale Interval -0.36 to 1.95

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The TSES is used for rating teachers' efficacy in engaging students, providing instructional strategies, and managing classrooms. Student engagement scores range from 1 to 9, with higher scores indicating a greater sense of efficacy.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Efficacy in Student Engagement of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to one week post-intervention	1.18 score on a scale Interval 0.63 to 1.73	1.27 score on a scale Interval 0.38 to 2.25
Change in Efficacy in Student Engagement of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to two months post-intervention	1.00 score on a scale Interval 0.47 to 1.51	0.92 score on a scale Interval -0.23 to 1.99

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The TSES is used for rating teachers' efficacy in engaging students, providing instructional strategies, and managing classrooms. Instructional strategies scores range from 1 to 9, with higher scores indicating a greater sense of efficacy.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Efficacy in Instructional Strategies of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to one week post-intervention	0.73 score on a scale Interval 0.29 to 1.17	1.23 score on a scale Interval 0.27 to 2.39
Change in Efficacy in Instructional Strategies of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to two months post-intervention	0.54 score on a scale Interval 0.0 to 1.04	0.75 score on a scale Interval -0.61 to 2.07

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The TSES is used for rating teachers' efficacy in engaging students, providing instructional strategies, and managing classrooms. Classroom management scores range from 1 to 9, with higher scores indicating a greater sense of efficacy.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Efficacy in Classroom Management of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to one week post-intervention	0.81 score on a scale Interval 0.33 to 1.31	0.63 score on a scale Interval -0.33 to 1.7
Change in Efficacy in Classroom Management of Teachers After Completion of the CARE (Cultivating Awareness and Resilience in Education) Workshop Using the Teachers' Sense of Efficacy Scale (TSES) Pre-intervention to two months post-intervention	0.68 score on a scale Interval 0.18 to 1.17	0.73 score on a scale Interval -0.35 to 1.87

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The Maslach Burnout Inventory - Educator Survey is used for assessing burnout by identifying how educators view their jobs and the individuals with who they work. Scores are calculated for the three subscales measuring emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). The EE subscale has a minimum score of 0 and maximum score of 54. A higher score on the EE subscale reflects a worse outcome, because it indicates that the participant is experiencing emotional exhaustion more frequently.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Emotional Exhaustion (EE) After Completion of the CARE Workshop Using the Maslach Burnout Inventory (MBI) Pre-intervention to one week post-intervention	-7.67 score on a scale Interval -13.69 to -1.57	-1.52 score on a scale Interval -10.76 to 7.18
Change in Emotional Exhaustion (EE) After Completion of the CARE Workshop Using the Maslach Burnout Inventory (MBI) Pre-intervention to two months post-intervention	-8.46 score on a scale Interval -14.18 to -2.34	-1.59 score on a scale Interval -12.37 to 8.89

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The Maslach Burnout Inventory - Educator Survey is used for assessing burnout by identifying how educators view their jobs and the individuals with who they work. Scores are calculated for the three subscales measuring emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). The DP subscale has a minimum score of 0 and maximum score of 30. A higher score on the DP subscale reflects a worse outcome, because it indicates that the participant depersonalizes others more frequently.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Depersonalization (DP) After Completion of the CARE Workshop Using the Maslach Burnout Inventory (MBI) Pre-intervention to two months post-intervention	-0.11 score on a scale Interval -2.65 to 2.54	1.19 score on a scale Interval -3.25 to 6.53
Change in Depersonalization (DP) After Completion of the CARE Workshop Using the Maslach Burnout Inventory (MBI) Pre-intervention to one week post-intervention	-0.31 score on a scale Interval -2.7 to 2.13	1.19 score on a scale Interval -2.25 to 4.98

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The Maslach Burnout Inventory - Educator Survey is used for assessing burnout by identifying how educators view their jobs and the individuals with who they work. Scores are calculated for the three subscales measuring emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). The PA subscale has a minimum score of 0 and maximum score of 48. A higher score on the PA subscale reflects a better outcome, because it indicates that the participant recognizes personal accomplishments more frequently.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Personal Accomplishment (PA) After Completion of the CARE Workshop Using the Maslach Burnout Inventory (MBI) Pre-intervention to one week post-intervention	3.50 score on a scale Interval 0.49 to 6.63	4.48 score on a scale Interval -1.17 to 11.16
Change in Personal Accomplishment (PA) After Completion of the CARE Workshop Using the Maslach Burnout Inventory (MBI) Pre-intervention to two months post-intervention	3.01 score on a scale Interval 0.03 to 5.91	1.77 score on a scale Interval -5.47 to 9.2

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The GAD-7 measures generalized anxiety traits. Scores range from 0 to 21, with higher scores indicating the respondent experienced increased frequency in anxiety-related symptoms.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Anxiety in Teachers After Completion of the CARE Workshop Using the Generalized Anxiety Disorder 7 (GAD-7) Scale. Pre-intervention to one week post-intervention	-3.59 score on a scale Interval -6.21 to -0.76	0.54 score on a scale Interval -5.02 to 6.08
Change in Anxiety in Teachers After Completion of the CARE Workshop Using the Generalized Anxiety Disorder 7 (GAD-7) Scale. Pre-intervention to two months post-intervention	-3.27 score on a scale Interval -5.83 to -0.71	-1.42 score on a scale Interval -6.66 to 3.82

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The PHQ-8 scale is used to provide a brief report on depression symptoms. Scores range from 0 to 24, with higher scores indicating that the respondent experiences depression related symptoms at a higher frequency.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Depression After Completion of the CARE Workshop Using the Patient Health Questionnaire 8 (PHQ-8) Scale Pre-intervention to one week post-intervention	-3.64 score on a scale Interval -6.17 to -0.78	1.43 score on a scale Interval -3.24 to 6.32
Change in Depression After Completion of the CARE Workshop Using the Patient Health Questionnaire 8 (PHQ-8) Scale Pre-intervention to two months post-intervention	-3.19 score on a scale Interval -5.73 to -0.63	0.23 score on a scale Interval -4.78 to 5.56

PRIMARY outcome

Timeframe: Prior to intervention (baseline), 1 week post intervention, 2 months post intervention

The PSS scale measures the perception of stress by examining the degree to which situations in one's life are assessed as stressful. The PSS scale has a minimum score of 0 and maximum score of 16. A higher score on the PSS scale reflects a worse outcome, because it indicates that the participant perceives stress more frequently in their life.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Change in Stress After Completion of the CARE Workshop Using the Perceived Stress Scale (PSS) Scale Pre-intervention to one week post-intervention	-1.59 score on a scale Interval -3.03 to -0.12	1.25 score on a scale Interval -0.5 to 2.96
Change in Stress After Completion of the CARE Workshop Using the Perceived Stress Scale (PSS) Scale Pre-intervention to two months post-intervention	-0.68 score on a scale Interval -2.22 to 0.85	1.16 score on a scale Interval -1.51 to 3.74

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 week post intervention, 2 months post intervention

Population: Participants with data collected at each timepoint.

The CARE PD scale measures the participants' perceived changes in self-resiliency and classroom management after completing CARE. The CARE Professional Development Program scale has a min score of 1 and max score of 5: A score of 4 or 5 indicates an improvement in resiliency skills and classroom management; a score of 3 indicates no change in resiliency skills and classroom management; a score of 1 or 2 indicates a decline in resiliency skills and classroom management.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Perceptions of Self-resiliency and Classroom Management After Completing the CARE Workshop Using the Cultivating Awareness and Resilience in Education (CARE) Professional Development (PD) Scale 1 week post intervention	3.99 score on a scale Standard Deviation 0.60	3.63 score on a scale Standard Deviation 0.68
Perceptions of Self-resiliency and Classroom Management After Completing the CARE Workshop Using the Cultivating Awareness and Resilience in Education (CARE) Professional Development (PD) Scale 2 months post intervention	3.72 score on a scale Standard Deviation 0.71	3.41 score on a scale Standard Deviation 0.86

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 week post intervention, 2 months post intervention

Population: Participants with data collected at each timepoint.

The Result of CARE scale measures participants' perceived changes in students' behavior and academic performance after completing CARE. The Result of CARE scale has a min score of 1 and max score of 5: A score of 4 or 5 indicates an improvement in student behavior and academic performance; a score of 3 indicates no change in student behavior and academic performance; a score of 1 or 2 indicates a decline in student behavior and academic performance.

Outcome measures

Measure	Teachers n=37 Participants This cohort includes K-12 teachers. Schools will offer all teachers the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.	Staff, Administrative and Non-Administrative n=16 Participants Schools will offer all administrative and non-administrative staff the professional development program called Cultivating Awareness and Resilience in Education (CARE) . CARE will be presented in three in-person training sessions over two to three months during the school year. Tools include mindful awareness practices and caring and emotion skills training. Each intervention workshop includes 30 to 35 participants and a facilitator, who is part of the CARE team. The workshops will be held at a location selected by the school, likely on their campus. Cultivating Awareness and Resilience in Education (CARE): CARE provides teachers and staff with tools and resources to reduce stress, prevent burnout, enliven teaching, and help students thrive socially, emotionally, and academically. CARE blends instruction with experiential activities, reflection, and discussion.
Perceptions of Students' Behavior and Academic Performance After Completing the CARE Workshop Using the Result of Cultivating Awareness and Resilience in Education (CARE) Scale 1 week post intervention	3.64 score on a scale Standard Deviation 0.54	3.29 score on a scale Standard Deviation 0.63
Perceptions of Students' Behavior and Academic Performance After Completing the CARE Workshop Using the Result of Cultivating Awareness and Resilience in Education (CARE) Scale 2 months post intervention	3.70 score on a scale Standard Deviation 0.51	3.55 score on a scale Standard Deviation 0.48

Adverse Events

Teachers

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Staff, Administrative and Non-Administrative

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Emily M. D'Agostino, DPH, MS, MEd, MA

Duke University

Phone: 646-853-1223

Email: emily.m.dagostino@duke.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place