A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana Year 2

NCT ID: NCT05844007

Last Updated: 2024-03-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 83 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-13
• Study Completion Date: 2023-03-08

Brief Summary

Compared to U.S. urban counterparts, rural residents face major barriers to using health care services. Challenges include shortages of services, long distances to existing services, and stigma regarding mental illness in isolated communities. These difficulties hold true for Montana, but especially for adolescents. The objective of A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana is to improve stress-related mental and physical health outcomes for adolescents and educators in rural Montana through school-based, trauma-informed yoga exercises. This project builds on investigators' previous research (including a two-year CAIRHE pilot study, 2019-21) to promote positive youth development by simultaneously intervening with students and teachers with a trauma-informed yoga intervention. Geographic isolation and resulting lack of resources for many Montanan schools indicates a need for novel, school-centered interventions to address the needs of rural adolescents; yoga can benefit youth and teacher wellbeing.

Detailed Description

In Year 2, investigators will expand the study to pilot test a remote delivery for students and teachers in rural schools through virtual delivery (in addition to an in-person high school student intervention at the school district of Aim 1. Primary outcomes for teachers will assess career satisfaction/self-efficacy; primary outcomes for students will assess depression/anxiety symptomology. Effects on secondary mental/physical health outcomes will be drawn from survey results, cortisol levels, and heart rate variability measures (collected pre/post).

Investigators will then determine which intervention design was more effective with students (in-person vs. remote) between the two years of this feasibility study through an outcome evaluation. Comparisons of mental and physical health outcomes will be examined by the research team using cohort data drawn from participants' physiological data and survey results.

The short-term public health impact of this study is to improve the mental and physical health of rural Montana youth and teachers through a novel, school-based intervention. If successful, this study's long-term public health impact will reduce rates of anxiety and depression and improve physical health in geographically isolated settings.

Conditions

Trauma and Stressor Related Disorders

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

High School Students: Remote Delivery

Remote delivery of trauma-informed yoga session for high school students

Group Type: EXPERIMENTAL

Trauma-Informed Yoga

Intervention Type: BEHAVIORAL

Trauma-informed yoga intervention, delivered either in-person or remotely for 6 weeks, twice weekly for 45 minutes sessions

High School Students: Face-to-Face Delivery

Face-to-face delivery of trauma-informed yoga session for high school students

Group Type: EXPERIMENTAL

Trauma-Informed Yoga

Intervention Type: BEHAVIORAL

Trauma-informed yoga intervention, delivered either in-person or remotely for 6 weeks, twice weekly for 45 minutes sessions

Teachers: Remote Delivery

Remote delivery of trauma-informed yoga session for teachers

Group Type: EXPERIMENTAL

Trauma-Informed Yoga

Intervention Type: BEHAVIORAL

Trauma-informed yoga intervention, delivered either in-person or remotely for 6 weeks, twice weekly for 45 minutes sessions

Interventions

Trauma-Informed Yoga

Trauma-informed yoga intervention, delivered either in-person or remotely for 6 weeks, twice weekly for 45 minutes sessions

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Any teacher currently employed by the Livingston or Gardiner school district who wishes to participate in the intervention (up to 45 participants)
• Any freshmen student enrolled in pre-selected PE classes at Park High School in Livingston Montana
• Any PE student enrolled in pre-selected PE classes at Gardiner High School in Gardiner Montana

Exclusion Criteria

• Any students that are not enrolled in pre-selected PE classes at Park or Gardiner High Schools in Southwest Montana

• Minimum Eligible Age: 13 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Institute of General Medical Sciences (NIGMS)

NIH

Sponsor Role: collaborator

Montana State University

OTHER

Sponsor Role: lead

Responsible Party

Lauren Davis

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Alexandra Adams, MD, Ph.D

Role: STUDY_DIRECTOR

Montana State University

Locations

Park High School

Livingston, Montana, United States

Countries

United States

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

5P20GM104417

Identifier Type: NIH

Identifier Source: secondary_id

View Link

MontanaSUYear4

Identifier Type: -

Identifier Source: org_study_id