NCT04253002

Brief Summary

The overarching aim of the Success Over Stress Prevention Project is to reduce African American youth suicide. This study examines the impact of a 15-session, group-delivered, culturally-grounded, cognitive-behavioral intervention (i.e., PI Robinson's Adapted-Coping with Stress Course \[A-CWS\]), on the outcomes of interest, when it is delivered by social workers who are indigenous to the school system. The main objectives of this project are to (a) determine whether the intervention is effective when facilitated by social workers who are indigenous to the school system and (b) enhance resilience, increase adaptive coping strategies, and reduce both intrapersonal and interpersonal violence among youth receiving the prevention intervention. It is expected that increases in adaptive coping will lead to an increased ability for youth to manage stressors, thereby decreasing the incidence of suicide and violence among the youth. In addition, it is expected that evidence of the intervention's effectiveness, when facilitated by social workers who are indigenous to the school system, will lead to greater dissemination and sustainability of the intervention, thus, providing access to effective intervention resources to greater numbers of African American youth.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
512

participants targeted

Target at P75+ for not_applicable

Timeline
2mo left

Started Feb 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

6 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress97%
Feb 2022Jun 2026

First Submitted

Initial submission to the registry

January 29, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 5, 2020

Completed
2 years until next milestone

Study Start

First participant enrolled

February 1, 2022

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Last Updated

June 5, 2024

Status Verified

June 1, 2024

Enrollment Period

4.4 years

First QC Date

January 29, 2020

Last Update Submit

June 4, 2024

Conditions

Keywords

SuicideAfrican American AdolescentsPreventionCopingHopeHopelessness

Outcome Measures

Primary Outcomes (1)

  • Change in Suicide Ideation

    Suicide ideation will be measured using the Suicidal Ideation Questionnaire (SIQ-JR), a 15-item measure of adolescents' distress and suicidal intent. Scale scores range from 0 to 90, with higher scores meaning a worse outcome (i.e., greater suicide ideation).

    Assessments will be administered through study completion, an average of every six months.

Secondary Outcomes (3)

  • Change in Adaptive Coping

    Assessments will be administered through study completion, an average of every six months.

  • Change in Hope

    Assessments will be administered through study completion, an average of every six months.

  • Change in Hopelessness

    Assessments will be administered through study completion, an average of every six months.

Study Arms (2)

Robinson's Culturally Adapted Coping with Stress Course

EXPERIMENTAL
Behavioral: Robinson's Culturally Adapted Coping with Stress Course (A-CWS)

Standard Care Control Condition

ACTIVE COMPARATOR
Behavioral: Standard Care Control Condition

Interventions

Participants randomized to the experimental condition will take part in the Adapted Coping with Stress Course (A-CWS). The A-CWS is a 15-session, cognitive-behavioral group intervention designed to develop and enhance African American youths' skills to adaptively cope with stress, using standard cognitive-behavioral strategies such as relaxation training and cognitive restructuring. Emphasis is given to the identification of individual and contextual factors associated with suicide risk and the unique day-to-day experiences of the youth, providing options for adaptive coping (e.g., positive thinking) that are culturally consistent. The A-CWS is structured and manualized to allow its transportability to service providers working in similar environments with similar youth.

Robinson's Culturally Adapted Coping with Stress Course

Students meeting criteria for study inclusion and randomized into the standard care condition will be referred to the school-based health center (SBHC) mental health provider for case management. Standard care may range from (1) brief intervention by the SBHC mental health provider to (2) outside referral to local community service providers; these determinations will be made by the SBHC mental health team.

Standard Care Control Condition

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Students: Enrolled 9th grade student at time of initial enrollment at participating high school
  • Parents/guardians: Child enrolled in study
  • Teachers: Student enrolled in study

You may not qualify if:

  • Not a 9th grade student at time of initial enrollment
  • No parent/legal guardian permission
  • For parents and teachers: no students enrolled in study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Richard T. Crane High School

Chicago, Illinois, 60612, United States

Location

DePaul University

Chicago, Illinois, 60614, United States

Location

Dunbar Vocational Career Academy

Chicago, Illinois, 60616, United States

Location

Orr Academy High School

Chicago, Illinois, 60624, United States

Location

Wendell Phillips Academy High School

Chicago, Illinois, 60653, United States

Location

Proviso East High School

Maywood, Illinois, 60153, United States

Location

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious BehaviorBehavioral SymptomsBehavior

Study Officials

  • LaVome Robinson, PhD

    DePaul University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 29, 2020

First Posted

February 5, 2020

Study Start

February 1, 2022

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2026

Last Updated

June 5, 2024

Record last verified: 2024-06

Locations