Intervention to Prevent Behavioral Health Symptoms Among Pandemic Affected Children
Pragmatic RCT of a Multi-level Mechanistically Informed Community Intervention to Prevent the Onset of Behavioral Health Symptoms Among Socioeconomically Disadvantaged Pandemic Affected Children
2 other identifiers
interventional
800
1 country
9
Brief Summary
Racial and ethnic minority children who live in socioeconomically disadvantaged communities are disproportionately impacted by pandemic and climate-induced disasters. Although effective interventions have been designed to treat mental health related symptoms in post-disaster settings, accessible, empirically supported prevention interventions are needed to prevent the onset of mental and behavioral health issues among these children. Building on our preliminary findings, the proposed study examines the efficacy and implementation of a COVID-19 adapted disaster focused prevention intervention, Journey of Hope-C19, in preventing behavioral health and interpersonal problems among racial and ethnic minority children who live in low-resource high poverty communities.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2022
Longer than P75 for not_applicable
9 active sites
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
First Submitted
Initial submission to the registry
November 4, 2022
CompletedStudy Start
First participant enrolled
November 15, 2022
CompletedFirst Posted
Study publicly available on registry
December 6, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 15, 2027
ExpectedJanuary 23, 2026
January 1, 2026
3.5 years
November 4, 2022
January 21, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Changes in Responses to Strengths and Difficulties Questionnaire
Measures children's psychological symptoms and impairments used for children between the ages of 4 to 16. The questionnaire is both parent and youth report and is comprised of five subscales including emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behavior. Total difficulty scores which include emotional symptoms, conduct problems, hyper-activity and peer relationship problems subscales range from 0-40. The pro-social behavior subscale ranges from 0-10.
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to Pediatric Symptom Checklist-Externalizing Subscale
Parent report measure of emotional and behavioral problems in children. The questionnaire is comprised of three subscales: internalizing, attention, and externalizing. The externalizing subscale will be used for this study. This subscale includes 7-items and the subscale scores range from 0-14.
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Secondary Outcomes (6)
Changes in Responses to Revised Children's Anxiety and Depression Scale-25 (and Subscales) (RCADS)
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to Family Functioning Systematic Clinical Outcome Routine Evaluation (SCORE-15)
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to Healthy Pathways Academic Performance Report Academic Subscale
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to PROMIS Pediatric items (peer relationships)
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to Child-Parent Relationship Scale
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
- +1 more secondary outcomes
Other Outcomes (11)
Changes in Responses to Social Support Questionnaire (SSQ) for Children
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to Children's Coping Strategies checklist
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
Changes in Responses to Child Self Efficacy Scale
T1 (pre-intervention), T2 (2 months; post intervention), T3 (8 months (6 months post intervention); T4 (14 months (12 months post-intervention)).
- +8 more other outcomes
Study Arms (2)
JoH-C19
EXPERIMENTALAfter initial randomization, some participants will be assigned to receive JoH-C19
Switch off Get Active
ACTIVE COMPARATORAfter initial randomization, some participants will be assigned to receive Switch Off Get Active
Interventions
Journey of Hope- COVID 19 (JoH-C19) includes eight, 1-hour consecutive sessions delivered in groups of 8 children during the school day and in after school settings. The 1.5 hour JoH-C19 caregiver workshop is delivered with groups of 8 parents prior to the child JoH-C19 curriculum
Switch off Get Active covers 4 topics, and its eight, 1- hour sessions are delivered in groups of 8 children. The 1.5 hour Switch Off Get Active caregiver workshop is delivered with groups of 8 parents prior to the Switch off Get Active child curriculum
Eligibility Criteria
You may qualify if:
- child experienced the COVID-19 pandemic and an additional large-scale disaster
- child score is 5 or above on the Strengths and Difficulties Questionnaire
- child is in 3- 8th grade at enrollment
- the parent or guardian must complete informed consent and child assent
- child must speak English or Spanish.
You may not qualify if:
- child is currently receiving treatment for a diagnosed mental health condition
- children who are not able to interact with other students in a group work format, regardless of IEP status
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Illinois at Urbana-Champaignlead
- Save the Childrencollaborator
- Care Connections Mental Wellness and Learning Centercollaborator
- Dickinson Independent School Districtcollaborator
- Bay District Schoolscollaborator
- University of Houstoncollaborator
- Baylor College of Medicinecollaborator
- University of South Floridacollaborator
- National Institute of Mental Health (NIMH)collaborator
- Coalition for Compassionate Schoolscollaborator
- Boys and Girls Club of Manatee Countycollaborator
- Communities in Schools of Galveston Countycollaborator
- Communities in Schools Palm Beachcollaborator
- Communities in Schools Gulf Southcollaborator
- R'Club Child Care Inc.collaborator
- Boys and Girls Clubs of Tampa Baycollaborator
Study Sites (9)
Boys and Girls Club of Manatee County
Bradenton, Florida, 34207, United States
Bay District Schools
Panama City, Florida, 32401, United States
R'Club Child Care, Inc.
St. Petersburg, Florida, 33709, United States
Communities in Schools Palm Beach
West Palm Beach, Florida, 33406, United States
Coalition for Compassionate Schools
New Orleans, Louisiana, 70118, United States
Communities in Schools Gulf South
New Orleans, Louisiana, 70179, United States
Dickinson Independent School District
Dickinson, Texas, 77539, United States
CARE Connections
Houston, Texas, 77002, United States
Communities in Schools of Galveston County
La Marque, Texas, 77568, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Tara Leytham Powell, PhD
University of Illinois Urbana Champaign
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 4, 2022
First Posted
December 6, 2022
Study Start
November 15, 2022
Primary Completion
May 15, 2026
Study Completion (Estimated)
May 15, 2027
Last Updated
January 23, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF
- Time Frame
- Upon request after study completion
- Access Criteria
- Must sign a data sharing agreement
De-identified data can be shared upon request for research purposes and under a data sharing agreement.