A trauma informed intervention to improve mental health and school success for urban eighth graders - supplement

旨在改善城市八年级学生心理健康和学业成功的创伤知情干预 - 补充

• 批准号: 10229056
• 负责人: Laura Kathleen Clary
• 金额: $ 16.38万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-11 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10229056
• 关键词: Address; Adolescent; Behavior; COVID-19; COVID-19 pandemic; Caregivers; Cessation of life; Characteristics; Color; Communities; Country; Data; Disease Outbreaks; Emotional; Enrollment; Exposure to; Family; Financial Hardship; Future; Future Teacher; Gender; Geographic Information Systems; Goals; Health; Health Policy; Household; Individual; Intervention; Intervention Studies; Intervention Trial; Interview; Knowledge; Life Cycle Stages; Longitudinal Studies; Low income; Maps; Measures; Mediation; Mediator of activation protein; Mental Health; National Institute of Child Health and Human Development; Neighborhoods; Outcome; Parents; Participant; Pathway interactions; Personal Satisfaction; Persons; Policies; Positioning Attribute; Predictive Factor; Psyche structure; Public Health Practice; Randomized Controlled Trials; Reporting; Research; Risk; Risk Factors; Sampling; Schools; Science; Shapes; Stress; Stress and Coping; Students; Surveys; Symptoms; Telephone; Testing; Time; Trauma; Urban Community; Vulnerable Populations; Youth; active control; arm; base; childhood adversity; cohort; coping; coronavirus disease; design; educational atmosphere; efficacy trial; eighth grade; emotion regulation; experience; family influence; follow-up; food insecurity; health disparity; health equity; improved; interest; intervention participants; loved ones; multidisciplinary; multilevel analysis; ninth grade; pandemic disease; peer; peer influence; post intervention; programs; protective factors; recruit; resilience; response; skills; social; socioeconomics; stressor; success; teacher; theories; trauma exposure; treatment arm; tv watching; universal prevention; virtual; vulnerable adolescent

ABSTRACT. The coronavirus disease 2019 (COVID-19) has dramatically impacted the lives of adolescents, with potential negative implications for health and wellbeing across the life course. These impacts are particularly pronounced for low-income adolescents of color, who are disproportionately exposed to stresses and traumas associated with the pandemic, such as family illness, school disruption, food insecurity, and financial strain. These exposures are likely to exacerbate pre-existing inequities in mental health, putting low- income youth of color at increased risk for mental health problems. It is critical that we identify interventions and supports to improve mental health for vulnerable adolescents during and following the current crisis. To achieve that goal, this competitive revision will leverage an existing parent study (IES R305A160082 / 1RO1HD090022, PI: Mendelson), an efficacy trial to test the impact of a trauma-informed universal intervention called RAP Club on mental health outcomes for predominantly Black 8th grade students in low-income urban communities. Participants were recruited from 29 urban public schools, with separate cohorts enrolled each year for four years (Cohorts 1-4). Three student and teacher assessments during 8th grade and a follow-up student assessment during 9th grade provided multi-level longitudinal data on adolescent mental health and individual, family, peer, school and neighborhood risk and protective factors for adolescent mental health. This urgent competitive revision will extend the parent trial by collecting new quantitative and qualitative data during COVID-19. The study will be conducted without any in-person contact. We will enroll students in Cohorts 2-4 (n = 500) who are now in grades 9-11. We will administer a virtual survey to evaluate participants’ mental health during COVID-19, as well as COVID-related experiences. We will also conduct qualitative phone interviews with a subset of participants and their caretakers to understand adolescents’ experiences during COVID-19 in greater depth. The study will: (1) test the impact of RAP Club on adolescents’ mental health during COVID-19, and (2) identify longitudinal multi-level risk and protective factors that predict adolescent mental health during COVID-19, controlling for intervention arm. Moderators and mediators will be evaluated for each aim. We will assess multiple domains of mental health, including emotional wellness, and will use geographic information systems (GIS) data to explore neighborhood factors. This project represents an extraordinary opportunity to assess the impact of COVID-19 on adolescent mental health and potential strategies for increasing mental wellness during COVID-19 and beyond. Few mental health intervention studies have collected such extensive multi-level data on a primarily Black, low-income urban adolescent sample at multiple time points, and none to our knowledge have assessed mental health during a pandemic. The study will substantively advance theory and science on adolescent resilience and will inform public health practice and policy regarding best practices for supporting mental health in vulnerable adolescents.

摘要。2019冠状病毒病（COVID-19）极大地影响了青少年的生活，

项目成果

A randomized controlled trial of a trauma-informed school prevention program for urban youth: Rationale, design, and methods.

• DOI: 10.1016/j.cct.2019.105895
• 发表时间: 2020-03
• 期刊: Contemporary clinical trials
• 影响因子: 2.2
• 作者: Mendelson T;Clary LK;Sibinga E;Tandon D;Musci R;Mmari K;Salkever D;Stuart EA;Ialongo N
• 通讯作者: Ialongo N