Efficacy of a Multi-level School Intervention for LGBTQ Youth

Registration Number
NCT05541406
Lead Sponsor
Washington University School of Medicine
Brief Summary

Efficacy of a Multi-level School Intervention for LGBTQ Youth

Detailed Description

The goal of this R01 grant is to test the efficacy of a theoretically informed, LGBTQ-affirming intervention (Proud \& Empowered; P\&E) alongside a school climate intervention (Make Space).
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Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
450
Inclusion Criteria
  • LGBTQ student in one of 24 high schools
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Exclusion Criteria
  • Not meeting inclusion criteria
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention schoolsProud & EmpoweredSchools will be assigned to either intervention or control schools. Students in intervention schools will receive the intervention in semester 1.
Control schoolsProud & EmpoweredStudents in control schools will receive no intervention
Primary Outcome Measures
NameTimeMethod
Beck Anxiety Inventory (BAI)Change between baseline and post-intervention/follow-up (12 weeks)

21-item self-report assessment of anxiety symptoms. The total score is calculated by taking the sum of the 21 items. There are five responses an individual can choose from for each item, these being "Not at all" which is scored as a 1, "Mildly, but it didn't bother me much" which is scored as a 2, "Moderately -- It wasn't pleasant at times" which is scored a...

Coping Strategies InventoryChange between baseline and post-intervention/follow-up (12 weeks)

16-item assessment measuring specific coping strategies people use in response to stressful events. Individuals respond to 16 items, with each item assessing components of Problem Solving, Cognitive Restructuring, Social Support, Express Emotions, Problem Avoidance, Wishful Thinking, and Social Withdrawal. Individuals can respond in 5 different ways, these b...

Sexual Minority Stress InventoryChange between baseline and post-intervention/follow-up (12 weeks)

54-item survey across 10 domains of minority stress. Assesses experiences of minority stress among adolescents. Each statement reflects past-30-day thoughts, feelings, and situations a person may have experienced, with response options of 1 = yes and 0 = no. A total score was calculated by summing the 54 items. The total score ranged from 0-54. Higher values...

Beck Depression InventoryChange between baseline and post-intervention/follow-up (12 weeks)

21-item self-report assessment of depression symptoms and severity of depression. The items are rated on a 4-point scale ranging from 0-3 based on the severity of each item (e.g., 0=I do not feel sad, 1=I feel sad much of the time, 2=I am sad all the time, and 3=I am so sad or unhappy that I can't stand it). The total range of scores is from 0-63. Higher val...

Adapted CSSRS Suicide Questions (Columbia Suicide Severity Rating Scale)Change between baseline and post-intervention/follow-up (12 weeks)

Six items assessing current suicidality that were adapted from the longer, treatment-based Columbia Suicide Severity Rating Scale. The first two items ask about passive ideation and active ideation, and affirmative responses link to follow-up questions about methods, intent, plans, and attempts. The scale is scored as follows: 0 = no to passive ideation and ...

PTSD Checklist for DSM-5 (PCL-5)Change between baseline and post-intervention/follow-up (12 weeks)

20-item self-report assessment of post-traumatic stress disorder (PTSD) symptoms which addresses all 20 DSM-5 symptoms of PTSD. A total symptom severity score can be calculated by summing the scores for each of the 20 items. Each item has five possible responses including "Not at all" which is scored as a 0, "A little bit" which is scored as a 1, "Moderately...

Secondary Outcome Measures
NameTimeMethod
Youth Risk Behavior Survey Substance Use QuestionsChange between baseline and post-intervention/follow-up (12 weeks)

Measures individual's usage of various substances in their lifetime and within the past 30 days as well as the ways in which individuals have used marijuana, tobacco, or nicotine in the past 30 days. Each substance is individually analyzed for both lifetime usage and past 30 day usage. Individuals can answer Yes or No for both lifetime usage and past 30 day ...

California Healthy Kids Survey General Bullying and Gender Identity/Sexual Orientation-Based Harassment ModuleChange between baseline and post-intervention/follow-up (12 weeks)

Assesses students' perceptions of harassment experiences on school campus among the general student population in addition to bullying and harassment experiences on school campus specific of students who identify as, or are perceived to be, lesbian, gay, bisexual, transgender, questioning, or gender nonconforming.

Trial Locations

Locations (21)

South LA College Prep

🇺🇸

Los Angeles, California, United States

Anderson W. Clark Magnet High School

🇺🇸

Glendale, California, United States

Animo Leadership High School

🇺🇸

Inglewood, California, United States

Animo Pat Brown Charter High School

🇺🇸

Los Angeles, California, United States

Brio College Prep

🇺🇸

Los Angeles, California, United States

El Monte High School

🇺🇸

El Monte, California, United States

Arroyo High School

🇺🇸

El Monte, California, United States

Fernando R Ledesma High School

🇺🇸

El Monte, California, United States

Mountain View High School

🇺🇸

El Monte, California, United States

South El Monte High School

🇺🇸

El Monte, California, United States

Crescenta Valley High School

🇺🇸

La Crescenta-Montrose, California, United States

Millikan High School

🇺🇸

Long Beach, California, United States

USC Hybrid High School

🇺🇸

Los Angeles, California, United States

Larchmont Charter School

🇺🇸

Los Angeles, California, United States

Lynwood High School

🇺🇸

Lynwood, California, United States

Marco Antonio Firebaugh High School

🇺🇸

Lynwood, California, United States

Vista High School

🇺🇸

Lynwood, California, United States

Marshall Fundamental Secondary School

🇺🇸

Pasadena, California, United States

Blair High School

🇺🇸

Pasadena, California, United States

Pasadena High School

🇺🇸

Pasadena, California, United States

Rosemead High School

🇺🇸

Rosemead, California, United States

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