Bullying Prevention Intervention for Adolescent Primary Care Patients
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cyberbullying
- Sponsor
- Rhode Island Hospital
- Enrollment
- 77
- Locations
- 1
- Primary Endpoint
- Intervention Acceptability: Enrollment Rate
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this randomized controlled study is to evaluate acceptability and feasibility, and to gather preliminary data about efficacy, of "iPACT" (intervention to Prevent Adolescent Cyber-victimization with Text messages), a brief in-clinic introductory session + longitudinal automated text-message-based secondary prevention program for adolescents with a history of past-year cyber-victimization presenting to a pediatric clinic for well-child visits.
Detailed Description
Cyber-victimization predicts depressive symptoms and suicidality; it correlates with PTSD symptoms, alcohol and other drug use, physical peer violence, and dating violence. Almost 80% of adolescents have a well-child visit with their pediatrician each year. Pediatricians recognize this visit as an important opportunity for behavioral screening, interventions, and referrals, but they currently lack cyber-victimization interventions that are feasible and effective in the clinical setting. Personalized text-message interventions are accessible, feasible, and may be effective with these adolescents. The purpose of this study is to test the feasibility and acceptability of a novel text-message-augmented secondary prevention intervention, "iPACT." Drawing on effective cognitive behavioral therapy (CBT) and motivational interviewing (MI) depression and violence prevention interventions, a brief in-clinic session will introduce basic cognitive and behavioral strategies. Following their clinic visit, eight weeks of tailored CBT-informed daily text messages will be sent, to enhance skills and remind participants of self-determined goals. Participants will be identified in the course of usual clinical care. If eligible, parents will be consented and participants assented. Participants will complete a baseline assessment and will be randomized to experimental (iPACT, n=25) or enhanced usual care (EUC, n=25) care, using stratified block randomization. iPACT group participants will participate in a brief, structured in-clinic introduction on CBT and the iPACT program, followed by 8 weeks of tailored, two-way, CBT-and MI-informed automated text messages (short message service, SMS). EUC group participants will receive standardized information on cyberbullying. The current standard of care for these patients is no care: no cyber-victimization screening assessment protocols are currently used in our clinic. Both iPACT and EUC conditions therefore exceed current levels of care. At baseline, 8 week follow-up, and 16 week follow-up, participants will complete assessments on cyberbullying, peer violence, and cognitive/behavioral skill-sets. At the 8-week follow-up, standardized qualitative and quantitative process measures will be administered to assess efficacy, acceptability, usability, and feasibility.
Investigators
Eligibility Criteria
Inclusion Criteria
- •presenting to Hasbro Children's pediatric clinic
- •being mentally and physically able to assent
- •being English-speaking
- •having a consentable parent present
- •self-reporting cyber-victimization (defined as endorsing \>1 past-year episode of technology-mediated victimization)
Exclusion Criteria
- •being cognitively or emotionally unable to take part in the intervention as determined by the pediatric attending clinician
- •suspected by clinical staff of being a victim of child abuse
- •currently incarcerated or under police custody
Outcomes
Primary Outcomes
Intervention Acceptability: Enrollment Rate
Time Frame: Enrollment
Enrollment Rate: % of eligible participants who consented and completed enrollment
Intervention Acceptability: Change in Follow Up Rate from 8 weeks post-enrollment to 16 weeks post-enrollment
Time Frame: 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment (8 wks after close of intervention)
Retention Rate: % of consented participants who completed follow up
Intervention Acceptability: Participant Satisfaction
Time Frame: 8 weeks post-enrollment (close of intervention)
Text Customer Satisfaction Questions
Intervention Feasibility: Participant Engagement
Time Frame: Enrollment to 8 weeks post-enrollment (close of intervention)
Among the intervention group, how many participants responded to at least one of the daily text message queries, and how many requested on-demand support text-messages.
Secondary Outcomes
- Change in cyber-victimization between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment(Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment)
- Change in cyber-victimization emotional impact between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment(Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment)
- Change in cyber-victimization related behaviors between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment(Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment)