Bullying Prevention Intervention for Adolescent Primary Care Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 77
- 试验地点
- 2
- 主要终点
- Intervention Acceptability: Enrollment Rate
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 13 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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)
排除标准
- •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
结局指标
主要结局
Intervention Acceptability: Enrollment Rate
时间窗: 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
时间窗: 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
时间窗: 8 weeks post-enrollment (close of intervention)
Text Customer Satisfaction Questions
Intervention Feasibility: Participant Engagement
时间窗: 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.
次要结局
- 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)