A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Patient Health Questionnaire (PHQ-9)
研究概览
简要总结
"A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana" is intended to help mitigate stressors that may contribute to poor behavioral and mental health in rural Montana teachers. The immediate goals of this study is to promote student health by supporting teacher wellbeing through a remotely-delivered trauma-informed yoga intervention.
详细描述
Project Summary: "A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana" is intended to help mitigate stressors that may contribute to poor behavioral and mental health in rural Montana teachers. The immediate goal of this study is to promote student health by supporting teacher wellbeing through a remotely-delivered trauma-informed yoga intervention.
Specific Aim: Expansion of previous pilot study to teachers in the southwestern Montana school district.
Methods: To explore scalability to rural communities without access to yoga instructors, we will implement a limited feasibility study of online yoga delivery to classroom teachers. This study will enroll a minimum 30 Livingston teachers (taught trauma-informed yoga via Zoom), twice weekly for 45-minute trauma-informed yoga sessions during the 6-week intervention period. No participants were assigned to the "No Intervention" arm. To measure physical health outcomes, pre, mid-, and post-intervention cortisol testing will be utilized to evaluate any changes in teacher stress levels before and after the program. Heart rate variability will also be assessed for teachers pre, mid-, and post-intervention using the HeartMath Inner Balance PPG sensor and Em Wave Pro Plus software. To assess behavioral health, pre- and post-survey instruments will collect targeted wellness/mental health data from teachers. An Adverse Childhood Experience Self-Reporting Screener will also be given to participants to establish a baseline of exposure to childhood trauma, which is closely correlated with health outcomes. Teachers will also complete the Teachers' Sense of Self Efficacy Survey and the Professional Quality of Life Index, which are linked to teacher mental health, retention, and career satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Any teacher currently employed by the Livingston school district who wishes to participate in the intervention (up to 35 participants)
排除标准
- •Only teachers will be considered for this study (i.e., no school staff, administrators, etc.)
结局指标
主要结局
Patient Health Questionnaire (PHQ-9)
时间窗: Pre-Intervention (Baseline), Post-Intervention (Week 6)
This 9 item questionnaire is designed to evaluate severity of depressive symptoms in participants. It is scored on a Likert scale from 0 (not at all) to 3 (nearly every day) on items linked to depression indicators. The minimum score is a 0 and the maximum score is a 27, and a reduction in score from pre- to post-assessment indicates an improvement in symptomology. Lower scores indicate a better outcome.
Generalized Anxiety Disorder-7 Anxiety Scale (GAD-7)
时间窗: Pre-Intervention (Baseline), Post-Intervention (Week 6)
This 7 item questionnaire is based on a likert scale of 0 (not at all) to 3 (nearly every day) for items related to anxiety disorders. The lowest score is a zero and the maximum score is a 21. A reduction in score from pre- to post-assessment indicates an improvement in symptomology. Lower scores indicate a better outcome.
Change in Salivary Cortisol Levels
时间窗: Pre-Intervention (Baseline), Post-Intervention (Week 6)
Participants will provide a saliva sample in which cortisol levels will be analyzed through salivary assay kits (through Salimetrics.com). Samples will be collected on the first day of the intervention, halfway through the intervention, and on the last day of the intervention to determine if the intervention has improved stress levels (as indicated by a reduction in cortisol levels). A biostatistician will provide analysis and conclusion of these samples at the conclusion of the study
Heart Rate Variability
时间窗: Pre-Intervention (Baseline), Post-Intervention (Week 6)
Participants enrolled will have their heart rate data measured by the HeartMath Institute Inner Balance Bluetooth Sensor and accompanying software for Android or IOS smartphones (Inner Balance) or Inner Balance USB Sensor and accompanying computer software (EmWave Pro Plus (28, 29) The small plastic sensors will clip to the participant's earlobe and send photoplethysmography-derived (PPG) pulse signals via a non-invasive light source and photodetector.
次要结局
- Teachers' Sense of Self-Efficacy (Short Form) (TSSE)(Pre-Intervention (Baseline), Post-Intervention (Week 6))
- Connor-Davidson Resilience Scale (CD-RISC)(Pre-Intervention (Baseline), Post-Intervention (Week 6))
- Professional Quality of Life Index (Pro-QOL)(Pre-Intervention (Baseline), Post-Intervention (Week 6))
- PROMIS Sleep Disturbance Scales (PROMIS)(Pre-Intervention (Baseline), Post-Intervention (Week 6))
- PTSD Checklist for DSM-5 (PCL-5)(Pre-Intervention (Baseline), Post-Intervention (Week 6))
研究者
Lauren Davis
Assistant Professor of Curriculum & Instruction
Montana State University