The Promise of a School-Based, Trauma-Informed Cognitive Behavioral Therapy Intervention for Young Women in Chicago: A Randomized Evaluation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,106
- 试验地点
- 2
- 主要终点
- Change in depression assessment score
研究概览
简要总结
The purpose of this study is:
- To conduct a randomized controlled trial to evaluate the impact of Working on Womanhood (WOW), a school-based, trauma-informed counseling and clinical mentoring program for young women in Chicago, on PTSD, anxiety, depression. In addition, this study will examine the effect of WOW on other, secondary outcomes such as school discipline, GPA, high school graduation, and criminal justice involvement, risky behaviors, and other social-emotional learning outcomes.
- To evaluate the cost-effectiveness of the WOW program.
详细描述
The University of Chicago Crime Lab and Education Lab are partnering with the City of Chicago, Chicago Public Schools, and Youth Guidance to implement a randomized controlled trial to test the efficacy of Youth Guidance's Working on Womanhood program across two cohorts: Cohort 1, receiving programming during academic years 2017-18 and 2018-19, and Cohort 2, receiving programming during academic years 2018-19 and 2019-20. For Cohort 1, incoming 9th, 10th, and 11th grade female students in 10 Chicago Public Schools high schools (as of Fall 2017) will be screened for eligibility and randomized to either a treatment group that will be offered to receive WOW services over two academic years, or to a control group that will not be offered to receive WOW services over two academic years. For cohort 2, only incoming 9th graders (as of Fall 2018) will be randomized, in the same manner. Control group students will still be eligible to receive other status quo school and community supports. Outcomes of interest will be measured using administrative data and a comprehensive student survey.
WOW is a trauma-informed, in-school group counseling and clinical mentoring program developed by non-profit Youth Guidance. Informed by CBT, WOW helps girls challenge unhelpful thoughts and build self-esteem and self-efficacy to make positive and healthy decisions. WOW aims to reduce depression, anxiety, and PTSD symptoms, and improve academic and behavioral outcomes. WOW delivers a 26-lesson curriculum via weekly small-group counseling sessions during the school day. The curriculum is designed around five core values: self-awareness, emotional intelligence, healthy relationships, visionary goal setting, and leadership, and delivered by masters-level social workers and counselors. WOW counselors may also provide individual counseling and referrals to other services. The WOW program fills a critical gap in the existing set of programs available to these students, by providing services that cater to the unique needs of young women in our most under-resourced high schools.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Treatment individuals will be provided information about the trial and consented into the study as part of WOW program materials (note: program participation is not conditional on participation in the research). Control individuals will not be provided information about the study, but may be provided information if they inquire about programming. Due to the intervention type, it is not possible to mask the identity of treatment participants from the provider or from participants. However, the provider will not be informed of the identity of the control group.
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Chicago Public Schools high schools, chosen in collaboration with Youth Guidance leadership, that serve majority low-income, minority students in community areas impacted by violence
- •School's 9th, 10th, and 11th grade female student population is large enough to support at least 50 treatment students and 50 control students, after accounting for a 60 to 70 percent take-up rate and exclusion criteria
- •Schools do not currently have WOW services (as of AY2016-17)
- •School administrators are enthusiastic about the program and agree to the terms and conditions of the experimental design
- •All female students in these selected schools entering 9th, 10th, or 11th grade in Fall 2017, or entering 9th grade in Fall 2018.
排除标准
- •Students with an overall attendance rate below 75% during AY2016-17 [Cohort 1] or AY2017-18 [Cohort 2]
- •Students who display proactive aggression towards others
- •Students with severe cognitive / developmental disabilities, these include: autistic, emotional and behavior disorder, educable mental handicap, intellectual disability - profound, severe/profound handicap, and trainable mental handicap
结局指标
主要结局
Change in depression assessment score
时间窗: Up to 36 months
Score on self-reported depression screen, obtained from the Behavior Assessment System for Children, Third Edition (BASC-3) Self-Report of Personality (SRP)
Change in post-traumatic stress disorder (PTSD) assessment score
时间窗: Up to 36 months
Score on self-reported PTSD screen, obtained from the Child and Adolescent Trauma Screen (CATS)
Change in anxiety assessment score
时间窗: Up to 36 months
Score on self-reported anxiety screen, obtained from the BASC-3 SRP
次要结局
- Change in high school graduation(Up to 5 years)
- Change in absences(1-year, 2-year, 3-year, 4-year, 5-year)
- Change in index of CPS schooling outcomes(1-year, 2-year, 3-year, 4-year, 5-year)
- Change in student misconduct(1-year, 2-year, 3-year, 4-year, 5-year)
- Change in course failures(1-year, 2-year, 3-year, 4-year, 5-year)
- Change in overall arrests(1-year, 2-year, 3-year, 4-year, 5-year)
- Change in violent crime arrests(1-year, 2-year, 3-year, 4-year, 5-year)
- Change in other arrests (property, drug, and other)(1-year, 2-year, 3-year, 4-year, 5-year)