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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03467009
Other study ID # R21HD088739
Secondary ID R21HD088739
Status Completed
Phase N/A
First received
Last updated
Start date March 6, 2018
Est. completion date July 31, 2019

Study information

Verified date September 2019
Source Rhode Island Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial 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.


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.


Recruitment information / eligibility

Status Completed
Enrollment 77
Est. completion date July 31, 2019
Est. primary completion date June 12, 2019
Accepts healthy volunteers No
Gender All
Age group 13 Years to 17 Years
Eligibility 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

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
iPACT Intervention
Brief in-person + tailored, daily 8-week text-message secondary prevention intervention.
Other:
Control: Enhanced Usual Care (EUC)
EUC group participants will receive standardized information on cyberbullying.
Behavioral:
iPACT Intervention- app
Brief in-person + tailored, daily 8-week message secondary prevention intervention delivered via app.

Locations

Country Name City State
United States Rhode Island Hospital Providence Rhode Island

Sponsors (2)

Lead Sponsor Collaborator
Rhode Island Hospital Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Intervention Acceptability: Enrollment Rate Enrollment Rate: % of eligible participants who consented and completed enrollment Enrollment
Primary Intervention Acceptability: Change in Follow Up Rate from 8 weeks post-enrollment to 16 weeks post-enrollment Retention Rate: % of consented participants who completed follow up 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment (8 wks after close of intervention)
Primary Intervention Acceptability: Participant Satisfaction Text Customer Satisfaction Questions 8 weeks post-enrollment (close of intervention)
Primary Intervention Feasibility: Participant Engagement 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. Enrollment to 8 weeks post-enrollment (close of intervention)
Secondary Change in cyber-victimization between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment Modified version of the University of New Hampshire Internet Safety Education Survey (Jones et al. 2012); investigators selected 5 items from the survey to measure. Items are scored by participants' self-report of online harassment experiences ranging from 0 ("Never") to 4 ("7 or more times"). Possible score range of 0-20, with higher scores indicating greater number of online harassment experiences. Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment
Secondary Change in cyber-victimization emotional impact between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment Modified version of the Cyber-Victimization Emotional Impact Scale (Elipe et al. 2015); investigators selected 7 of the 18 items to measure. Items are scored by participants' self-report of feelings ranging from 0 ("Not at all") to 4 ("Extremely"). Possible score range of 0-28, with higher scores indicating greater degree of emotional impact. Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment
Secondary Change in cyber-victimization related behaviors between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment Comprised of 5 items from the Bystander Intervention in Bullying Measures (Nickerson et al. 2014) and 8 items from the University of New Hampshire Internet Safety Education Survey (Jones et al. 2012). Items are scored by participants' self-report of online bystander behavior ranging from 1 ("Strongly disagree") to 5 ("Strongly agree"). Possible score range of 13-65, with higher scores indicating greater personal responsibility/self-efficacy to intervene when witnessing online harassment experiences. Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment
See also
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