Clinical Trial Details
— Status: Enrolling by invitation
Administrative data
| NCT number |
NCT05189769 |
| Other study ID # |
239047 |
| Secondary ID |
|
| Status |
Enrolling by invitation |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
May 15, 2019 |
| Est. completion date |
December 1, 2024 |
Study information
| Verified date |
November 2023 |
| Source |
University of Alabama, Tuscaloosa |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The primary purpose of this project is to test a comprehensive, two-part intervention with
ReACT and a recently adapted, Coping Power+ Program. ReACT and PBIS are school-wide universal
interventions. Coping Power and Coping Power+ are targeted preventive interventions designed
to assist at-risk 7th grade students to improve their coping with interpersonal stressors
during middle school. This project will evaluate the effects of the program on teacher,
student and parent perceptions of school climate, student behavior, social-emotional
competence, disciplinary infractions, and identity for 7th grade students in Coping Power or
Coping Power+
Description:
Project Rationale Data from public Middle Schools indicate increasing rates of unsafe,
disruptive, and event violent behaviors across the US. These incidents may also include peer
victimization. Racially and ethnically minoritized youth are disproportionately affected by
these incidents and occurrences of racial bias in school. The purpose of the Comprehensive
Prevention Strategies (CPS) intervention is to preventatively promote youth safety and
belonging across individual, school, and community settings by intervening at multiple entry
points. The primary components include: (1) an adapted version of Coping Power and (2)
extended PBIS strategies called "ReACT" (Racial equity through Assessing data for vulnerable
decision points, culturally responsive behavior strategies, and Teaching about implicit bias
and how to neutralize it) is for teachers. This project leverages the evidence-based Coping
Power student and parent interventions and Positive Behavioral Interventions and Supports
(PBIS) approaches to include much-needed adaptations to address this critical issue. This
project has the potential for important public health outcomes: (a) reducing youth violence,
(b) improving school climate and (c) improving teacher practices regarding discipline,
disproportionate discipline, and bias in public schools.
Project Aims The primary purpose of this project is to test a comprehensive, two-part
intervention with ReACT and a recently adapted, Coping Power+ Program. ReACT and PBIS are
school-wide universal interventions. Coping Power and Coping Power+ are targeted preventive
interventions designed to assist at-risk 7th grade students to improve their coping with
interpersonal stressors during middle school. This project will evaluate the effects of the
program on teacher, student and parent perceptions of school climate, student behavior,
social-emotional competence, disciplinary infractions, and identity for 7th grade students in
Coping Power or Coping Power+
Funding This project is funded by a 5-year grant awarded by the National Institute of
Minority Health and Health Disparities.
Sample of Schools A total of 18 middle schools have been recruited for involvement in this
project: 11 in Huntsville City Schools and 7 in Jefferson County Public Schools.
Student Participation and Data Collection Students who are identified by teachers and/or
school staff as potentially benefiting from Coping Power on the 6-item universal screener
completed by 6th grade teachers each project year in the spring, will be contacted by school
staff to request active parental consent for participation.
Benefits to Participating Schools To implement the Coping Power and Coping Power+ Programs,
clinicians will be hired by the grant and will be co-trained with one or more school-based
staff members (e.g., school counselor, school psychologist). In appreciation of staff time
devoted to leading the Coping Power groups, the grant will provide a $25 per session donation
to the school ($625 per year).
This project will increase the school's capacity to implement an evidence-based Tier 3
prevention program to support students and their families.
Timeline This 5-year project began in 2019 with the development of CP+ adaptations and ReACT
strategies for middle school. Study activities were halted in 2020 due to the pandemic. In
August of 2021 researchers will continue with ReACT educator training (on full day), then
send parental permission forms for Coping Power participation. Coping Power groups will start
in September and run weekly for the rest of the year. ReACT training will be followed by
monthly one-hour strategy sessions for the remainder of the school year. While ReACT training
will be complete, another cohort of 7th grade students will enter Coping Power (screened in
each spring) in September 2022 and September 2023. Each year approximately 17 students from
each middle school will participate in Coping Power groups.
Expected Outcome Researchers proposed that adapted, culturally responsive Coping Power will
be more effective than traditional Coping Power in promoting prosocial behavior for 7th grade
participants.
ReACT Teacher Training
ReACT (Racial equity through Assessing data for vulnerable decision points, Culturally
responsive behavior strategies, and Teaching about implicit bias and how to neutralize it) is
a universal professional development intervention for all school staff to leverage the PBIS
framework for increasing racial equity in school discipline (McIntosh, Barnes, et al., 2014).
The intervention includes whole-school professional development sessions delivered throughout
the year that focus on understanding discipline decision making and the effects of bias, a
root cause analysis of discipline data, and creation of a tailored intervention plan with
strategies selected to address these root causes.
Middle School Coping Power Child and Parent Program The Coping Power Program is a rigorously
tested, multi-component school-based intervention for children and their parents (Lochman &
Wells, 1996), that addresses issues related to aggression and problem behavior. Efficacy and
effectiveness studies conducted in multiple schools in Alabama and throughout the United
States over the past two decades have found Coping Power to reduce students' levels of
externalizing and internalizing behaviors, and substance use, and to enhance students'
language artss grades through long-term follow-up periods, in comparison to randomized
control and comparison students. families in need of specialized services.
The Coping Power student component is offered to groups of six students at the school and
features 25 weekly group sessions, each lasting about 45 minutes. The program includes 12
parenting sessions during which parents meet in groups of 10-12 with two co-leaders.
Aim 1. To determine the extent to which SWPBIS+ training is more effective than SWPBIS alone
as a Tier 1, in reducing disproportionate disciplinary practices, and if differences are
moderated by student and teacher race.
Aim 2. To determine the extent to which CP+ is more effective than CP as a targeted
intervention in reducing interracial and intraracial aggression and if differences are
moderated by student race.
Aim 3. To determine the extent to which the effects of CP+ relative to CP differ depending on
the Tier 1 context (SWPBIS+ vs. SWPBIS) and whether those effects are moderated by student
race.
In addition, poverty will be included as potential covariates in the model at both the
individual (student free/reduced price lunch status) and school (percentage of students
receiving free/reduced price lunch) levels.
