Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05182736 |
Other study ID # |
163673 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
August 23, 2016 |
Est. completion date |
December 2020 |
Study information
Verified date |
December 2021 |
Source |
Portland State University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
TRAIL is a multi-tiered school-wide intervention delivered to middle and high school aged
youth. The overall goal of the TRAIL project is to decrease rates of teen births by
increasing the capacity of students to make healthy decisions regarding sexual health through
the use of a school-wide pregnancy prevention model. The program will be delivered to youth
in eighth and ninth grade at the intervention sites.
Description:
The TRAIL program is comprised of a multi-tier system of strategies:
1. Universal Strategies (delivered school-wide) Universal strategies impact the entire
school via a school-wide social norms marketing campaign and school-climate change
activities. A social norms marketing campaign saturates the entire high school or middle
school site through monthly newsletters, posters, and video campaigns to educate
students on healthy behaviors and dispel their misperceptions of peers' sexual activity.
School staff trainings and professional development activities focus on enhancing
protective factors for students to reduce the effects of stressful life events and
trauma, improving classroom management, linking students to resources, and improving the
overall school climate for students and staff. Activities include trainings to staff and
teachers on trauma-informed care, positive youth development, available teen friendly
resources via the Network of Care teen resource guide and app, and available support
programs to the parents. Three trainings are provided to key health staff and one
training is provided to the entire school staff. Healthcare linkages and referrals are
measured by school nurses and reviewed by program staff to assess and address any
barriers to accessing services related to teen sexual health and related healthcare
services.
2. Targeted Strategies (delivered to the target grade level in the evaluation sample)
Targeted strategies include an in-school curriculum and service learning component,
which impact all ninth grade students at the intervention high schools and all eighth
grade students at the intervention middle schools. Elevate is the in-school adolescent
leadership curriculum program that provides teens with the knowledge, skills, and
support they need to make healthy decisions regarding their future, including those
related to sexual health. Elevate provides peer mentoring and an interactive curriculum
covering topics such as setting and achieving goals; self-assessment; issues with
family, friends, and self; media awareness; self-esteem; leadership; communication and
negotiation skills; and future orientation. In addition, all eighth and ninth graders
complete service learning projects to develop and deepen a positive attachment to the
school and community. This tier includes five 90-minute sessions (7.5 hours) of
classroom programing and ten hours of service learning.
3. Intensive Strategies (delivered to select at-risk students) Intensive strategies are
intended for a subset of youth and their caregivers with identified increased
risk-factors, and they include peer mentoring, after-school running/positive youth
development programming, summer programming, and parent workshop support. Although all
eighth and ninth grade students and their caregivers are eligible to receive intensive
strategies, a subset identified by the schools are be targeted. Participation is always
voluntary. High school and college mentors are carefully selected and trained to act as
peer mentors who collaborate to raise awareness about teen health issues in the
community and promote healthy decision making. These mentors assist the universal,
targeted, and intensive strategy activities. TRAIL enrichment is a twenty 90-minute
session comprehensive noncompetitive running program that promotes future orientation,
an active lifestyle, nutritious eating, and healthy decision-making including decisions
regarding sexual health for adolescents to achieve holistic health and be successful
adults. Summer Advantage opportunities provide meaningful, positive, and supervised
activities for youth during the summer month. Activities are made available through
community partners to allow students to experience various positive youth development
outlets in the community, which are related to health, education, and the arts. Parent
workshops are offered to equip parents and community members with prevention education
and a system to reinforce positive norms for students.