- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03467009
Bullying Prevention Intervention for Adolescent Primary Care Patients (iPACT)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed 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.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Rhode Island
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Providence, Rhode Island, United States, 02903
- Rhode Island Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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 Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: iPACT Intervention
|
Brief in-person + tailored, daily 8-week text-message secondary prevention intervention.
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Active Comparator: Control: Enhanced Usual Care (EUC)
The investigators will provide participants with a standard resource sheet with information on bullying and mental health resources.
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EUC group participants will receive standardized information on cyberbullying.
|
Experimental: iPACT Intervention- App
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Brief in-person + tailored, daily 8-week message secondary prevention intervention delivered via app.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intervention Acceptability: Enrollment Rate
Time Frame: Enrollment
|
Enrollment Rate: % of eligible participants who consented and completed enrollment
|
Enrollment
|
Intervention Acceptability: Change in Follow Up Rate from 8 weeks post-enrollment to 16 weeks post-enrollment
Time Frame: 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment (8 wks after close of intervention)
|
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)
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Intervention Acceptability: Participant Satisfaction
Time Frame: 8 weeks post-enrollment (close of intervention)
|
Text Customer Satisfaction Questions
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8 weeks post-enrollment (close of intervention)
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Intervention Feasibility: Participant Engagement
Time Frame: Enrollment to 8 weeks post-enrollment (close of intervention)
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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.
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Enrollment to 8 weeks post-enrollment (close of intervention)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in cyber-victimization between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment
Time Frame: Enrollment, 8 weeks post-enrollment (close of intervention), 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
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Change in cyber-victimization emotional impact between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment
Time Frame: Enrollment, 8 weeks post-enrollment (close of intervention), 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
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Change in cyber-victimization related behaviors between enrollment, 8 weeks post-enrollment, and 16 weeks post-enrollment
Time Frame: Enrollment, 8 weeks post-enrollment (close of intervention), 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.
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Enrollment, 8 weeks post-enrollment (close of intervention), 16 weeks post-enrollment
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Megan L Ranney, MD MPH, Rhode Island Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- R21HD088739 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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