- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03707366
Fostering Healthy Futures for Teens: An RCT (FHF-T)
December 3, 2023 updated by: Heather Taussig, University of Denver
Fostering Healthy Futures for Teens: A Randomized Controlled Trial
This study will implement and evaluate a mentoring program designed to promote positive youth development and reduce adverse outcomes among maltreated adolescents with open child welfare cases.
Teenagers who have been maltreated are at heightened risk for involvement in delinquency, substance use, and educational failure as a result of disrupted attachments with caregivers and exposure to violence within their homes and communities.
Although youth mentoring is a widely used prevention approach nationally, it has not been rigorously studied for its effects in preventing these adverse outcomes among maltreated youth involved in the child welfare system.
This randomized controlled trial will permit us to implement and evaluate the Fostering Healthy Futures for Teens (FHF-T) program, which will use mentoring and skills training within an innovative positive youth development (PYD) framework to promote adaptive functioning and prevent adverse outcomes.
Graduate student mentors will deliver 9 months of prevention programming in teenagers' homes and communities.
Mentors will focus on helping youth set and reach goals that will improve their functioning in five targeted "REACH" domains: Relationships, Education, Activities, Career, and Health.
In reaching those goals, mentors will help youth build social-emotional skills associated with preventing adverse outcomes (e.g., emotion regulation, communication, problem solving).
The randomized controlled trial will enroll 234 racially and ethnically diverse 8th and 9th grade youth (117 intervention, 117 control), who will provide data at baseline prior to randomization, immediately post-program and 15 months post program follow-up.
The aims of the study include testing the efficacy of FHF-T for high-risk 8th and 9th graders in preventing adverse outcomes and examining whether better functioning in positive youth development domains mediates intervention effects.
It is hypothesized that youth randomly assigned to the FHF-T prevention condition, relative to youth assigned to the control condition, will evidence better functioning on indices of positive youth development in the REACH domains leading to better long-term outcomes, including adaptive functioning, high school graduation, career attainment/employment, healthy relationships, and quality of life.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
234
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Colorado
-
Denver, Colorado, United States, 80208
- University of Denver
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
13 years to 16 years (Child)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Teens with open child welfare cases placed in foster care, kinship care or living at home
- Starting 8th or 9th grade
- History of child maltreatment according to child welfare and court records
- Live within 35 minutes of the University of Denver (for mentoring feasibility)
Exclusion Criteria:
- Youth with a known history of severe violent behavior and/or sexual perpetration
- Youth who are deemed unsafe or unable to participate in a community-based mentoring program by their caseworker
- Incarcerated at baseline
- Moderate or severe developmental delay or physical disability
- Youth who are/will be parenting during the prevention program
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: FHF-T Intervention Group
9 months of 1:1 youth mentoring by graduate-student mentors; workshops; educational advocacy
|
FHF-T employs mentoring, consisting of relationship development, advocating for and empowering youth, and skill-building activities to promote positive youth development.
Mentors meet individually for 2-3 hours per week for 30 weeks with each teen they mentor, in order to engage teens in positive youth development activities and provide skills training in areas including emotion recognition, perspective-taking, problem solving, effective communication, managing anger, healthy coping and resisting peer pressure for deviant activities.
Youth also attend group workshops over the course of the program, in which they engage with other participants and mentors in skill-building activities.
|
No Intervention: Control group
Services as usual
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Court filings for delinquency immediately post intervention
Time Frame: immediately post-intervention (T2)
|
Presence of a court filing in administrative records for delinquent behavior
|
immediately post-intervention (T2)
|
Court filings for delinquency 15 months-post intervention
Time Frame: 15-months-post intervention (T3)
|
Presence of a court filing in administrative records for delinquent behavior
|
15-months-post intervention (T3)
|
Self-reported delinquency immediately post intervention
Time Frame: immediately post-intervention (T2)
|
The Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors, will assess any delinquency, number of types of delinquency, any violent delinquency, and any non-violent delinquency
|
immediately post-intervention (T2)
|
Self-reported delinquency 15 months-post intervention
Time Frame: 15-months-post intervention (T3)
|
The Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors, will assess any delinquency, number of types of delinquency, any violent delinquency, and any non-violent delinquency
|
15-months-post intervention (T3)
|
School suspensions immediately post intervention
Time Frame: immediately post-intervention (T2)
|
Any youth reported school suspensions, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
|
immediately post-intervention (T2)
|
School suspensions 15 months-post intervention
Time Frame: 15-months-post intervention (T3)
|
Any youth reported school suspensions, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
|
15-months-post intervention (T3)
|
Substance use immediately post intervention
Time Frame: immediately post-intervention (T2)
|
Self-reported number of types and frequency of substance use as assessed by the substance use scale of the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
|
immediately post-intervention (T2)
|
Substance use 15 months-post intervention
Time Frame: 15-months-post intervention (T3)
|
Self-reported number of types and frequency of substance use as assessed by the substance use scale of the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
|
15-months-post intervention (T3)
|
Passing grades immediately post intervention
Time Frame: immediately post-intervention (T2)
|
Youth report of passing all core academic courses, as assessed via researcher developed educational measure
|
immediately post-intervention (T2)
|
Passing grades 15 months-post intervention
Time Frame: 15-months-post intervention (T3)
|
Youth report of passing all core academic courses, as assessed via researcher developed educational measure
|
15-months-post intervention (T3)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of Life
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported mean quality of life as measured by the Life Satisfaction Scale (Andrews & Withey, 1976)
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Extracurricular activity involvement
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported number and frequency of extracurricular activity involvement will be measured by The Activities Scale, a project-designed measure.
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Connectedness to school
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported school connection will be measured by the mean score on the Psychological Sense of School Membership Scale (Goodenow, 1993) which assesses attachment and emotional response to a school environment.
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Academic achievement
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Academic Achievement will be assessed using standard scores on The Wechsler Individual Achievement Test Screener (WIAT Screener; Psychological Corporation, 1992).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Perceived Opportunities
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported perceived opportunities will be assessed using mean scores on the Perceived Opportunities scale of the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Trauma symptoms
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported trauma symptoms will be assessed using mean total and subscale scores of the Trauma Symptom Checklist (TSC; Briere, 1996).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Internalizing symptoms
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported internalizing symptoms will be assessed using the mean score on the internalizing subscale of The Youth Self Report (YSR; Achenbach, 2001).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Externalizing symptoms
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported externalizing symptoms will be assessed using the mean score on the externalizing subscale of The Youth Self Report (YSR; Achenbach, 2001).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Dating violence
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported dating violence will be measured by The Conflict in Adolescent Dating Relationships Inventory (CADRI; Wolfe, Scott, Wekerle, & Pittman, 2001).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Coping skills
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported coping skills will be measured using the mean scores on the subscales of the Children's Coping Strategies Checklist (Program for Prevention Research, 1999).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Conflict management skills
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported conflict management skills will be measured using the mean score on the conflict management subscale of the Safe Dates Evaluation Questionnaire (Foshee, Bauman, Bennett, Suchindran, Benefield, & Linder, 2005).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-efficacy
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported self-efficacy will be measured by the mean score on the Perceived Self-Efficacy Scale (Cowen, Work, Hightower, Wyman, Parker, & Ltyczewski, 1991).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Resiliency
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported resiliency will be measured using standardized scores on The Resiliency Scales for Children and Adolescents (RSCA; Prince-Embury, 2006, 2007).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Help seeking behaviors
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-reported help seeking will be measured by the number of identified social network members from whom the youth seek help and the frequency of seeking help on The Help Seeking Behaviors Scale (Pham, Y. K., McWhirter, E. H., & Murray, C., 2014).
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Use of protection while having sex
Time Frame: Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Self-report of using protection while having sex, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
|
Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kimberly Bender, PhD, University of Denver
- Principal Investigator: Heather Taussig, PhD, University of Denver
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Taussig H, Weiler L, Rhodes T, Hambrick E, Wertheimer R, Fireman O, Combs M. Fostering Healthy Futures for Teens: Adaptation of an Evidence-Based Program. J Soc Social Work Res. 2015 Dec;6(4):617-642. doi: 10.1086/684021.
- Taussig, H.N., Bender, K., Bennett, R. Massey Combs, K., Fireman, O, & Wertheimer, R. (2020). Mentoring for teens with child welfare involvement: Permanency outcomes from a randomized controlled trial of the Fostering Healthy Futures for Teens program. Child Welfare, 97(5), 1-24.
- Taussig, H., Bender, K., Racz, S. & Evidence Based Policy Team, A. V. (2022, April 7). Fostering Healthy Futures for Teens. Retrieved from osf.io/673eu.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 1, 2015
Primary Completion (Actual)
December 31, 2021
Study Completion (Estimated)
September 1, 2024
Study Registration Dates
First Submitted
May 23, 2017
First Submitted That Met QC Criteria
October 12, 2018
First Posted (Actual)
October 16, 2018
Study Record Updates
Last Update Posted (Actual)
December 5, 2023
Last Update Submitted That Met QC Criteria
December 3, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DU FHF-T
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ANALYTIC_CODE
Study Data/Documents
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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