Building Resilience at Schools: Emotional and Biological Assessment and Treatment of Traumatic Stress
This study is looking at ways to help students and teachers in Puerto Rico who are experiencing stress, burnout, and mental health challenges after natural disasters. It tests two main approaches: "Start with the Heart" for students and teachers, which involves mindfulness, movement, and positive thinking, and "Cue Centered Therapy" for students with significant PTSD symptoms. Cue Centered Therapy uses one-on-one sessions with school counselors to address trauma. Researchers will measure changes in resilience, anxiety, and work self-efficacy to see if these interventions are helpful. The study is currently unclear on its status and plans to enroll a large number of participants.
- Study design
- This interventional study plans to enroll 80,800 participants, including students aged 11-17 and teachers. It is not specified if participants are randomly assigned to different groups.
- What's involved
- Students may participate in classroom activities for 6-8 weeks, or one-on-one therapy for 15-18 weeks. Eligible students will also provide DNA samples at 2-3 different times.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for up to 23 weeks, with measurements taken at baseline, week 8, and week 23.
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Building Resilience at Schools: Emotional and Biological Assessment and Treatment of Traumatic Stress
At a glance
Conditions
Where it's being run
3 sites across 2 statesStudy leadership
- Victor Carrion, M.D. · PRINCIPAL_INVESTIGATOR · John A. Turner, M.D. Professor and Vice-Chair of Psychiatry and Behavioral Sciences at Stanford University and Director of the Stanford Early Life Stress and Resilience Program
- Alexander Urban, Ph.D. · PRINCIPAL_INVESTIGATOR · Associate Professor
Who to contact
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What this trial measures
- Mean Change from Baseline in Resilience ScoreThree time points: Baseline, week 8, week 23
Resilience is assessed using the Child/Youth and Adult Resilience Measure on a 5- point Likert scale. Score range 1 to 5 (1=Not at all, 5=A lot). The total score is summed. Changes in scores will be assessed between all time points.
- Mean Change from Baseline in Work Self-Efficacy ScoreTeachers: Baseline, week 8; Counselors: Baseline, week 23
Work Self-Efficacy is assessed on a 5- point Likert scale. Score range 1 to 5 (1=Not well at all, 5=Very Well). The total score is summed. Changes in scores will be assessed between all time points.
- Mean Change from Baseline in Anxiety ScoreThree time points: Baseline, week 8, week 23
Generalized Anxiety Disorder (GAD) symptoms are assessed using the GAD-7 on a 4- point Likert scale. Score range 0 to 3 (0=Not at all, 3=Nearly every day). Total score is summed. Changes in scores will be assessed between all time points.
- Mean Change from Baseline in Depression ScoreThree time points: Baseline, week 8, week 23
Depression is assessed using the Patient Health Questionnaire (PHQ)-8 on a 4- point Likert scale. Score range 0 to 3 (0=Not at all, 3=Nearly every day). Total score is summed. Changes in scores will be assessed between all time points.
- Mean Change from Baseline in Somatic Symptoms ScoreThree time points: Baseline, week 8, week 23
Somatic symptoms are assessed using the PHQ-15 on a 3- point Likert scale. Score range 0 to 2 (0=Not bothered at all, 2=Bothered a lot). Total score is summed. Changes in scores will be assessed between all time points.
- Changes in Methylation Pattern of GenesThree time points: Baseline, week 8, week 23
Using DNA methylation to analyze DNA samples from buccal swabs to investigate genetic markers of resilience. Genetic markers to be analyzed include: CTNNB1, ITGB8, CSRP2, WTAP, TSC22D1, HNRNPH1, NTRK2, DCX, CDK14, PTNN, SLC1A3, IGFBP2, ERBB4. Changes in genetic expressions will be assessed between all time points.