Denver, Colorado 80208


Purpose:

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.


Criteria:

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 is Available At:


Original ID:

DU FHF-T


NCT ID:

NCT03707366


Secondary ID:


Study Acronym:

FHF-T


Brief Title:

Fostering Healthy Futures for Teens: An RCT


Official Title:

Fostering Healthy Futures for Teens: A Randomized Controlled Trial


Overall Status:

Recruiting


Study Phase:

N/A


Genders:

N/A


Minimum Age:

13 Years


Maximum Age:

16 Years


Quick Facts

Healthy Volunteers
Oversight Has DMC
Study Is FDA Regulated
Study Is Section 801
Has Expanded Access

Study Source:

University of Denver


Oversight Authority:

There was an error processing this request


Reasons Why Stopped:


Study Type:

Interventional


Study Design:


Number of Arms:

2


Number of Groups:

0


Total Enrollment:

234


Enrollment Type:

Anticipated


Overall Contact Information

Official Name:Heather Taussig, PhD
Principal Investigator
University of Denver
Primary Contact:Heather Taussig, PhD
303-871-2937
heather.taussig@du.edu
Backup Contact:Kimberly Bender, PhD
303-871-6760
kimberly.bender@du.edu

Study Dates

Start Date:June 2015
Completion Date:September 1, 2023
Completion Type:Anticipated
Primary Completion Date:September 1, 2022
Primary Completion Type:Anticipated
Verification Date:October 2018
Last Changed Date:October 12, 2018
First Received Date:May 23, 2017

Study Outcomes

Outcome Type:Secondary Outcome
Measure:Use of protection while having sex
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description: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
Outcome Type:Secondary Outcome
Measure:Help seeking behaviors
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description: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).
Outcome Type:Secondary Outcome
Measure:Resiliency
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported resiliency will be measured using standardized scores on The Resiliency Scales for Children and Adolescents (RSCA; Prince-Embury, 2006, 2007).
Outcome Type:Secondary Outcome
Measure:Self-efficacy
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported self-efficacy will be measured by the mean score on the Perceived Self-Efficacy Scale (Cowen, Work, Hightower, Wyman, Parker, & Ltyczewski, 1991).
Outcome Type:Secondary Outcome
Measure:Conflict management skills
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description: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).
Outcome Type:Secondary Outcome
Measure:Coping skills
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description: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).
Outcome Type:Secondary Outcome
Measure:Dating violence
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported dating violence will be measured by The Conflict in Adolescent Dating Relationships Inventory (CADRI; Wolfe, Scott, Wekerle, & Pittman, 2001).
Outcome Type:Secondary Outcome
Measure:Externalizing symptoms
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported externalizing symptoms will be assessed using the mean score on the externalizing subscale of The Youth Self Report (YSR; Achenbach, 2001).
Outcome Type:Secondary Outcome
Measure:Internalizing symptoms
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported internalizing symptoms will be assessed using the mean score on the internalizing subscale of The Youth Self Report (YSR; Achenbach, 2001).
Outcome Type:Secondary Outcome
Measure:Trauma symptoms
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported trauma symptoms will be assessed using mean total and subscale scores of the Trauma Symptom Checklist (TSC; Briere, 1996).
Outcome Type:Secondary Outcome
Measure:Perceived Opportunities
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description: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
Outcome Type:Secondary Outcome
Measure:Academic achievement
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Academic Achievement will be assessed using standard scores on The Wechsler Individual Achievement Test Screener (WIAT Screener; Psychological Corporation, 1992).
Outcome Type:Secondary Outcome
Measure:Connectedness to school
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description: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.
Outcome Type:Secondary Outcome
Measure:Extracurricular activity involvement
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported number and frequency of extracurricular activity involvement will be measured by The Activities Scale, a project-designed measure.
Outcome Type:Secondary Outcome
Measure:Quality of Life
Time Frame:Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3)
Safety Issues:False
Description:Self-reported mean quality of life as measured by the Life Satisfaction Scale (Andrews & Withey, 1976)
Outcome Type:Primary Outcome
Measure:Passing grades 15 months-post intervention
Time Frame:15-months-post intervention (T3)
Safety Issues:False
Description:Youth report of passing all core academic courses, as assessed via researcher developed educational measure
Outcome Type:Primary Outcome
Measure:Passing grades immediately post intervention
Time Frame:immediately post-intervention (T2)
Safety Issues:False
Description:Youth report of passing all core academic courses, as assessed via researcher developed educational measure
Outcome Type:Primary Outcome
Measure:Substance use 15 months-post intervention
Time Frame:15-months-post intervention (T3)
Safety Issues:False
Description: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
Outcome Type:Primary Outcome
Measure:Substance use immediately post intervention
Time Frame:immediately post-intervention (T2)
Safety Issues:False
Description: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
Outcome Type:Primary Outcome
Measure:School suspensions 15 months-post intervention
Time Frame:15-months-post intervention (T3)
Safety Issues:False
Description:Any youth reported school suspensions, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
Outcome Type:Primary Outcome
Measure:School suspensions immediately post intervention
Time Frame:immediately post-intervention (T2)
Safety Issues:False
Description:Any youth reported school suspensions, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors
Outcome Type:Primary Outcome
Measure:Self-reported delinquency 15 months-post intervention
Time Frame:15-months-post intervention (T3)
Safety Issues:False
Description: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
Outcome Type:Primary Outcome
Measure:Self-reported delinquency immediately post intervention
Time Frame:immediately post-intervention (T2)
Safety Issues:False
Description: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
Outcome Type:Primary Outcome
Measure:Court filings for delinquency 15 months-post intervention
Time Frame:15-months-post intervention (T3)
Safety Issues:False
Description:Presence of a court filing in administrative records for delinquent behavior
Outcome Type:Primary Outcome
Measure:Court filings for delinquency immediately post intervention
Time Frame:immediately post-intervention (T2)
Safety Issues:False
Description:Presence of a court filing in administrative records for delinquent behavior

Study Interventions

Intervention Type:Behavioral
Name:FHF-T
Description: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 resistin
Arm Name:FHF-T Intervention Group

Study Arms

Study Arm Type:No Intervention
Arm Name:Control group
Description:Services as usual
Study Arm Type:Experimental
Arm Name:FHF-T Intervention Group
Description:9 months of 1:1 youth mentoring by graduate-student mentors; workshops; educational advocacy

Study Agencies

Agency Class:Other
Agency Type:Lead Sponsor
Agency Name:University of Denver

Sample and Retention Information

There are no available Sample and Retention Information

Study References

Reference Type:Results Reference
Citation: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.
PMID:27019678

Data Source: ClinicalTrials.gov

Date Processed: January 21, 2020

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