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Neurodevelopmental DisordersNCT04935593

Strengthening Social, Emotional and Behavioral Resilience

A study testing The RENEW Intervention in people with Neurodevelopmental Disorders and Emotional Disorder, run by Taipei Medical University at 1 site in Taiwan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Behavioral and emotional disorders adversely affect overall health and well-being. Prevalence rates among children and adolescents classified with behavioral and emotional disorders or neurodevelopmental disorders (NDD), as recently redefined in ICD-11, have steadily increased over the past decade. Read more about this study

Who is it for?
Ages 8 to 14 yearsHealthy volunteers can take part
What is being tested?
The RENEW Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteTaiwan
Study dates
7 Sep 2021to 30 Mar 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 14 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Home Internet access

Who cannot join

  • No parental consent
  • Sensory challenges to electronic devices

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Taipei Adventist American School

    Taipei, Shilin, 251

Other trials in Taiwan

About this study

Official title: Strengthening Social, Emotional and Behavioral Resilience: The RENEW (Resilience in Emotional and Behavioral Wellbeing) Pilot Randomized Controlled Trial

Behavioral and emotional disorders adversely affect overall health and well-being. Prevalence rates among children and adolescents classified with behavioral and emotional disorders or neurodevelopmental disorders (NDD), as recently redefined in ICD-11, have steadily increased over the past decade. In particular, prevalence rates among persons classified with Autism Spectrum Disorders (ASD), the fastest rising behavioral and emotional disorder, have sharply risen over the past five years and is now estimated at 1 in 54. Shared symptoms within behavioral and emotional disorders include persistent social, emotional and behavioral functioning deficits that often impact self-management, social-awareness and metacognition competences, in addition to adulthood health and wellness life course transition management.

Social and Emotional Learning (SEL) stakeholder advocates have contributed meaningfully to the strengthening of behavioral and emotional health through interventions that focus primarily on physical and mental health outcomes of diagnosed individuals. However, focus on spiritual health outcomes and the at-risk population remain largely underutilized. Research that seeks to employ an integrative physical-mental-spiritual approach to strengthen social, emotional and behavioral resilience, of at-risk school age populations where social stigma and prohibitive treatment costs remain barriers to treatment is needed to help expand the field's understanding of the reciprocal relationship between spiritual health and emotional and behavioral outcomes.

The RENEW (Resilience in Emotional and Behavioral Wellbeing) intervention will employ a multidisciplinary approach of social and emotional learning competency training, gamification principles and faith-centered values to strengthen social, behavioral and emotional resilience and competencies of those at risk for behavioral and emotional disorders, via a child-as co-researcher approach.

Read the detailed description

Emotional and Behavior Disorders (EBD) or neurodevelopmental disorders (NDD) as recently redefined are a collection of behavioral and cognitive disorder classifications that describe a spectrum of deficits in social functioning, metacognition and self-management competencies, in particular, among children and adolescence. The subcategories of NDDs as listed in World Health Organization's 11th edition of the International Statistical Classification of Diseases and Related Health Problems (ICD) include Autism Spectrum Disorder (ASD), Attention-Deficit Hyperactivity Disorder (ADHD), Development of Learning Disorder and Disorders of Intellectual Development.

Prevalence rates among children and adolescents classified with EBDs or NDDs have steadily increased over the past decade. Autism Spectrum Disorders (ASD) or Autism Spectrum Conditions (ASC) is the fastest growing NDD affecting approximately one percent (1%) of the world's population. Prevalence rates among persons diagnosed with Autism Spectrum Conditions (ASC) have steadily risen over the past decade and are now estimated at 1 in 54. Autism's spectrum of social, emotional and behavioral impairments often range in severity and impact poor adulthood outcomes, primarily in health and wellness life course trajectories, of the unclassified. Shared symptoms within EBDs/NDDs include persistent social and behavioral functioning deficits that often impact self-management, social-awareness and metacognition competences, in addition to adulthood health and wellness life course transition management.

According to the World Health Organization (WHO), there are three main ways to classify health interventions, namely by target (the entity on which the action is carried out), action (a deed done by an actor to a target), or means (the process and methods by which the action is carried out). Empirical research has identified currently available social and emotional learning (SEL) interventions that target the clinically diagnosed. However, an issue with such interventions is that they provide no support to at-risk and/or undiagnosed behavioral and emotional disorder (EBD) vulnerable populations. The SEL intervention literature has also documented available psychosocial actions to support EBD children and young persons, such as cognitive behavioral therapy (CBT) and executive functioning skills training. However, a vulnerability of these actions is that they are often secular or void of a spiritual, religious or personal belief dimension to effect meaningful transformation as well as not participatory of EBD youth in the research process. Lastly, the SEL intervention literature has illuminated evidence on the available means/methods to support or deliver actions to EBD youth, such as via commercial-off-the-shelf (COTS) software, virtual reality (VR) technologies, games and robot-based platforms. However, a drawback of such means or methods is that they are often cost prohibitive, not conducive to facilitating citizen development and lacking in gamification features to strengthen end user engagement. Thus, there is a need to supplement the existing SEL intervention literature with programs that support spiritual health outcomes of at-risk EBD youth in a manner that fosters co-researcher opportunities and generates a social return on investment.

In this paper, we describe a protocol for a pilot evaluation of a faith-centered, non-medical, gamification assisted intervention, dubbed RENEW (Resilience in Emotional and Behavioral Wellbeing), an innovative, culturally appropriate, cost effective and participatory program developed to identify and strengthen social emotional behavioral resilience among primary and middle age school children populations who are increasingly exhibiting social emotional behavior symptoms. The research is situated at the intersection of technology, spirituality and global health practice in effort to strengthen contributions to health and wellness outputs, outcomes and impacts. The research endeavor will employ a multidisciplinary blend of gamification principles, co-researcher participation and faith-centered values to strengthen social, behavioral and emotional resilience competencies in effort to enhance social and behavioral deficit management.

Being tested
The RENEW Intervention
Keywords
Social and emotional learning, Social return on investment, Gamification, Behavioral and Emotional Disorders
Medical subject headings
Neurodevelopmental Disorders, Mental Disorders, Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • The RENEW InterventionOther

    Also called The Resilience in Emotional and Behavioral Wellbeing (RENEW) Intervention

    An game-based intervention that will provide lessons and activities in social-awareness, self-management, self-awareness, relationships and decision making in effort to strengthen social, emotional and behavioral competence. The intervention will be administered tri-weekly for 20 minutes each session.

Study groups in NCT04935593
Study groupRoleWhat they receive
Renew Intervention GroupExperimentalParticipants in the group will receive training to help children strengthen social, emotional and behavioral knowledge and resilience.
Receives: Other: The RENEW Intervention
Parallel Control GroupNo interventionParticipants in the group will receive the usual bible lessons and activities

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in social-emotional competence on the Devereux Student Strengths Assessment - Mini instrument

    The Devereux Student Strengths Assessment - Mini is a 8-point brief version of the Devereux Student Strengths Assessment intended to serve as a universal screener of social and emotional competencies

    Rating Scale:

    (Never = 0; Rarely = 1; Occasionally = 2; Frequently = 3; Very Frequently = 4)

    High scores indicate a proficiency in social-emotional competence Low scores indicate need for instruction in social-emotional competence

    Measured: Baseline and Week 10

  2. Change from baseline in Self-Management assessment score on the Self-Management knowledge assessment form

    The Self-Management assessment is a 10-question quiz designed to assess a participants knowledge of self-management

    Rating Scale:

    (Need for knowledge of self-management < 60); (Average knowledge of self-management >= 60 and < 80); (Knowledge Proficiency of self-management >= 80)

    High scores indicate a proficiency in self-management knowledge Low scores indicate need for instruction in self-management knowledge

    Measured: Baseline and Week 6

  3. Change from baseline in Self-Awareness assessment score on the Self-Awareness knowledge assessment form

    The Self-Awareness assessment is a 10-question quiz designed to assess a participants knowledge of self-awareness

    Rating Scale:

    (Need for knowledge of self-awareness < 60); (Average knowledge of self-awareness >= 60 and < 80); (Knowledge Proficiency of self-awareness >= 80)

    High scores indicate a proficiency in self-awareness knowledge Low scores indicate need for instruction in self-awareness knowledge

    Measured: Baseline and Week 6

  4. Change from baseline in Social-Awareness assessment score on the social-awareness knowledge assessment form

    The Social-Awareness assessment is a 10-question quiz designed to assess a participants knowledge of social-awareness

    Rating Scale:

    (Need for knowledge of social-awareness < 60); (Average knowledge of social-awareness >= 60 and < 80); (Knowledge Proficiency of social-awareness >= 80)

    High scores indicate a proficiency in social-awareness knowledge Low scores indicate need for instruction in social-awareness knowledge

    Measured: Baseline and Week 8

  5. Change from baseline in Relationships assessment score on the relationships knowledge assessment form

    The Relationships assessment is a 10-question quiz designed to assess a participants knowledge of relationships

    Rating Scale:

    (Need for knowledge of relationships < 60); (Average knowledge of relationships >= 60 and < 80); (Knowledge Proficiency of relationships >= 80)

    High scores indicate a proficiency in relationship knowledge Low scores indicate need for instruction in relationship knowledge

    Measured: Baseline and Week 8

  6. Change from baseline in Decision-Making assessment score on the decision-making assessment form

    The Decision-Making assessment is a 10-question quiz designed to assess a participants knowledge of decision-making

    Rating Scale:

    (Need for knowledge of decision-making < 60); (Average knowledge of decision-making >= 60 and < 80); (Knowledge Proficiency of decision-making >= 80)

    High scores indicate a proficiency in decision-making knowledge Low scores indicate need for instruction in decision-making knowledge

    Measured: Baseline and Week 10

Secondary outcomes (1)
  1. Change from baseline in Global self-concept score on the Social Emotional Assets and Resilience Scale - Child Short Form

    The Social Emotional Assets and Resilience Scale - Child Short form is a 12-question, self-report measure of a child's perception of his or her own global self-concept score.

    Rating Scale:

    (Never = 1; Sometimes = 2; Often = 3; Always = 4)

    High scores indicate adequacy in self-concept perception Low scores indicate inadequacy in self-concept perception

    Measured: Baseline to Week 10

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jun 2021
  2. Study start7 Sep 2021
  3. Primary completion30 Mar 2022 (estimated)
  4. Study completion30 Mar 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Single blind
Who is masked
Participant
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04935593
Sponsor's protocol ID
pbowrin001
Status last verified
Jun 2021
First submitted
4 Jun 2021
Last updated
24 Mar 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Garwood, J. D., Peltier, C., Sinclair, T., Eisel, H., McKenna, J. W., & Vannest, K. J. (2020). A Quantitative Synthesis of Intervention Research Published in Flagship EBD Journals: 2010 to 2019. Behavioral Disorders. https://doi.org/10.1177/0198742920961341

  • Bitta M, Kariuki SM, Abubakar A, Newton CRJC. Burden of neurodevelopmental disorders in low and middle-income countries: A systematic review and meta-analysis. Wellcome Open Res. 2017 Dec 29;2:121. doi: 10.12688/wellcomeopenres.13540.3. eCollection 2017.

    PubMed 29881784
  • Fortune N, Madden R, Riley T, Short S. The International Classification of Health Interventions: an 'epistemic hub' for use in public health. Health Promot Int. 2021 Dec 23;36(6):1753-1764. doi: 10.1093/heapro/daab011.

    PubMed 33585880
  • Ketcheson L, Hauck JL, Ulrich D. The levels of physical activity and motor skills in young children with and without autism spectrum disorder, aged 2-5 years. Autism. 2018 May;22(4):414-423. doi: 10.1177/1362361316683889. Epub 2017 Mar 1.

    PubMed 29152992
  • Maenner MJ, Shaw KA, Baio J; EdS1; Washington A, Patrick M, DiRienzo M, Christensen DL, Wiggins LD, Pettygrove S, Andrews JG, Lopez M, Hudson A, Baroud T, Schwenk Y, White T, Rosenberg CR, Lee LC, Harrington RA, Huston M, Hewitt A; PhD-7; Esler A, Hall-Lande J, Poynter JN, Hallas-Muchow L, Constantino JN, Fitzgerald RT, Zahorodny W, Shenouda J, Daniels JL, Warren Z, Vehorn A, Salinas A, Durkin MS, Dietz PM. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR Surveill Summ. 2020 Mar 27;69(4):1-12. doi: 10.15585/mmwr.ss6904a1.

    PubMed 32214087
  • Price S. Addressing Autism: Giving Physicians Tools. Tex Med. 2019 Dec 1;115(12):42-44.

    PubMed 31800089
  • Wiggins LD, Durkin M, Esler A, Lee LC, Zahorodny W, Rice C, Yeargin-Allsopp M, Dowling NF, Hall-Lande J, Morrier MJ, Christensen D, Shenouda J, Baio J. Disparities in Documented Diagnoses of Autism Spectrum Disorder Based on Demographic, Individual, and Service Factors. Autism Res. 2020 Mar;13(3):464-473. doi: 10.1002/aur.2255. Epub 2019 Dec 23.

    PubMed 31868321
  • Bowrin P, Bowrin E, Iqbal U, Sanna M. Benefits of RENEW: A Faith-Infused, Game-Based Social-Emotional Intervention: Evidence from a Pilot Cluster Randomized Crossover Trial on Primary School Children in Taiwan. J Relig Health. 2025 Jun;64(3):1594-1606. doi: 10.1007/s10943-024-02224-z. Epub 2024 Dec 24.

    PubMed 39719545

Questions about this trial

What is this clinical trial studying?

A study testing The RENEW Intervention in people with Neurodevelopmental Disorders and Emotional Disorder, run by Taipei Medical University at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 24 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in social-emotional competence on the Devereux Student Strengths Assessment - Mini instrument (time frame: Baseline and Week 10). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04935593, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Mar 2022.

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