AzTrials
AzTrials

Behavior, ChildNCT05189769

Reducing Racism and Discrimination in Schools: Comprehensive Prevention Services

A study testing CP no REACT, CP+/No REACT and CP and REACT in people with Behavior, Child, run by University of Alabama, Tuscaloosa at 2 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The primary purpose of this project is to test a comprehensive, two-part intervention with ReACT and a recently adapted, Coping Power+ Program. ReACT and PBIS are school-wide universal interventions. Read more about this study

Who is it for?
Ages 10 to 14 years
Conditions the study is for
Behavior, Child
What is being tested?
CP no REACT, CP+/No REACT and CP and REACT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,093 participants
Where
2 sitesUnited States
Study dates
15 May 2019to 1 Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 10 to 14 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 7th grader
  • screened on NIDA screener as in the highest 25 percentile on risk in target school

Who cannot join

  • None

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Jefferson County Public Schools

    Birmingham, Alabama, 35226

  • Huntsville City Schools

    Huntsville, Alabama, 35649

Other trials in United States

About this study

The primary purpose of this project is to test a comprehensive, two-part intervention with ReACT and a recently adapted, Coping Power+ Program. ReACT and PBIS are school-wide universal interventions. Coping Power and Coping Power+ are targeted preventive interventions designed to assist at-risk 7th grade students to improve their coping with interpersonal stressors during middle school. This project will evaluate the effects of the program on teacher, student and parent perceptions of school climate, student behavior, social-emotional competence, disciplinary infractions, and identity for 7th grade students in Coping Power or Coping Power+

Read the detailed description

Project Rationale Data from public Middle Schools indicate increasing rates of unsafe, disruptive, and event violent behaviors across the US. These incidents may also include peer victimization. Racially and ethnically minoritized youth are disproportionately affected by these incidents and occurrences of racial bias in school. The purpose of the Comprehensive Prevention Strategies (CPS) intervention is to preventatively promote youth safety and belonging across individual, school, and community settings by intervening at multiple entry points. The primary components include: (1) an adapted version of Coping Power and (2) extended PBIS strategies called "ReACT" (Racial equity through Assessing data for vulnerable decision points, culturally responsive behavior strategies, and Teaching about implicit bias and how to neutralize it) is for teachers. This project leverages the evidence-based Coping Power student and parent interventions and Positive Behavioral Interventions and Supports (PBIS) approaches to include much-needed adaptations to address this critical issue. This project has the potential for important public health outcomes: (a) reducing youth violence, (b) improving school climate and (c) improving teacher practices regarding discipline, disproportionate discipline, and bias in public schools.

Project Aims The primary purpose of this project is to test a comprehensive, two-part intervention with ReACT and a recently adapted, Coping Power+ Program. ReACT and PBIS are school-wide universal interventions. Coping Power and Coping Power+ are targeted preventive interventions designed to assist at-risk 7th grade students to improve their coping with interpersonal stressors during middle school. This project will evaluate the effects of the program on teacher, student and parent perceptions of school climate, student behavior, social-emotional competence, disciplinary infractions, and identity for 7th grade students in Coping Power or Coping Power+

Funding This project is funded by a 5-year grant awarded by the National Institute of Minority Health and Health Disparities.

Sample of Schools A total of 18 middle schools have been recruited for involvement in this project: 11 in Huntsville City Schools and 7 in Jefferson County Public Schools.

Student Participation and Data Collection Students who are identified by teachers and/or school staff as potentially benefiting from Coping Power on the 6-item universal screener completed by 6th grade teachers each project year in the spring, will be contacted by school staff to request active parental consent for participation.

Benefits to Participating Schools To implement the Coping Power and Coping Power+ Programs, clinicians will be hired by the grant and will be co-trained with one or more school-based staff members (e.g., school counselor, school psychologist). In appreciation of staff time devoted to leading the Coping Power groups, the grant will provide a $25 per session donation to the school ($625 per year).

This project will increase the school's capacity to implement an evidence-based Tier 3 prevention program to support students and their families.

Timeline This 5-year project began in 2019 with the development of CP+ adaptations and ReACT strategies for middle school. Study activities were halted in 2020 due to the pandemic. In August of 2021 researchers will continue with ReACT educator training (on full day), then send parental permission forms for Coping Power participation. Coping Power groups will start in September and run weekly for the rest of the year. ReACT training will be followed by monthly one-hour strategy sessions for the remainder of the school year. While ReACT training will be complete, another cohort of 7th grade students will enter Coping Power (screened in each spring) in September 2022 and September 2023. Each year approximately 17 students from each middle school will participate in Coping Power groups.

Expected Outcome Researchers proposed that adapted, culturally responsive Coping Power will be more effective than traditional Coping Power in promoting prosocial behavior for 7th grade participants.

ReACT Teacher Training

ReACT (Racial equity through Assessing data for vulnerable decision points, Culturally responsive behavior strategies, and Teaching about implicit bias and how to neutralize it) is a universal professional development intervention for all school staff to leverage the PBIS framework for increasing racial equity in school discipline (McIntosh, Barnes, et al., 2014). The intervention includes whole-school professional development sessions delivered throughout the year that focus on understanding discipline decision making and the effects of bias, a root cause analysis of discipline data, and creation of a tailored intervention plan with strategies selected to address these root causes.

Middle School Coping Power Child and Parent Program The Coping Power Program is a rigorously tested, multi-component school-based intervention for children and their parents (Lochman \& Wells, 1996), that addresses issues related to aggression and problem behavior. Efficacy and effectiveness studies conducted in multiple schools in Alabama and throughout the United States over the past two decades have found Coping Power to reduce students' levels of externalizing and internalizing behaviors, and substance use, and to enhance students' language artss grades through long-term follow-up periods, in comparison to randomized control and comparison students. families in need of specialized services.

The Coping Power student component is offered to groups of six students at the school and features 25 weekly group sessions, each lasting about 45 minutes. The program includes 12 parenting sessions during which parents meet in groups of 10-12 with two co-leaders.

Aim 1. To determine the extent to which SWPBIS+ training is more effective than SWPBIS alone as a Tier 1, in reducing disproportionate disciplinary practices, and if differences are moderated by student and teacher race.

Aim 2. To determine the extent to which CP+ is more effective than CP as a targeted intervention in reducing interracial and intraracial aggression and if differences are moderated by student race.

Aim 3. To determine the extent to which the effects of CP+ relative to CP differ depending on the Tier 1 context (SWPBIS+ vs. SWPBIS) and whether those effects are moderated by student race.

In addition, poverty will be included as potential covariates in the model at both the individual (student free/reduced price lunch status) and school (percentage of students receiving free/reduced price lunch) levels.

Conditions
Behavior, Child
Being tested
CP no REACT, CP+/No REACT, CP and REACT, CP+ and REACT
Keywords
aggression, discipline
Medical subject headings
Child Behavior, Aggression

What participants receive

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

  • CP no REACTBehavioural

    Coping Power no REACT

  • CP+/No REACTBehavioural

    CP+ and no REACT

  • CP and REACTBehavioural

    Coping Power traditional and REACT

  • CP+ and REACTBehavioural

    CP+ and REACT

Study groups in NCT05189769
Study groupRoleWhat they receive
CP/No REACTExperimentalTraditional Coping Power for 7th graders, no school wide REACT training
Receives: Behavioral: CP no REACT
CP/REACTExperimentalTraditional Coping Power for 7th graders and school wide REACT training
Receives: Behavioral: CP and REACT
CP+/No REACTExperimentalNew, adapted Coping Power for 7th graders intervention with no school wide REACT training
Receives: Behavioral: CP+/No REACT
CP+/REACTExperimentalNew, adapted Coping Power for 7th graders, school wide REACT training
Receives: Behavioral: CP+ and REACT

What is being measured

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

  1. National Institute on Drug Abuse Quick Screener: Teacher Report of Reactive and Proactive Behaviors.

    his 6-item screener will be completed on all students in participating classrooms. Higher scores indicate more risk to determine the top 25% of the scoring students who will be considered participants in the CP and CP+ groups. T

    Measured: Pre-intervention

  2. Behavior Assessment Scale for Children (BASC)-Third Edition Teacher Report Scale Child Form (BASC-3).

    The BASC-3 Teacher Rating Scale has 139 items and takes approximately 15 minutes to complete. Higher scores indicate more risk

    Measured: Pre-intervention

  3. School Climate

    he Georgia School Climate Survey (GSCS) is a computerized school climate rating scale that was developed as part of the Georgia School Climate Survey Suite (Georgia Department of Education, La Salle, Meyers, 2014).

    Measured: Pre-intervention and immediately after intervention concludes

Secondary outcomes (1)
  1. Discipline Incidents.

    An office discipline referral (ODR) represents an incident (i.e., major infraction) in which a student was observed by a staff member violating a school rule or social norm and then provided a consequence by an administrator who made a permanent record of the event

    Measured: immediately after intervention concludes

Timeline

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

  1. First posted13 Jan 2022
  2. Study start15 May 2019
  3. Primary completion1 Dec 2025 (estimated)
  4. Study completion1 Dec 2025 (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
Prevention
Allocation
Randomised
Intervention model
Factorial
Model description
2X2 randomized control trial across 2 districts
Masking
Single blind
Who is masked
Participant
Enrolment
1,093 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05189769
Sponsor's protocol ID
239047
Status last verified
Dec 2024
First submitted
30 Nov 2021
Last updated
13 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No plan at this time

Questions about this trial

What is this clinical trial studying?

A study testing CP no REACT, CP+/No REACT and CP and REACT in people with Behavior, Child, run by University of Alabama, Tuscaloosa at 2 sites in United States.

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 2 inclusion and 1 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: under way, not looking for participants, as of the sponsor's last update on 13 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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?

National Institute on Drug Abuse Quick Screener: Teacher Report of Reactive and Proactive Behaviors. (time frame: Pre-intervention). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Dec 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in