AnxietyNCT05822687
Factorial Optimization Trial to Test Effects of Coping Intervention Components
A study testing Education, Reappraisal Coping and Distraction Coping in people with Anxiety and Depression, run by Arizona State University at 1 site in United States.
Trial summary
This study will identify components for inclusion in a coping intervention package to reduce mental health problems among children exposed to high interparental conflict after parental separation/divorce. Read more about this study
- Who is it for?
- Ages 9 to 12 years
- Conditions the study is for
- Anxiety, Depression, Coping Skills
- What is being tested?
- Education, Reappraisal Coping and Distraction Coping
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 148 participants
- Where
- 1 siteUnited States
- Study dates
- 18 Feb 2023to 30 Mar 2026
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 9 to 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- child between ages 9-12 whose parents are separated or divorced
- child and one parent are fluent in English
- a parent with sufficient contact (i.e., at least 4 overnights and/or 12 daytime visits per month) with child who is willing to complete study assessments and has legal right to give permission for the child to participate in research
- child-report of high exposure to IPC (mean Z score ≥ 40th percentile on the two child report measures of IPC; score standardization based on data from 559 youth whose parents participated in an experimental parenting program)
- elevated internalizing or externalizing problems (T score in the borderline clinical range according to either child or parent report on the BPM).
Who cannot join
- in active therapy
- score ≥ 99th percentile on either internalizing and externalizing problems subscale
- endorse suicidality (will be ineligible for the study and referred for treatment)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Promoting Effective Coping by Children Exposed to Post-divorce Interparental Conflict to Reduce Risk for Mental Health Problems
This study will identify components for inclusion in a coping intervention package to reduce mental health problems among children exposed to high interparental conflict after parental separation/divorce. Reappraisal, distraction, and relaxation coping strategies are related to fewer mental health problems among children, making intervention components based on these strategies key candidates for inclusion in an optimized coping intervention. The primary aim is to experimentally assess the main and interactive effects of three digital intervention coping components (reappraisal, distraction, relaxation) on children's coping efficacy, emotional security, and internalizing and externalizing problems. Secondary aims are to assess indirect effects of the intervention components on children's coping efficacy, emotional security, and internalizing and externalizing problems through their cognitive, emotional, and behavioral reactions to post-separation/divorce interparental conflict events.
Read the detailed description
A randomized and counterbalanced 2x2x2 factorial trial (N = 144 children, ages 9-12) will be conducted to assess the individual effects of the three digital coping intervention components. The three components to be tested will be: (1) Reappraisal (No vs. Yes), (2) Distraction (No vs. Yes), (3) Relaxation (No vs. Yes). Components that meet a priori thresholds for meaningful change will be combined to form an intervention package that will be evaluated in a subsequent randomized controlled trial.
- Conditions
- Anxiety, Depression, Coping Skills, Emotional Problem
- Being tested
- Education, Reappraisal Coping, Distraction Coping, Relaxation Coping
- Keywords
- optimization, parental divorce/separation, interparental conflict, adaptive coping, child mental health
- Medical subject headings
- Anxiety Disorders, Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EducationBehavioural
This is a constant component; all participants will get a psychoeducation digital module.
Reappraisal CopingBehavioural
This digital module will teach reappraisal coping skills.
Distraction CopingBehavioural
This digital module will teach distraction coping skills.
Relaxation CopingBehavioural
This digital module will teach relaxation coping skills.
| Study group | Role | What they receive |
|---|---|---|
| Education | Experimental | Participants will complete an educational digital module and no skills-based digital modules. Receives: Behavioral: Education |
| Education + Reappraisal | Experimental | Participants will complete an educational digital module and a skills-based digital module that teaches reappraisal coping. Receives: Behavioral: Education; Behavioral: Reappraisal Coping |
| Education + Distraction | Experimental | Participants will complete an educational digital module and a skills-based digital module that teaches distraction coping. Receives: Behavioral: Education; Behavioral: Distraction Coping |
| Education + Relaxation | Experimental | Participants will complete an educational digital module and a skills-based digital module that teaches relaxation coping. Receives: Behavioral: Education; Behavioral: Relaxation Coping |
| Education + Reappraisal + Distraction | Experimental | Participants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches distraction coping. Receives: Behavioral: Education; Behavioral: Reappraisal Coping; Behavioral: Distraction Coping |
| Education + Reappraisal + Relaxation | Experimental | Participants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches relaxation coping. Receives: Behavioral: Education; Behavioral: Reappraisal Coping; Behavioral: Relaxation Coping |
| Education + Distraction + Relaxation | Experimental | Participants will complete an educational digital module and two skills-based digital modules, one that teaches distraction coping and one that teaches relaxation coping. Receives: Behavioral: Education; Behavioral: Distraction Coping; Behavioral: Relaxation Coping |
| Education + Reappraisal + Distraction + Relaxation | Experimental | Participants will complete an educational digital module and three skills-based digital modules, one that teaches reappraisal coping, one that teaches distraction coping, and one that teaches relaxation coping. Receives: Behavioral: Education; Behavioral: Reappraisal Coping; Behavioral: Distraction Coping; Behavioral: Relaxation Coping |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Child-Reported Interparental Emotional Security Score on the SIS-SF at 3-Month Follow-Up
Child-reported Security in the Interparental Subsystem Scale-Short Form (SIS-SF; Holt et al., 2020). The score is the mean of 17 items rated from 0 (not at all true) to 3 (very true for me). Higher scores indicate greater interparental emotional security (better outcome). The outcome table reports observed scores; factorial analyses adjust for baseline SIS-SF and prespecified covariates.
Measured: approximately 3 months after posttest
Mean Child-Reported Family Emotional Security Score on the SIFS at 3-Month Follow-Up
Child-reported Security in the Family System Scale (SIFS; Forman \& Davies, 2005). The score is the mean of 24 items rated from 0 (completely disagree) to 3 (completely agree). Higher scores indicate greater family emotional security (better outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline SIFS score and prespecified covariates.
Measured: approximately 3 months after posttest
Mean Child-Reported Coping Efficacy Score on the CES at 3-Month Follow-Up
Child-reported Coping Efficacy Scale (CES; Sandler et al., 2000). The score is the mean of 7 items rated from 0 (not at all) to 3 (very). Higher scores indicate greater coping efficacy (better outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline CES score and prespecified covariates.
Measured: approximately 3 months after posttest
Mean Child-Reported Internalizing Problems Score on the BPM at 3-Month Follow-Up
Child-reported Brief Problem Monitor (BPM) Internalizing Problems scale. The score is the mean of 6 items rated from 0 (not true) to 2 (very true). Higher scores indicate more internalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline child-reported BPM Internalizing Problems score and prespecified covariates.
Measured: approximately 3 months after posttest
Mean Parent-Reported Internalizing Problems Score on the BPM at 3-Month Follow-Up
Parent-reported Brief Problem Monitor (BPM) Internalizing Problems scale. The score is the mean of 6 items rated from 0 (not true) to 2 (very true). Higher scores indicate more internalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline parent-reported BPM Internalizing Problems score and prespecified covariates.
Measured: approximately 3 months after posttest
Mean Child-Reported Externalizing Problems Score on the BPM at 3-Month Follow-Up
Child-reported Brief Problem Monitor (BPM) Externalizing Problems scale. The score is the mean of 7 items rated from 0 (not true) to 2 (very true). Higher scores indicate more externalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline child-reported BPM Externalizing Problems score and prespecified covariates.
Measured: approximately 3 months after posttest
Mean Parent-Reported Externalizing Problems Score on the BPM at 3-Month Follow-Up
Parent-reported Brief Problem Monitor (BPM) Externalizing Problems scale. The score is the mean of 7 items rated from 0 (not true) to 2 (very true). Higher scores indicate more externalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline parent-reported BPM Externalizing Problems score and prespecified covariates.
Measured: approximately 3 months after posttest
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Apr 2023
- Study start18 Feb 2023
- Primary completion30 Mar 2026
- Study completion30 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AnxietyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 148 participants (actual)
Sponsor and investigators
- Lead sponsor
- Arizona State University
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Responsible party
- Principal investigator, Karey O'Hara, Arizona State University
- Investigators
- Karey L O'Hara, PhD, Principal investigator, Arizona State University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05822687
- Sponsor's protocol ID
- STUDY00016078
- Other IDs
- K01MH120321
- Status last verified
- Sep 2026
- First submitted
- 17 Feb 2023
- Last updated
- 30 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Study results will be shared through presentations at conferences and submissions in peer-reviewed journals. In addition, after taking all steps necessary to minimize possible re-identification of confidential data, I will make data, codebooks, and analysis scripts available to appropriate parties to verify findings and conclusions.
Publications
O'Hara KL, Wolchik SA, Sandler IN, West SG, Reis HT, Collins LM, Lyon AR, Cummings EM. Preventing Mental Health Problems in Children After High Conflict Parental Separation/Divorce Study: An Optimization Randomized Controlled Trial Protocol. Ment Health Prev. 2023 Dec;32:200301. doi: 10.1016/j.mhp.2023.200301. Epub 2023 Sep 16.
PubMed 38496232
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Promoting Effective Coping by Children Exposed to Post-divorce Interparental Conflict to Reduce Risk for Mental Health Problems
- ClinicalTrials.gov ID
- NCT05822687
- Acronym / sponsor ID
- STUDY00016078
- Conditions
- Anxiety, Depression, Coping Skills, Emotional Problem
- Keywords
- optimization, parental divorce/separation, interparental conflict, adaptive coping, child mental health
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 148 participants (actual)
- Lead sponsor
- Arizona State UniversityUniversity, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Study start
- 18 Feb 2023 (actual)
- Primary completion
- 30 Mar 2026 (actual)
- Study completion
- 30 Mar 2026 (actual)
- First posted
- 21 Apr 2023 (actual)
- Results
- Posted 30 Sep 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will identify components for inclusion in a coping intervention package to reduce mental health problems among children exposed to high interparental conflict after parental separation/divorce. Reappraisal, distraction, and relaxation coping strategies are related to fewer mental health problems among children, making intervention components based on these strategies key candidates for inclusion in an optimized coping intervention. The primary aim is to experimentally assess the main and interactive effects of three digital intervention coping components (reappraisal, distraction, relaxation) on children's coping efficacy, emotional security, and internalizing and externalizing problems. Secondary aims are to assess indirect effects of the intervention components on children's coping efficacy, emotional security, and internalizing and externalizing problems through their cognitive, emotional, and behavioral reactions to post-separation/divorce interparental conflict events.
Detailed description
A randomized and counterbalanced 2x2x2 factorial trial (N = 144 children, ages 9-12) will be conducted to assess the individual effects of the three digital coping intervention components. The three components to be tested will be: (1) Reappraisal (No vs. Yes), (2) Distraction (No vs. Yes), (3) Relaxation (No vs. Yes). Components that meet a priori thresholds for meaningful change will be combined to form an intervention package that will be evaluated in a subsequent randomized controlled trial.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Education | Experimental | Behavioral: EducationParticipants will complete an educational digital module and no skills-based digital modules. |
| Education + Reappraisal | Experimental | Behavioral: Education, Behavioral: Reappraisal CopingParticipants will complete an educational digital module and a skills-based digital module that teaches reappraisal coping. |
| Education + Distraction | Experimental | Behavioral: Education, Behavioral: Distraction CopingParticipants will complete an educational digital module and a skills-based digital module that teaches distraction coping. |
| Education + Relaxation | Experimental | Behavioral: Education, Behavioral: Relaxation CopingParticipants will complete an educational digital module and a skills-based digital module that teaches relaxation coping. |
| Education + Reappraisal + Distraction | Experimental | Behavioral: Education, Behavioral: Reappraisal Coping, Behavioral: Distraction CopingParticipants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches distraction coping. |
| Education + Reappraisal + Relaxation | Experimental | Behavioral: Education, Behavioral: Reappraisal Coping, Behavioral: Relaxation CopingParticipants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches relaxation coping. |
| Education + Distraction + Relaxation | Experimental | Behavioral: Education, Behavioral: Distraction Coping, Behavioral: Relaxation CopingParticipants will complete an educational digital module and two skills-based digital modules, one that teaches distraction coping and one that teaches relaxation coping. |
| Education + Reappraisal + Distraction + Relaxation | Experimental | Behavioral: Education, Behavioral: Reappraisal Coping, Behavioral: Distraction Coping, Behavioral: Relaxation CopingParticipants will complete an educational digital module and three skills-based digital modules, one that teaches reappraisal coping, one that teaches distraction coping, and one that teaches relaxation coping. |
Who may qualify
- Ages
- 9 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- child between ages 9-12 whose parents are separated or divorced
- child and one parent are fluent in English
- a parent with sufficient contact (i.e., at least 4 overnights and/or 12 daytime visits per month) with child who is willing to complete study assessments and has legal right to give permission for the child to participate in research
- child-report of high exposure to IPC (mean Z score ≥ 40th percentile on the two child report measures of IPC; score standardization based on data from 559 youth whose parents participated in an experimental parenting program)
- elevated internalizing or externalizing problems (T score in the borderline clinical range according to either child or parent report on the BPM).
Key exclusion criteria (3 listed)
- in active therapy
- score ≥ 99th percentile on either internalizing and externalizing problems subscale
- endorse suicidality (will be ineligible for the study and referred for treatment)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EducationThis is a constant component; all participants will get a psychoeducation digital module. | Behavioural | Education, Education + Distraction, Education + Distraction + Relaxation, Education + Reappraisal, Education + Reappraisal + Distraction, Education + Reappraisal + Distraction + Relaxation, Education + Reappraisal + Relaxation, Education + Relaxation |
| Reappraisal CopingThis digital module will teach reappraisal coping skills. | Behavioural | Education + Reappraisal, Education + Reappraisal + Distraction, Education + Reappraisal + Distraction + Relaxation, Education + Reappraisal + Relaxation |
| Distraction CopingThis digital module will teach distraction coping skills. | Behavioural | Education + Distraction, Education + Distraction + Relaxation, Education + Reappraisal + Distraction, Education + Reappraisal + Distraction + Relaxation |
| Relaxation CopingThis digital module will teach relaxation coping skills. | Behavioural | Education + Distraction + Relaxation, Education + Reappraisal + Distraction + Relaxation, Education + Reappraisal + Relaxation, Education + Relaxation |
Primary outcome
Mean Child-Reported Interparental Emotional Security Score on the SIS-SF at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Child-reported Security in the Interparental Subsystem Scale-Short Form (SIS-SF; Holt et al., 2020). The score is the mean of 17 items rated from 0 (not at all true) to 3 (very true for me). Higher scores indicate greater interparental emotional security (better outcome). The outcome table reports observed scores; factorial analyses adjust for baseline SIS-SF and prespecified covariates.
Mean Child-Reported Family Emotional Security Score on the SIFS at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Child-reported Security in the Family System Scale (SIFS; Forman \& Davies, 2005). The score is the mean of 24 items rated from 0 (completely disagree) to 3 (completely agree). Higher scores indicate greater family emotional security (better outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline SIFS score and prespecified covariates.
Mean Child-Reported Coping Efficacy Score on the CES at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Child-reported Coping Efficacy Scale (CES; Sandler et al., 2000). The score is the mean of 7 items rated from 0 (not at all) to 3 (very). Higher scores indicate greater coping efficacy (better outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline CES score and prespecified covariates.
Mean Child-Reported Internalizing Problems Score on the BPM at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Child-reported Brief Problem Monitor (BPM) Internalizing Problems scale. The score is the mean of 6 items rated from 0 (not true) to 2 (very true). Higher scores indicate more internalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline child-reported BPM Internalizing Problems score and prespecified covariates.
Mean Parent-Reported Internalizing Problems Score on the BPM at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Parent-reported Brief Problem Monitor (BPM) Internalizing Problems scale. The score is the mean of 6 items rated from 0 (not true) to 2 (very true). Higher scores indicate more internalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline parent-reported BPM Internalizing Problems score and prespecified covariates.
Mean Child-Reported Externalizing Problems Score on the BPM at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Child-reported Brief Problem Monitor (BPM) Externalizing Problems scale. The score is the mean of 7 items rated from 0 (not true) to 2 (very true). Higher scores indicate more externalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline child-reported BPM Externalizing Problems score and prespecified covariates.
Mean Parent-Reported Externalizing Problems Score on the BPM at 3-Month Follow-Up
Time frame: approximately 3 months after posttest
Parent-reported Brief Problem Monitor (BPM) Externalizing Problems scale. The score is the mean of 7 items rated from 0 (not true) to 2 (very true). Higher scores indicate more externalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline parent-reported BPM Externalizing Problems score and prespecified covariates.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Sep 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 38496232O'Hara KL, Wolchik SA, Sandler IN, West SG, Reis HT, Collins LM, Lyon AR, Cummings EM. Preventing Mental Health Problems in Children After High Conflict Parental Separation/Divorce Study: An Optimization Randomized Controlled Trial Protocol. Ment Health Prev. 2023 Dec;32:200301. doi: 10.1016/j.mhp.2023.200301. Epub 2023 Sep 16.
- Individual participant dataSharing planned: Yes. Study results will be shared through presentations at conferences and submissions in peer-reviewed journals. In addition, after taking all steps necessary to minimize possible re-identification of confidential data, I will make data, codebooks, and analysis scripts available to appropriate parties to verify findings and conclusions.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Karey L O'Hara, PhD principal investigator
Arizona State University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Education, Reappraisal Coping and Distraction Coping in people with Anxiety and Depression, run by Arizona State University at 1 site 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 5 inclusion and 3 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: finished, as of the sponsor's last update on 30 Sep 2026. 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 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?
Yes. Results are posted in the registry (first posted 30 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Mean Child-Reported Interparental Emotional Security Score on the SIS-SF at 3-Month Follow-Up (time frame: approximately 3 months after posttest). The study lists 7 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 NCT05822687, which also lists 1 linked publication.
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 30 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.