AzTrials
AzTrials

Alcohol DrinkingPLANTSNCT05897827

PLANTS Pilot Trial

A study testing PLANTS and EMAILS in people with Alcohol Drinking and Social Acceptance, run by University of Pittsburgh at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This pilot cluster-randomized controlled trial will evaluate the PLANTS (Providing LGBTQ+ Adolescents with Nurturance, Trustworthiness, and Safety) course among high school staff. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
PLANTS and EMAILS
Could I receive a placebo?
No, everyone receives an active treatment
How many people
99 participants
Where
1 siteUnited States
Study dates
28 Jun 2023to 9 Feb 2024
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Currently employed by an enrolled school in the MetroWest Region of Boston, Massachusetts
  • Age 18 years old or older
  • Consents to participate

Who cannot join

  • Does not interact with high school students at work

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: Providing LGBTQ+ Adolescents With Nurturance, Trustworthiness, and Safety (PLANTS): Pilot Cluster-Randomized Controlled Trial

This pilot cluster-randomized controlled trial will evaluate the PLANTS (Providing LGBTQ+ Adolescents with Nurturance, Trustworthiness, and Safety) course among high school staff. The primary hypotheses are that the PLANTS course will have high acceptability, usability, appropriateness, and feasibility as reported by high school staff.

Read the detailed description

The intervention being studied, PLANTS, is an online-delivered training program, including asynchronous and synchronous activities targeting high school staff. This intervention is informed by the Information-Motivation-Behavior theory to target high school staffs' skills, self-efficacy, knowledge, and outcome expectations. Members of the study population as well as collaborators invested in Sexual and Gender Minority Youth (SGMY) well-being provided valuable feedback on PLANTS throughout its development. Comparison schools will receive the email-based control intervention, E-learning to Maximize Academic Inclusion of LGBTQ+ Students (EMAILS). Staff will receive periodic emails with publicly available resources on similar topics to those of PLANTS.

Regarding the intervention's targeted behavioral outcomes, upon completion of the PLANTS program, high school staff will: provide interpersonal support and affirmation to SGMY; provide educational resources that are inclusive of SGMY; provide safe spaces for SGMY; promote acceptance of SGMY among cisgender heterosexual youth; prevent and reduce bullying, cyberbullying, and harassment of SGMY; evaluate and advocate for SGMY inclusivity and protections in school policies; and maintain the confidentiality of SGMY. By having high school staff achieve these behavioral outcomes, the investigators hypothesize that SGMY will experience less risk factors (e.g., bullying victimization) and more protective factors (e.g., school-based adult support), which will in turn reduce SGMY's substance use and mental health problems.

The primary aim of this clinical trial is to rigorously test the acceptability, usability, appropriateness, and feasibility of the PLANTS intervention using a 2-armed cluster-randomized controlled trial. The investigators will also examine the efficacy of intervention in improving high school staff outcomes as well as implementation and safety outcomes related to the intervention and trial. Results from this pilot trial will provide necessary information to conduct a fully powered trial of the efficacy of PLANTS for reducing the ultimate health outcome of SGMY alcohol use.

Being tested
PLANTS, EMAILS
Keywords
Sexual and gender minority youth
Medical subject headings
Alcohol Drinking, Depression, Bullying, Coitus

What participants receive

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

  • PLANTSBehavioural

    Also called Providing LGBTQ+ Adolescents with Nurturance, Trustworthiness, and Safety

    PLANTS intervention is an online-delivered training program, including asynchronous and synchronous activities. This intervention was informed by the Information-Motivation-Behavior theory to target skills, self-efficacy, knowledge, and outcome expectations. There are 3 asynchronous online modules that cover a variety of topics including lessons on LGBTQ+ terminology, names and pronouns, resources, antibullying, gender neutral bathrooms, student confidentiality, active empathic listening, and school policies. Module include recorded presentations, student testimonials, activities, and downloadable resources for future reference. Every month, 7-9 lessons are opened. There are 2 synchronous group events delivered via Zoom and are 1.5 hours each.

  • EMAILSBehavioural

    Also called E-learning to Maximize Academic Inclusion of LGBTQ+ Students

    The active control arm is an email-based intervention, EMAILS, in which existing public resources for supporting, affirming, and protecting LGBTQ+ students are emailed to participants.

Study groups in NCT05897827
Study groupRoleWhat they receive
PLANTSExperimentalSchools will receive the online-delivered PLANTS intervention, which includes 3 asynchronous training modules and 3 synchronous group events.
Receives: Behavioral: PLANTS
EMAILSActive comparatorComparison schools will receive emails with publicly available resources for supporting LGBTQ+ students as a control intervention.
Receives: Behavioral: EMAILS

What is being measured

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

  1. Mean Value of Acceptability of Intervention Measure

    At follow-up, participants will complete the four-question Acceptability of Intervention Measure (AIM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean acceptability value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more acceptable the intervention.

    Measured: Approximately 4 months after intervention deployment

  2. Mean Score on the System Usability Scale

    At follow-up, participants will complete the ten-question System Usability Scale (SUS) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Strongly agree) to 5 (Strongly disagree). The odd-numbered question responses will be reverse coded. All items will be summed and that sum will be multiplied by 2.5 to produce the final SUS value (ranging from 0-100). The higher the computed value, the more useable the intervention.

    Measured: Approximately 4 months after intervention deployment

  3. Mean Value of Intervention Appropriateness Measure

    At follow-up, participants will complete the four-question Intervention Appropriateness Measure (IAM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean appropriateness value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more appropriate the intervention.

    Measured: Approximately 4 months after intervention deployment

  4. Mean Value of Feasibility of Intervention Measure

    At follow-up, participants will complete the four-question Feasibility of Intervention Measure (FIM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean feasibility value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more feasible the intervention.

    Measured: Approximately 4 months after intervention deployment

Secondary outcomes (9)
  1. Trial Participation Rate

    The investigators will divide the number of school staff who consent to participate by the total number of school staff who are invited, then multiply by 100 to get a percentage.

    Measured: Baseline

  2. Trial Retention Rate

    The investigators will divide the number of school staff who complete the follow-up survey by the total number of school staff who were enrolled, then multiply by 100 to get a percentage.

    Measured: At follow-up (approximately 4 months after baseline)

  3. Intervention Demand

    The investigators will divide the number of participants who adhere to the PLANTS intervention by the total number of school staff who were enrolled at schools randomly assigned the PLANTS intervention and multiply by 100 to obtain a percentage. Adherence is a composite variable ranging from 0-100% comprised of: 55% for online module completion (based on the number of completed items divided by the total number of items offered); 45% for Live Zoom Event attendance (where each event is 15%).

    Measured: At follow-up (approximately 4 months after baseline)

  4. Change in Mean Scores on the Active-Empathic Listening Scale

    Participants will complete the eleven-item Active-Empathic Listening Scale at baseline and follow-up. Each item uses a seven-point Likert scale for responses, coded from 1 ("never or almost never true") to 7 ("Always or almost always true"). Mean scores will be calculated for all eleven items at each time point. The minimum possible mean value is 1 and the maximum mean value is 7. Higher values represent greater active-empathic listening. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in active-empathic listening from baseline to follow-up.

    Measured: Baseline and follow-up (approximately 4 months after baseline)

  5. Change in Mean Scores on Self-efficacy Change Objectives for Providing LGBTQ+ Adolescents With Nurturance, Trustworthiness, and Safety

    The investigators have developed items pertaining directly to PLANTS' self-efficacy change objectives. Participants will complete each item using a five-point Likert scale, where 1 represents "not at all certain" and 5 represents "extremely certain." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater self-efficacy. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in self-efficacy from baseline to follow-up.

    Measured: Baseline and follow-up (approximately 4 months after baseline)

  6. Change in Mean Scores on the Teacher Bystander Intervention Model in Traditional Bullying Scale

    Participants will complete the 16-item Teacher Bystander Intervention Model in Traditional Bullying scale, which has five subscales. Each response will be coded on a scale of 1 to 5, with 1 representing "strongly disagree" and 5 representing "strongly agree." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater skills related to bystander intervention in bullying. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in bystander intervention skills from baseline to follow-up.

    Measured: Baseline and follow-up (approximately 4 months after baseline)

  7. Change in Mean Scores on the Teacher Bystander Intervention Model in Cyberbullying Scale

    Participants will complete the 16-item Teacher Bystander Intervention Model in Cyberbullying scale, which has five subscales. Each response will be coded on a scale of 1 to 5, with 1 representing "strongly disagree" and 5 representing "strongly agree." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater skills related to bystander intervention in cyberbulling. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in bystander intervention skills from baseline to follow-up.

    Measured: Baseline and follow-up (approximately 4 months after baseline)

  8. Change in Mean Scores on the Modified Gay Affirmative Practice Scale

    The investigators have modified the language of the Gay Affirmative Practice Scale to incorporate school-oriented words instead of therapy-oriented words to measure self-efficacy for school staff working with SGMY. Participants will complete the nine-item scale at baseline and follow-up, with each item using a five-point Likert scale ranging from "strongly disagree" (1) to "strongly agree" (5). Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater self-efficacy. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in self-efficacy from baseline to follow-up.

    Measured: Baseline and follow-up (approximately 4 months after baseline)

  9. Safety Outcomes

    Investigators assess myriad safety outcomes including parent backlash, social media backlash, school board backlash, suspension or removal from employment, censorship of LGBTQ+ literature/history/stories or removal of books with LGBTQ+ representation from school libraries, and emotional discomfort with intervention and control conditions at follow-up. Response options include frequency of each event occurrence (none, once, twice, 3-9 times, and 10 or more times). Investigators will report the overall frequency of events, frequency of each type of event, and percentage of school staff reporting any event.

    Measured: At follow-up (approximately 4 months after baseline)

Timeline

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

  1. First posted9 Jun 2023
  2. Study start28 Jun 2023
  3. Primary completion9 Feb 2024
  4. Study completion9 Feb 2024

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
Parallel groups
Model description
This is a two-armed cluster-randomized controlled pilot trial of the PLANTS intervention versus an active control group, the EMAILS intervention. The investigators will randomize schools in an equal 1:1 ratio, stratified by large versus small schools, into intervention or active control conditions. The investigators will use block randomization with block sizes of 2, which will be stratified by large schools versus not, where large is ≥1000 students. The investigators use block size of 2 because there are only 4 schools in this pilot trial.
Masking
None (open label)
Enrolment
99 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05897827
Sponsor's protocol ID
STUDY23040142
Other IDs
K01AA027564
Acronym
PLANTS
Status last verified
Mar 2025
First submitted
1 Jun 2023
Last updated
4 Apr 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Coulter RW, Mahal IK, Lin CA, Schneider SK, Mathias AS, Baral K, Miller E, Abebe KZ. Providing Lesbian, Gay, Bisexual, Transgender, Nonbinary, and Queer Adolescents With Nurturance, Trustworthiness, and Safety: Protocol for Pilot Cluster Randomized Controlled Trial Design. JMIR Res Protoc. 2024 Mar 19;13:e55210. doi: 10.2196/55210.

    PubMed 38502156

Questions about this trial

What is this clinical trial studying?

A study testing PLANTS and EMAILS in people with Alcohol Drinking and Social Acceptance, run by University of Pittsburgh 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 3 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: finished, as of the sponsor's last update on 4 Apr 2025. 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 4 Apr 2025). 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 Value of Acceptability of Intervention Measure (time frame: Approximately 4 months after intervention deployment). The study lists 4 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 NCT05897827, 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 4 Apr 2025.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in