CEDARS Intervention: A Coping, Emotional Development, & Stress Reduction Intervention

Study Overview
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Brief Summary
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Using an adapted stress-reduction intervention called the CEDARS, we will pilot the intervention in adolescents (N=50) to determine the feasibility and acceptability of CEDARS implementation and to investigate adolescent stress reduction. As an exploratory aim, we will explore the influence of the CEDARS on CMH-related behaviors and CMH. We expect that those adolescents who undergo the intervention will have the greatest improvement in mental health symptoms than their waitlisted counterparts. Our secondary hypothesis is that those who report more adversity will also report greater improvement in mental health symptoms than their peers.

Detailed Description
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This intervention has been adapted based on feedback from previous focus groups with adolescents, clinical staff, community stakeholders and a CEDARS workgroup. Participants will be divided into two groups - 25 in the intervention group and 25 the waitlisted group. Each group will be divided into smaller cohorts to build rapport and ensure appropriate attention is given to all participants. Adolescents in the intervention group will participate in 7 weekly, 1-hour sessions. These sessions will take place over Zoom and be led by a trained facilitator who will teach adolescents empirically supported strategies for increasing positive affect.The skills are taught through brief didactic presentations followed by interactive activities and games that provide opportunities for practice. Participants will complete a baseline and post-intervention survey to determine the impact of the intervention. There will be three follow-up sessions with participants. The first one will take place 3 months after the program has concluded, the second one at 6 months, and the last one at12 months

Official Title
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Coping and Emotional Development for Adolescents to Reduce Stress for Adolescents

Conditions
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Adolescent Behavior, Stress Reduction, Adverse Childhood Experiences

Intervention / Treatment
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* Behavioral: CEDARS


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescents ages 11-19 Adolescents able to speak and understand English fluently Adolescents with reliable internet access (for virtual focus groups) Exclusion Criteria: Individuals younger than age 11 and older than age 19 Individuals who are not able to speak or understand English fluently Individuals without reliable internet access

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CEDARS<br>Using an adapted stress-reduction intervention called the CEDARS, we will pilot the intervention in adolescents (N=50) to determine the feasibility and acceptability of CEDARS implementation and to investigate adolescent stress reduction. | Behavioral: CEDARS<br>* This intervention is intended to help adolescents cope with stress.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CEDARS Intervention | Participants will directly benefit from taking part in the interventions by learning and putting into practice new tools to reduce and manage their stress. | 7 Weeks | 
| Baseline and Post-Intervention Surveys | Participants will complete a baseline survey and then a post-intervention survey | 8 weeks | 
| Post-Intervention Follow-Up | There will be three follow-up sessions with participants. The first one will take place 3 months after the program has concluded, the second one at 6 months, and the last one at 12 months | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent Behavior, Stress Reduction, Adverse Childhood Experiences (ACEs), CEDARS