Web-based Intervention for Disaster-Affected Youth and Families

Study Overview
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Brief Summary
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A single disaster, terrorist attack, or other large-scale incident can adversely affect thousands of youth and families. Immediate consequences may include unmet basic needs and high economic burden, particularly among underserved populations. Disasters also can dramatically affect family roles and relationships over time (e.g., family routines, marital stress, parent-child interactions). Whereas most youth are resilient in the aftermath of disasters (i.e., do not develop serious mental health or health-risk problems), the prevalence of various problems of public health significance (e.g., PTSD, depression, substance abuse) clearly increases in this population. This underscores the need for effective, widely accessible, culturally-appropriate and cost-efficient interventions that foster resilience or rapid recovery relative to the health effects of disasters. Yet, few evidence-informed resources are available to youth and families to facilitate post-disaster resilience and recovery. Primary aims of this project are: (a) to develop a Web-based intervention for disaster-affected adolescents and parents targeting prevalent health-related correlates of disasters (i.e., development phase), (b) to conduct a randomized controlled population-based study to examine feasibility and preliminary efficacy of the intervention (i.e., randomized controlled trial [RCT] phase) and cultural relevance (i.e., perceived applicability of the intervention to one's cultural group), and (c) to refine the intervention based on RCT-phase data.

Official Title
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Web-based Intervention for Disaster-Affected Youth and Families

Conditions
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Mental Health Wellness 1

Intervention / Treatment
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* Behavioral: Bounce Back Now Website


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adolescent between the ages of 12-17 and primary caregiver, residence in study identified location(s) at time of disaster, home internet connectivity Exclusion Criteria: adolescent's primary caregiver not available, no adolescents in home, not residing in location at time of disaster, poor or no internet connectivity

Ages Eligible for Study
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Minimum Age: 12 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
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Child, Parenting, & Parent Web-Intervention<br>Bounce Back Now Child, Parenting, & Parent Psychoeducation & Self-Help Web-Intervention. | Behavioral: Bounce Back Now Website<br>* Bounce Back Now is a web-based psychoeducation and self-help website<br>|
| Experimental: Child & Parenting Web-Intervention<br>Bounce Back Now Child & Parenting Psychoeducation and Self-Help Web-Intervention. | Behavioral: Bounce Back Now Website<br>* Bounce Back Now is a web-based psychoeducation and self-help website<br>|
| No Intervention: Child & Parent Web-based Assessment<br>Bounce Back Now Web-Based Symptom Assessment | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in adolescent mental health symptoms |  | baseline, 4 month followup, and 12 month followup | 
| Change in parent mental health symptoms |  | baseline, 4 month followup, 12 month followup | 
| Change in parent-child conflict |  | baseline, 4 month followup, 12 month followup | 
| Change in parent-child relationship quality |  | baseline, 4 month followup, 12 month followup |