Trial of a Health Promoting School Approach to Positive Youth Development and Wellness Promotion

Study Overview
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Brief Summary
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Assess the effects of a school-based multi-component intervention on school connectedness, school engagement, and developmental assets through a group randomized, participatory trial.

Detailed Description
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Health Promoting Schools intervention including pilot-tested teacher professional development, student-defined enhanced environment, and parent-defined enhanced community/family connection. The Coalition will finalize the intervention using a phased intervention map that integrates community perspectives with theoretical approaches to evidence based practices. The study aims will be accomplished through a group randomized trial in 10 urban schools with diverse populations representing approximately 1,900 students. Aim 1: Assess the effects of a school-based multi-component intervention on school connectedness, school engagement, and developmental assets through a group randomized, participatory trial. Hypothesis 1a: Students in the intervention schools will experience improved school connectedness, engagement and developmental assets compared to the control group. Aim 2: Assess the effects of a school-based multi-component intervention on emotional well-being, tobacco and other substance use, and academic outcomes through a group randomized, participatory trial. Hypothesis 2a: Students in the intervention schools will experience improved emotional well-being, course completion, attendance, and decreased disciplinary action and substance use compared to the control group. Aim 3: Evaluate the relationships between participatory factors , school intervention implementation, and study outcomes. Exploratory hypothesis 3a: Perceptions of quality of collaborative processes will be associated with degree of school intervention implementation and study outcomes. Exploratory hypothesis 3b: School capacities and context will be associated with school intervention implementation and study outcomes. Exploratory hypothesis 3c: School capacities and context will mediate the relationship between quality of collaborative processes and school intervention implementation.

Official Title
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Participatory Trial of a Health Promoting School Approach to Positive Youth Development and Wellness Promotion

Conditions
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Adolescent School Connectedness, Adolescent Health, Community Based Participatory Research Methods

Intervention / Treatment
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* Other: Delayed Intervention
* Other: Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 9th grade students enrolled in the school at the time of randomization Exclusion Criteria: Being unable to participate in the survey

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 16 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: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Delayed Intervention<br>Schools not receiving intervention until two years after implementation. | Other: Delayed Intervention<br>* Schools not receiving intervention until two years after implementation.<br>|
| Experimental: Intervention<br>Schools receiving intervention at the beginning of study. | Other: Intervention<br>* intervention at the beginning of study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Baseline student school connectivity on a scale of 1-10 | Assess the effects of a school-based multi-component intervention on school connectedness, school engagement, and developmental assets through a group randomized, participatory trial. | 5 years |