R4Power: An Online Resilience Program for Adolescents

Study Overview
=================
Brief Summary
-----------------
The study will evaluate the R4Power program, an online intervention designed to teach adolescents coping and problem-solving skills.

Detailed Description
-----------------
This study examines the feasibility of a 10-lesson web-based intervention, the R4Power program, and its effectiveness in preventing symptoms of depression and anxiety. The R4Power Program teaches cognitive and problem-solving skills covered in classroom based interventions, including the Penn Resiliency Program, that have been found to reduce or prevent symptoms of depression in children and adolescents. This study examines whether adolescents can benefit from learning these skills through a computer (rather than classroom) intervention. Adolescents in grades 6 through 8 who participate in this study will be assigned to one of two conditions: an intervention group that will complete the R4Power program during the first year (R4Power1), or a waitlist control group that will complete the R4Power program the following year (R4Power2). Students will complete the 10-lesson program over the course of twelve weeks. They will learn and practice cognitive skills (recognizing the link between their thoughts and feelings, identifying thinking traps, challenging their negative beliefs) and problem-solving skills (assertiveness, relaxation and distraction, overcoming procrastination, and decision making). Adolescents who participate in this study will be followed for one year, and their coping responses and symptoms of depression and anxiety will be assessed at four points: at the beginning of the study (baseline) and at follow-up assessments approximately 4, 12 and 16 months after baseline.

Official Title
-----------------
R4Power: An Online Resilience Program for Adolescents

Conditions
-----------------
Depression, Anxiety

Intervention / Treatment
-----------------
* Behavioral: R4Power Program
* Other: Waitlist Control


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 6th-8th grade students attending participating school OR adolescents aged 11-15 living in greater Philadelphia area Access to high speed internet connection (at home, school, or another location) Exclusion Criteria: Below 6th grade reading level, as reported by parents

Ages Eligible for Study
-----------------
Minimum Age: 11 Years
Maximum Age: 15 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>R4Power Program | Behavioral: R4Power Program<br>* In the 10-lesson online R4Power Program, adolescents will learn cognitive skills (link between thoughts, feelings, and behaviors; thinking traps; challenging negative beliefs) and problem-solving skills (assertiveness; relaxation and distraction; overcoming procrastination; decision-making) in order to cope with stressful situations.<br>* Other names: R4Power1;|
| Other: 2<br>Waitlist Control | Other: Waitlist Control<br>* Adolescents in the waitlist control group will complete the R4Power program during the second year of the study.<br>* Other names: R4Power2;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adolescents' coping strategies by self-report |  | Measured at baseline and follow-ups approximately 4, 12, and 16 months after baseline | 
| Adolescents' depressive symptoms by self-report |  | Measured at baseline and follow-ups approximately 4, 12, and 16 months after baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adolescents' symptoms of anxiety by self-report |  | Measured at baseline and follow-ups approximately 4, 12, and 16 months after baseline | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Adolescent, Child, Computer, Depression, Resilience