Clinical trial NCT05085392: A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana
Official title: A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Depression, Anxiety
Stress
Lead sponsor: Montana State University
Sponsor class: OTHER
Collaborators: name: National Institute of General Medical Sciences (NIGMS)
First posted: 2021-10-20
Enrollment: 20
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: "A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana" is intended to help mitigate stressors that may contribute to poor behavioral and mental health in rural Montana teachers. The immediate goals of this study is to promote student health by supporting teacher wellbeing through a remotely-delivered trauma-informed yoga intervention.

Detailed description: Project Summary: "A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana" is intended to help mitigate stressors that may contribute to poor behavioral and mental health in rural Montana teachers. The immediate goal of this study is to promote student health by supporting teacher wellbeing through a remotely-delivered trauma-informed yoga intervention.

Specific Aim: Expansion of previous pilot study to teachers in the southwestern Montana school district.

Methods: To explore scalability to rural communities without access to yoga instructors, we will implement a limited feasibility study of online yoga delivery to classroom teachers. This study will enroll a minimum 30 Livingston teachers (taught trauma-informed yoga via Zoom), twice weekly for 45-minute trauma-informed yoga sessions during the 6-week intervention period. No participants were assigned to the "No Intervention" arm. To measure physical health outcomes, pre, mid-, and post-intervention cortisol testing will be utilized to evaluate any changes in teacher stress levels before and after the program. Heart rate variability will also be assessed for teachers pre, mid-, and post-intervention using the HeartMath Inner Balance PPG sensor and Em Wave Pro Plus software. To assess behavioral health, pre- and post-survey instruments will collect targeted wellness/mental health data from teachers. An Adverse Childhood Experience Self-Reporting Screener will also be given to participants to establish a baseline of exposure to childhood trauma, which is closely correlated with health outcomes. Teachers will also complete the Teachers' Sense of Self Efficacy Survey and the Professional Quality of Life Index, which are linked to teacher mental health, retention, and career satisfaction.

Eligibility criteria: Inclusion Criteria:

* Any teacher currently employed by the Livingston school district who wishes to participate in the intervention (up to 35 participants)

Exclusion Criteria:

* Only teachers will be considered for this study (i.e., no school staff, administrators, etc.)

Primary outcomes:
measure: Change in Salivary Cortisol Levels
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: Patient Health Questionnaire (PHQ-9)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: Generalized Anxiety Disorder-7 Anxiety Scale (GAD-7)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: Heart Rate Variability
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
Secondary outcomes:
measure: Connor-Davidson Resilience Scale (CD-RISC)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: Professional Quality of Life Index (Pro-QOL)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: Teachers' Sense of Self-Efficacy (Short Form) (TSSE)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: PROMIS Sleep Disturbance Scales (PROMIS)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
measure: PTSD Checklist for DSM-5 (PCL-5)
timeFrame: Pre-Intervention (Baseline), Post-Intervention (Week 6)
Other outcomes:
Locations:
city: Livingston
country: United States
facility: Park High School
state: Montana
Study officials:
affiliation: Montana State University
name: Alexandra Adams, MD, Ph.D
role: STUDY_DIRECTOR
References: