Clinical trial NCT06638853: Piloting a School-Based Distress Tolerance Skills Program for Adolescents
Official title: The STRIDE Study (Strengthening Tolerance and Resilience in Dealing with Emotions): Pilot Testing of a School-Based Distress Tolerance Skills Program for Reducing Risk of Psychopathology in Adolescence
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Distress, Emotional
Internalizing Mental Health Symptoms
Lead sponsor: Oregon Health and Science University
Sponsor class: OTHER
Collaborators: name: Valley Catholic Middle School
First posted: 2024-10-15
Enrollment: 74
Sex: ALL
Minimum age (years): 11
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Research suggests that an individual's perceived ability to withstand distressing or upsetting emotions (i.e., distress tolerance; DT) is a common risk factor across several mental health conditions that commonly emerge during adolescence. This study aims to evaluate the acceptability, feasibility, and initial efficacy of a classroom-based DT skills training program for middle school students. This study will also explore associations between changes in DT and internalizing symptoms (e.g., anxiety, depression).

Detailed description: A variety of deleterious mental health conditions have their peak age of onset in adolescence, including depression and anxiety. Distress tolerance (DT) - defined as the perceived or actual ability to withstand aversive emotional states - has been postulated as a transdiagnostic risk factor across several "emotional" disorders that typically emerge during adolescence. Importantly, while there is compelling evidence that DT is associated with emotion dysregulation and symptom severity, it is unclear whether modifying DT can reduce future risk for psychopathology in adolescent populations. This proposal aims to evaluate the feasibility, acceptability, and initial efficacy of a classroom-based DT intervention for middle school students. Additionally, this proposal will examine associations between changes in DT and internalizing symptoms.

Primary Objective:

To evaluate the acceptability, feasibility, and efficacy of a classroom-based DT skills training program for middle school students.

Secondary Objectives:

To examine whether participation in the DT skills training program is associated with lower severity of internalizing symptoms over the course of the academic year.

Eligibility criteria: Inclusion Criteria:

* Middle school aged-youth attending Valley Catholic Middle School in grade 6, 7, or 8

Exclusion Criteria:

* None

Primary outcomes:
measure: Feasibility
timeFrame: Pre-intervention and immediately post-intervention
measure: Acceptability
timeFrame: Immediately post-intervention
measure: Distress Tolerance
timeFrame: Pre-intervention, immediately post-intervention, 3-month follow-up, and 6-month follow-up
Secondary outcomes:
measure: Internalizing Symptoms
timeFrame: Pre-intervention, immediately post-intervention, 3-month follow-up, and 6-month follow-up
Other outcomes:
Locations:
city: Beaverton
country: United States
facility: Valley Catholic Middle School
state: Oregon
Study officials:
affiliation: Oregon Health and Science University
name: Bonnie Nagel, PhD
role: PRINCIPAL_INVESTIGATOR
References: