Clinical trial NCT05844007: A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana Year 2
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: Trauma and Stressor Related Disorders
Lead sponsor: Montana State University
Sponsor class: OTHER
Collaborators: name: National Institute of General Medical Sciences (NIGMS)
First posted: 2023-05-06
Enrollment: 83
Sex: ALL
Minimum age (years): 13
Maximum age (years): 85
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Compared to U.S. urban counterparts, rural residents face major barriers to using health care services. Challenges include shortages of services, long distances to existing services, and stigma regarding mental illness in isolated communities. These difficulties hold true for Montana, but especially for adolescents. The objective of A Trauma-Informed Intervention for Positive Youth Development and Teacher Wellness in Rural Montana is to improve stress-related mental and physical health outcomes for adolescents and educators in rural Montana through school-based, trauma-informed yoga exercises. This project builds on investigators' previous research (including a two-year CAIRHE pilot study, 2019-21) to promote positive youth development by simultaneously intervening with students and teachers with a trauma-informed yoga intervention. Geographic isolation and resulting lack of resources for many Montanan schools indicates a need for novel, school-centered interventions to address the needs of rural adolescents; yoga can benefit youth and teacher wellbeing.

Detailed description: In Year 2, investigators will expand the study to pilot test a remote delivery for students and teachers in rural schools through virtual delivery (in addition to an in-person high school student intervention at the school district of Aim 1. Primary outcomes for teachers will assess career satisfaction/self-efficacy; primary outcomes for students will assess depression/anxiety symptomology. Effects on secondary mental/physical health outcomes will be drawn from survey results, cortisol levels, and heart rate variability measures (collected pre/post).

Investigators will then determine which intervention design was more effective with students (in-person vs. remote) between the two years of this feasibility study through an outcome evaluation. Comparisons of mental and physical health outcomes will be examined by the research team using cohort data drawn from participants' physiological data and survey results.

The short-term public health impact of this study is to improve the mental and physical health of rural Montana youth and teachers through a novel, school-based intervention. If successful, this study's long-term public health impact will reduce rates of anxiety and depression and improve physical health in geographically isolated settings.

Eligibility criteria: Inclusion Criteria:

* Any teacher currently employed by the Livingston or Gardiner school district who wishes to participate in the intervention (up to 45 participants)
* Any freshmen student enrolled in pre-selected PE classes at Park High School in Livingston Montana
* Any PE student enrolled in pre-selected PE classes at Gardiner High School in Gardiner Montana

Exclusion Criteria:

* Any students that are not enrolled in pre-selected PE classes at Park or Gardiner High Schools in Southwest Montana

Primary outcomes:
measure: Salivary Cortisol Levels
timeFrame: Pre-Intervention, first day of Week 1 and post-intervention, last day of Week 6
measure: Patient Health Questionnaire
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
measure: Generalized Anxiety Disorder-7 Anxiety Scale
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
measure: Heart Rate Variability
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
Secondary outcomes:
measure: Connor-Davidson Resilience Scale (CD-RISC)
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
measure: Professional Quality of Life Index (Pro-QOL)
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
measure: Teachers' Sense of Self-Efficacy (Short Form)
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
measure: PROMIS Sleep Disturbance Scales
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of Week 6
measure: PTSD Checklist for DSM-5 (PCL-5)
timeFrame: Pre-Intervention: First day of Week 1 and Post-Intervention, last day of 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: