Clinical trial NCT05454293: One Talk at a Time: A Racial-ethnic Socialization Intervention for Diverse Families
Official title: One Talk at a Time: A Racial-ethnic Socialization Intervention for Diverse Families to Reduce Psychosocial Inequalities
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Depressive Symptoms
Anxiety Disorders and Symptoms
Behavioral Symptoms
Ethnic-Racial Socialization
Keywords: Ethnic-racial socialization
Race
Ethnicity
Discrimination
Diverse families
Cultural socialization
Preparation for bias
Culture
Parent-Child communication
Lead sponsor: University of North Carolina, Greensboro
Sponsor class: OTHER
First posted: 2022-07-12
Enrollment: 312
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This study is a randomized effectiveness trial that tests the online delivery of a video-based intervention (One Talk at a Time (OTAAT)) relative to a control group over a one-year span. Hypotheses include: 1.) The OTAAT intervention will increase parental motivation to engage in racial-ethnic socialization (RES) conversations, their skills and confidence in having these conversations, and the frequency and quality of these conservations; 2.) The OTAAT intervention will increase youth reports of their coping with discrimination, perceived efficacy in coping with discrimination in the future, ethnic-racial identity, and youth mental and academic outcomes; 3.) Greater parental discrimination and youth discrimination will moderate links between OTAAT intervention and parental ethnic-racial motivation + competency as well as youth ethnic-racial identity, coping, and psychosocial outcomes.

Detailed description: This study will employ a mixed methods longitudinal randomized control trial design. All parents and youth will be assessed at four time points (Baseline, 3-month, 6-month, and 12-month) using surveys. Investigators will also use an observational racial-ethnic socialization (RES) task at 3-months to complement self-report data where parents and youth will have taped RES conversations.

Investiagtors will collect data with two balanced cohorts (Cohort 1 and Cohort 2). Parent-youth dyads (N=312) will be recruited through community-based organizations and diverse, public middle schools to reach a representative population of each racial-ethnic group. Specific recruitment procedures are included below.

Once an identified parent-youth dyad is recruited into the study, parents and youth will complete separate Qualtrics baseline surveys online. Parents will then receive either the intervention or the control materials via email or text within 2 weeks (and be given a month to start intervention). OTAAT consists of 11 videos (3-5 minutes each) that include didactic modules and social modeling. The total intervention takes approximately 1.5-2 hours to complete online, and parents can move through the videos at their own pace. The control condition will receive web-based communication materials onsite, including communication videos. Subsequent research follow-ups will occur at 3-months, 6-months, and 12-months with both parents and youth via Qualtrics.

After the initial intervention, parents will receive 6 additional OTAAT contacts via text messages/newsletters that will be spread out across the year with contacts at 1, 2, 4, 5, 8, and 10 months after the initial intervention. These contacts will include a short survey assessing the use of Ready, Set, Talk skills and setting times for having RES conversations. Parents in the control condition will similarly receive text messages/newsletters at the same time points.

At 3-month follow-up, parents and youth will also complete a video-recorded RES observational task via a virtual platform or in-person depending on family preference. During the observational task, parents and their children will be asked to spend five minutes discussing four discrimination encounters. During these conversations, parents will be asked to talk to their child about race and culture as they would at home in a natural manner. The task will take approximately 25-30 minutes to complete.

Eligibility criteria: Inclusion Criteria:

* Parent of a child between the ages of 11 and 13
* Parental race/ethnicity either of East Asian, African American, Latinx (Central American) background
* Both parents are from the same pan-ethnic group

Exclusion Criteria:

* N/A

Primary outcomes:
measure: Parental Motivation (Parent-reported)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Parental Skill (Parent-reported)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Parental Confidence (Parent-reported)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Coping with Discrimination (Youth-reported) Youth Coping with Discrimination
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Secondary outcomes:
measure: Cultural Socialization Frequency (Parent and youth report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Preparation for Bias Frequency (Parent and youth report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Cultural Socialization Quality
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Preparation for Bias Quality
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Self-Esteem (Youth and parent report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Depressive symptoms (Youth and parent report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Anxiety symptoms (Youth and parent report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Other outcomes:
measure: Youth Academic Motivation (Youth and parent report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Behavioral Symptoms (Youth and parent report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Racial-Ethnic Identity (Youth-report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Racial-Ethnic Exploration (Youth-report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
measure: Youth Coping Efficacy (Youth-report)
timeFrame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Locations:
city: Greensboro
country: United States
facility: University of North Carolina Greensboro
state: North Carolina
Study officials:
affiliation: University of Texas at Austin
name: Gabriela Livas Stein, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of North Carolina, Greensboro
name: Stephanie Coard, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Wake Forest University
name: Lisa Kiang, PhD
role: PRINCIPAL_INVESTIGATOR
References: