Paired Emotion Reading Improves Emotion Regulation in Rural Children With ACE
NCT Number: NCT06505629
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Emotion Regulation|Adverse Childhood Experience
Interventions: BEHAVIORAL: the online Paired Emotion Reading Intervention (PERI)|BEHAVIORAL: the online Paired General Reading Intervention (PGRI)
Sponsor: Peking University
Sex: ALL
Age: CHILD
Enrollment: 150
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: TREATMENT
Start Date: 2024-07-06
Completion Date: 2024-12-24
Locations: Peking University, Peking, Beijing, 100871, China

Summary:
The goal of this study is to explore the feasibility and effectiveness of the online Paired Emotion Reading Intervention (PERI) on the emotion regulation of rural children with adverse childhood experiences (ACE), as compared with the online Paired General Reading Intervention (PGRI) group and a Care as Usual (CAU) control group. This study is a cluster randomized controlled trial and will recruit three rural schools, randomly assigning them to PERI, PGRI, or CAU. Each school will recruit 50 children with ACE. Additionally, the investigators will recruit 150 urban children of similar ages to the rural children. Urban and rural children will be randomly paired to form urban-rural reading groups, reading different types of books and engaging in discussions. It is hypothesized that, after the intervention, rural children in the PERI group will show significantly greater improvements in emotion regulation self-efficacy and emotional awareness compared to the PGRI and CAU groups. These group differences are expected to persist at 1-month and 3-month follow-up assessments.

Primary Outcome Measures: Emotional awareness of rural children, The investigators explored the effectiveness of PERI on the emotional awareness of rural children using the Emotional Awareness Questionnaire (EAQ). The EAQ consists of 30 items, each rated on a 3-point scale, with higher scores indicating greater emotional awareness., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Emotion regulation self-efficacy of rural children, The investigators explored the effectiveness of PERI on the emotion regulation self-efficacy of rural children using the modified subscale of the Emotional Self-Efficacy Scale. Each item is rated on a 5-point scale, with higher scores indicating higher self-efficacy in emotion regulation., baseline, post treatment (6 weeks), 10 weeks, 18 weeks
Secondary Outcome Measures: Mental health symptoms of rural children, The investigators examined the effectiveness of PERI on the mental health of rural children using the Strengths and Difficulties Questionnaire (SDQ), including both parent-report and child-report versions, along with three items from the Children's Depression Inventory (CDI) measuring feelings of loneliness. The SDQ comprises five subscales: Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention, Peer Relationship Problems, and Prosocial Behavior. Each subscale consists of 5 items rated on a scale of 0-2. Higher scores on each subscale indicate greater difficulties, except for the Prosocial Behavior subscale. Higher score on the items of CDI indicates higher level of loneliness., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Resilience of rural children, The investigators explored the effectiveness of PERI on the resilience of rural children through the 10-item Connor-Davidson Resilience Scale. Each item is rated on a 5-point scale, with higher scores indicating higher level of resilience., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Self-esteem of rural children, The investigators explored the effectiveness of PERI on the self-esteem of rural children through the Rosenberg self-esteem scale. The total score ranges from 0 to 30, with higher scores indicating greater self-esteem., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Emotional awareness of urban children, Urban children will complete the Emotional Awareness Questionnaire (EAQ), as rural children did. For a detailed description of the EAQ, please refer to Outcome 1., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Emotion regulation self-efficacy of urban children, Urban children will complete the modified subscale of the Emotional Self-Efficacy Scale, as rural children did. For a detailed description, please refer to Outcome 2., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Mental health symptoms of urban children, Urban children will complete the Strengths and Difficulties Questionnaire (SDQ) and items of the Children's Depression Inventory (CDI). For a detailed description, please refer to Outcome 3., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Resilience of urban children, Urban children will complete the 10-item Connor-Davidson Resilience Scale. For a detailed description, please refer to Outcome 4., baseline, post treatment (6 weeks), 10 weeks, 18 weeks|Self-esteem of urban children, Urban children will complete the Rosenberg self-esteem scale. For a detailed description, please refer to Outcome 5., baseline, post treatment (6 weeks), 10 weeks, 18 weeks