N/A
N=169
Improving Student Mental Health: Adaptive School-based Implementation of CBT
Depression · Anxiety
Bottom Line
View on ClinicalTrials.gov: NCT03541317 ↗Enrolled (actual)
169
Serious AEs
—
Results posted
Jul 2021
Primary outcome: Primary: Number of CBT Sessions Delivered by School Professionals to Students After 18 Months — 121.1; 111.4 number of CBT sessions — p=0.63
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Stage 1 Strategy: REP (Behavioral); Stage 1 Strategy: REP + Coaching (Behavioral); Stage 2 Strategy: Augment with Facilitation (Behavioral); Stage 2 Strategy: No augmentation (Behavioral)
- Age
- Pediatric, Adult, Older Adult · 14+ yrs
- Sex
- All
- Sponsor
- University of Michigan
- Primary completion
- May 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of CBT Sessions Delivered by School Professionals to Students After 18 Months |
121.1; 111.4 | 0.63 |
| SECONDARY Number of Brief Individual CBT Sessions |
55.9; 52.1 | 0.72 |
| SECONDARY Number of Full Individual CBT Sessions |
49.5; 41.7 | 0.46 |
| SECONDARY Number of Group CBT Sessions |
16.8; 17.5 | 0.87 |
Summary
The overarching goal of this study is to improve the delivery of an established, evidence-based intervention (cognitive-behavioral therapy-CBT) in Michigan schools through different implementation strategies designed to better educate school professionals. Specifically, the study will assist the ongoing Transforming Research into Action to Improve the Lives of Students (TRAILS) Program by evaluating different ways to educate school professionals (SPs) to improve their delivery of CBT to high school students and ultimately improve student mental health outcomes in the state of Michigan. The three educational approaches are Replicating Effective Programs (REP), Coaching, and Facilitation.
Eligibility Criteria
School Administrators
Inclusion Criteria
- Working at a school that is located within a 2-hour drive of a TRAILS coach
- Employed at a Michigan high school full or part time
- Able to read and understand English
Exclusion Criteria
- Unable to provide informed consent for participation in the study activities
School Professional
Inclusion Criteria
- Working at a school that is located within a 2-hour drive of a TRAILS coach
- Employed at a Michigan high school full or part time
- Have a background in clinical school social work, counseling, psychology, or similar area
- Able to read and understand English
Exclusion Criteria
- Has previously received coaching in CBT through the TRAILS or similar programs
- Has a significant illness or condition that precludes their participation in the implementation strategies, including the REP training and student identification process, Coaching, or Facilitation
- Unable to provide informed consent for participation in the study activities
Student
Inclusion Criteria
- Age 14-21 years
- Currently enrolled in the 9th, 10th, or 11th grade at time of first assessment at one of the participating schools
- Have at least one symptom of depression or anxiety that impacts their daily well-being or functioning, as determined by the SP
- Able to read and understand English and comprehend assessments
Exclusion Criteria
- Evidence of psychosis, as identified by any standardized measure; reported by the student, parent, or referral source; or noted by the SP during the recruitment and screening process
- Evidence of a severe pervasive developmental disability, mental retardation or other cognitive impairment that would interfere with the potential for benefit from skills groups, as identified by the student, parent, or referral source.
- Unable to attend CBT group sessions
Students could withdraw from participation at any time by themselves, or by parent notification to the study team.
Data sourced from ClinicalTrials.gov (NCT03541317). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.