The purpose of the proposed research is to conduct an efficacy trial of the Family Check-Up (FCU) Online to prevent emotional and behavioral disorders among middle-school students at-risk for disability during the transition back to school after the COVID-19 pandemic. Mental health and behavior problems are at epidemic proportions as a result of the COVID-19 pandemic, with the highest rates in adolescents and children with disabilities. We propose to evaluate the efficacy of the FCU Online, a school-based, ecological approach to family intervention and risk reduction, across a group of students at-risk or identified with disability during the middle school years. The FCU Online for middle school youth has been evaluated in a randomized trial in prior research during the development of the program but has never been tested as a large-scale, school-based intervention or delivered by providers working in schools. It has recently been adapted for COVID-19 and includes new modules on coping with stress and home-to-school engagement to support the return to school after COVID-19 for students at-risk. Students in schools will be identified for services using indicators that are natural to the school environment (attendance, office discipline referrals, and grades), and will be followed for 2 years. We predict that engagement in the FCU Online will be associated with student reductions in emotional and behavior problems, improvements in academic skills, and improvements in attendance. Parenting skills such as home-to-school communication, positive parenting, and behavioral routines will be tested as mediators of intervention efficacy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
300
This intervention includes access to the Family Check-Up app and telehealth coaching provided by trained mental health providers. Parents can contact their Coach as often as they like and a minimum of 3 coaching sessions will be scheduled.
University of Oregon Prevention Science Institute
Portland, Oregon, United States
change from baseline in family conflict (parent and child report)
Measured with the CASEY
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in family relationships (parent and child report)
Measured with the CASEY
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in child academic competence (parent, child and teacher report)
Measured with the SSRS
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in child school engagement (parent, child and teacher report)
Measured with the school participation measure
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in child's school grades (school report)
Obtained via school records
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in child's achievement test scores/school records/IEP (school report)
Obtained via school records
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in child's school attendance (school report)
Obtained via school records
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in youth emotional problems (parent, child and teacher report)
Measured by the SDQ
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in youth behavior problems (parent, child and teacher report)
Measured by the SDQ
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in youth self regulation (parent, and child report)
Measured by the SDQ
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in youth social/peer relationships (parent and child report)
Measured by the PASA
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in child's discipline referrals (school report)
Obtained via school records
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in parent depression and anxiety (parent report)
Measured by the PHQ-9
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in parental stress (parent report)
Measured by the PSS
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in youth depression (parent and child report)
Measured by the PHQ-9
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in parental sense of competency (parent report)
Measured by the PSOC
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in positive parenting behaviors (parent report)
Measured by the PCA
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in limit setting and supervision skills (parent report)
Measured by the PCA
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
change from baseline in parenting involvement at school (parent report)
Measured by a modified version of the home-based learning factor of the FIQ-EC
Time frame: baseline, 3 months, 6 months, 12 months, 24 months
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