Anxiety & Depression Association of America

Factorial Optimization Trial to Test Effects of Coping Intervention Components

Purpose

This study will identify components for inclusion in a coping intervention package to reduce mental health problems among children exposed to high interparental conflict after parental separation/divorce. Reappraisal, distraction, and relaxation coping strategies are related to fewer mental health problems among children, making intervention components based on these strategies key candidates for inclusion in an optimized coping intervention. The primary aim is to experimentally assess the main and interactive effects of three digital intervention coping components (reappraisal, distraction, relaxation) on children's coping efficacy, emotional security, and internalizing and externalizing problems. Secondary aims are to assess indirect effects of the intervention components on children's coping efficacy, emotional security, and internalizing and externalizing problems through their cognitive, emotional, and behavioral reactions to post-separation/divorce interparental conflict events.

Conditions

Anxiety
Depression
Coping Skills
Emotional Problem

Eligibility

Eligible Ages: Between 9 Years and 12 Years
Eligible Genders: All
Accepts Healthy Volunteers: No

Inclusion Criteria

child between ages 9-12 whose parents are separated or divorced - child and one parent are fluent in English - a parent with sufficient contact (i.e., at least 4 overnights and/or 12 daytime visits per month) with child who is willing to complete study assessments and has legal right to give permission for the child to participate in research - child-report of high exposure to IPC (mean Z score ≥ 40th percentile on the two child report measures of IPC; score standardization based on data from 559 youth whose parents participated in an experimental parenting program) - elevated internalizing or externalizing problems (T score in the borderline clinical range according to either child or parent report on the BPM).

Exclusion Criteria

in active therapy - score ≥ 99th percentile on either internalizing and externalizing problems subscale - endorse suicidality (will be ineligible for the study and referred for treatment)

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Randomized
Intervention Model: Factorial Assignment
Primary Purpose: Prevention
Masking: Single (Outcomes Assessor)

Arm Groups

Arm	Description	Assigned Intervention
Experimental Education	Participants will complete an educational digital module and no skills-based digital modules.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module.
Experimental Education + Reappraisal	Participants will complete an educational digital module and a skills-based digital module that teaches reappraisal coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Reappraisal Coping This digital module will teach reappraisal coping skills.
Experimental Education + Distraction	Participants will complete an educational digital module and a skills-based digital module that teaches distraction coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Distraction Coping This digital module will teach distraction coping skills.
Experimental Education + Relaxation	Participants will complete an educational digital module and a skills-based digital module that teaches relaxation coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Relaxation Coping This digital module will teach relaxation coping skills.
Experimental Education + Reappraisal + Distraction	Participants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches distraction coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Reappraisal Coping This digital module will teach reappraisal coping skills. Behavioral: Distraction Coping This digital module will teach distraction coping skills.
Experimental Education + Reappraisal + Relaxation	Participants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches relaxation coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Reappraisal Coping This digital module will teach reappraisal coping skills. Behavioral: Relaxation Coping This digital module will teach relaxation coping skills.
Experimental Education + Distraction + Relaxation	Participants will complete an educational digital module and two skills-based digital modules, one that teaches distraction coping and one that teaches relaxation coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Distraction Coping This digital module will teach distraction coping skills. Behavioral: Relaxation Coping This digital module will teach relaxation coping skills.
Experimental Education + Reappraisal + Distraction + Relaxation	Participants will complete an educational digital module and three skills-based digital modules, one that teaches reappraisal coping, one that teaches distraction coping, and one that teaches relaxation coping.	Behavioral: Education This is a constant component; all participants will get a psychoeducation digital module. Behavioral: Reappraisal Coping This digital module will teach reappraisal coping skills. Behavioral: Distraction Coping This digital module will teach distraction coping skills. Behavioral: Relaxation Coping This digital module will teach relaxation coping skills.

Recruiting Locations

More Details

Status: Recruiting
Sponsor: Arizona State University

Study Contact

Karey L O'Hara, PhD
4807276136
klohara@asu.edu

Detailed Description

A randomized and counterbalanced 2x2x2 factorial trial (N = 144 children, ages 9-12) will be conducted to assess the individual effects of the three digital coping intervention components. The three components to be tested will be: (1) Reappraisal (No vs. Yes), (2) Distraction (No vs. Yes), (3) Relaxation (No vs. Yes). Components that meet a priori thresholds for meaningful change will be combined to form an intervention package that will be evaluated in a subsequent randomized controlled trial.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.