Just-in-Time Training for Youth Mentors

Official title

Just-in-Time Training for Youth Mentors: A Strategy for Implementing Evidence-Based Preventive Interventions for Youth in Rural Communities

Overview

This study will evaluate the usability, feasibility, and acceptability of a novel multi-level Just-In-Time Training (JITT) implementation strategy (JITT-EBP) that aims to equip mentors and mentor supervisors to implement evidence-based practices (EBPs) with fidelity using methods that are sustainable in rural communities. JITT-EBP integrates (a) self-directed, on-demand, online training modules for mentors and mentor supervisors, (b) synchronous evidence-based supervision strategies, and (c) an apprenticeship delivery model in which EBPs are co-led by an experienced mentor and a novice mentor, providing opportunity for in-the-moment training and support. The study will conduct a pilot hybrid type 2 effectiveness-implementation trial to evaluate the use of JITT-EBP compared to usual training for implementing mentor-delivered Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), an evidence-based depression prevention program. 96 adolescents (age 12-17) and their parents, 8-18 mentors (depending on amount of turnover), and 4 mentor supervisors will be enrolled in the trial.

Interventions

• Behavioral Interpersonal Psychotherapy-Adolescent Skills Training via Just-In-Time Training (JITT) implementation strategy
  IPT-AST is a group-based EBP that aims to prevent depression and support emotional well-being by helping youth develop skills to foster healthy relationships. Youth learn about the links between feelings and interpersonal interactions, and they learn communication strategies and interpersonal problem-solving skills that they can apply to their relationships. JITT-EBP integrates (a) self-directed, on-demand, online training modules for mentors and mentor supervisors, (b) synchronous evidence-bas
• Behavioral Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) implemented via usual training
  IPT-AST is a group-based EBP that aims to prevent depression and support emotional well-being by helping youth develop skills to foster healthy relationships. Youth learn about the links between feelings and interpersonal interactions, and they learn communication strategies and interpersonal problem-solving skills that they can apply to their relationships. Usual training involves (a) a one-day virtual training conducted by an IPT-AST expert prior to the beginning of the intervention, and (b)

Primary outcome measures

• Feasibility of Intervention Measure (FIM) - Week 12 [Time frame: Week 12]
• Acceptability of Intervention Measure (AIM) - Week 12 [Time frame: Week 12]
• Intervention Appropriateness Measure (IAM) - Week 12 [Time frame: Week 12]
• Client Satisfaction Questionnaire (CSQ-8) - Week 12 [Time frame: Week 12]

Secondary outcome measures (12)

• Fidelity [Time frame: Week 12]
• Cost of implementation [Time frame: Year 2]
• Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 6 [Time frame: Week 6]
• Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 12 [Time frame: Week 12]
• Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 24 [Time frame: Week 24]
• Conflict Behavior Questionnaire-20 (CBQ-20) - Week 6 [Time frame: Week 6]
• Conflict Behavior Questionnaire-20 (CBQ-20) - Week 12 [Time frame: Week 12]
• Conflict Behavior Questionnaire-20 (CBQ-20) - Week 24 [Time frame: Week 24]
• National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 6 [Time frame: Week 6]
• National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 12 [Time frame: Week 12]
• National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 24 [Time frame: Week 24]
• NIH Toolbox -Loneliness Ages 8-17 - Week 6 [Time frame: Week 6]

Eligibility criteria

Youth and Parent Inclusion Criteria:

• student at a partnering rural middle school or high school
• age 12-17
• have English speaking/reading/writing ability at a level to participate in IPT-AST
• youth's parent has English or Spanish-speaking/reading/writing ability at a level to participate in research activities.

Youth and Parent Exclusion Criteria:

• moderate or severe depression (PHQ-9 > 10)
• active suicidal ideation with a plan and/or intent, requiring higher level of care
• Youth does not have English-speaking ability at a level to participate in IPT-AST
• youth's parent does not have English or Spanish-speaking/reading/writing ability at a level to participate in research activities.

Mentor and Mentor Supervisor Inclusion Criteria:

• age 18 or older
• have completed the typical mentor or mentor supervisor screening and selection process at partnering mentoring organization (including a background check)
• are available to facilitate the program during after-school hours.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Prevention

Study locations

United States · 1 center

• University of Minnesota — Minneapolis

Identifiers

NCT: NCT07129070 · STUDY00024848

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗