An interventional study of One Talk at a Time: Race and One Talk at a Time: General in Depressive Symptoms, Anxiety Disorders and Symptoms and Behavioral Symptoms, sponsored by University of North Carolina, Greensboro. Recruiting at 1 site in United States. Per ClinicalTrials.gov, last updated 2023-12-12.
Sponsored by University of North Carolina, Greensboro · Not applicable, Interventional, and Other
This study is a randomized effectiveness trial that tests the online delivery of a video-based intervention (One Talk at a Time (OTAAT)) relative to a control group over a one-year span. Hypotheses include: 1.) The OTAAT intervention will increase parental motivation to engage in racial-ethnic socialization (RES) conversations, their skills and confidence in having these conversations, and the frequency and quality of these conservations; 2.) The OTAAT intervention will increase youth reports of their coping with discrimination, perceived efficacy in coping with discrimination in the future, ethnic-racial identity, and youth mental and academic outcomes; 3.) Greater parental discrimination and youth discrimination will moderate links between OTAAT intervention and parental ethnic-racial motivation + competency as well as youth ethnic-racial identity, coping, and psychosocial outcomes.
This study will employ a mixed methods longitudinal randomized control trial design. All parents and youth will be assessed at four time points (Baseline, 3-month, 6-month, and 12-month) using surveys. Investigators will also use an observational racial-ethnic socialization (RES) task at 3-months to complement self-report data where parents and youth will have taped RES conversations.
Investiagtors will collect data with two balanced cohorts (Cohort 1 and Cohort 2). Parent-youth dyads (N=312) will be recruited through community-based organizations and diverse, public middle schools to reach a representative population of each racial-ethnic group. Specific recruitment procedures are included below.
Once an identified parent-youth dyad is recruited into the study, parents and youth will complete separate Qualtrics baseline surveys online. Parents will then receive either the intervention or the control materials via email or text within 2 weeks (and be given a month to start intervention). OTAAT consists of 11 videos (3-5 minutes each) that include didactic modules and social modeling. The total intervention takes approximately 1.5-2 hours to complete online, and parents can move through the videos at their own pace. The control condition will receive web-based communication materials onsite, including communication videos. Subsequent research follow-ups will occur at 3-months, 6-months, and 12-months with both parents and youth via Qualtrics.
After the initial intervention, parents will receive 6 additional OTAAT contacts via text messages/newsletters that will be spread out across the year with contacts at 1, 2, 4, 5, 8, and 10 months after the initial intervention. These contacts will include a short survey assessing the use of Ready, Set, Talk skills and setting times for having RES conversations. Parents in the control condition will similarly receive text messages/newsletters at the same time points.
At 3-month follow-up, parents and youth will also complete a video-recorded RES observational task via a virtual platform or in-person depending on family preference. During the observational task, parents and their children will be asked to spend five minutes discussing four discrimination encounters. During these conversations, parents will be asked to talk to their child about race and culture as they would at home in a natural manner. The task will take approximately 25-30 minutes to complete.
8,577 studies on the registry are indexed under Depression; 1,720 are open to participants now.
This study's planned enrollment of 312 is above the median of 81 across 7,063 interventional studies indexed under Depression.
Browse Depression studies →University of North Carolina, Greensboro is the lead sponsor of 20 studies on the registry; 6 are open to participants now.
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Exclusion Criteria:
This group will receive the One Talk at a Time curriculum.
Other: One Talk at a Time: Race
This group will receive a curriculum focused on tips and strategies for navigating difficult topics with one's children such as current events and dating.
Other: One Talk at a Time: General
This intervention consists of short videos that include didactic modules and social modeling for having conversations with children about race, ethnicity, culture, and discrimination. The total intervention takes approximately 1.5-2 hours to complete online, and parents can move through the videos at their own pace.
This intervention consists of short videos that include modules and handouts with tips for parent-child communication strategies for navigating difficult topics, such as dating and current events.
Parental Motivation (Parent-reported)
The study will use an adapted version of the Motivation to Change measure (Miller \& Johnson, 2008) to assess parental motivation to engage in racial-ethnic socialization with their children.
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Parental Skill (Parent-reported)
The study will use the Racial Socialization Competency Scale (RaSCS; Anderson et al., 2019) to measure parental-perceived skill in delivering racial-ethnic socialization messages
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Parental Confidence (Parent-reported)
The study will use a recently developed scale (under review) that assesses how confident parents feel delivering racial-ethnic socialization messages
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Coping with Discrimination (Youth-reported) Youth Coping with Discrimination
Youth's use of coping strategies will be measured using the Discrimination Coping Strategies Scale (Umaña-Taylor et al., 2008)
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Cultural Socialization Frequency (Parent and youth report)
Frequency of cultural socialization messages will be measured using the cultural socialization subscale of the Ethnic-Racial Socialization Scale (Hughes \& Chen, 1997). The measure will be adapted to measure frequency over the last 3 months rather than year.
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Preparation for Bias Frequency (Parent and youth report)
Frequency of preparation for bias messages will be measured using the preparation for bias subscale of the Ethnic-Racial Socialization Scale (Hughes \& Chen, 1997). The measure will be adapted to measure frequency over the last 3 months rather than year.
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Cultural Socialization Quality
Quality of cultural socialization messages will be assessed during observational coding of parent-child discussions around scenarios describing experiences of discrimination. Coding will be based on Smith Bynum et al.'s (2016) scale.
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Preparation for Bias Quality
Quality of preparation for bias messages will be assessed during observational coding of parent-child discussions around scenarios describing experiences of discrimination. Coding will be based on Smith Bynum et al.'s (2016) scale.
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Self-Esteem (Youth and parent report)
Youth's self-esteem will be assessed using the Rosenberg (1979) measure
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Depressive symptoms (Youth and parent report)
Youth's current depressive symptoms will be measured using the PROMIS Pediatric Short-Form of Depressive Symptoms (Irwin et al., 2010)
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Anxiety symptoms (Youth and parent report)
Youth's current anxiety symptoms will be measured using the PROMIS Pediatric Short-Form of Anxiety Symptoms (Irwin et al., 2010)
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Academic Motivation (Youth and parent report)
Youth's academic motivation will be measured using the Eccles (1983) scale
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Behavioral Symptoms (Youth and parent report)
Youth's behavioral symptoms will be assessed using the Misconduct Scale (Feldman et al, 2011)
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Racial-Ethnic Identity (Youth-report)
Youth's racial-ethnic identity will be assessed using the Multigroup Ethnic Identity Measure Sladeck et al., 2020)
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Racial-Ethnic Exploration (Youth-report)
Youth's racial-ethnic exploration will be assessed with the Ethnic Identity Scale (Douglass \& Umaña-Taylor, 2015)
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
Youth Coping Efficacy (Youth-report)
Youth's coping efficacy will be measured using items developed for this study
Time frame: Baseline, 3-month after intervention, 6-months after intervention, and 12-months after intervention
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Started Aug 2022 (actual). Primary completion is estimated for Jun 2025, 34 months after the start.
Of 3,468 non-industry interventional studies with no phase under Depression, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's planned 34 months is above that.
Counting every sponsor, half of 3,566 studies reached it within 21 months; a quarter within 9 and three quarters within 41.
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University of North Carolina, Greensboro