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This study will implement and evaluate a mentoring program designed to promote positive youth development and reduce adverse outcomes among maltreated adolescents with open child welfare cases. Teenagers who have been maltreated are at heightened risk for involvement in delinquency, substance use, and educational failure as a result of disrupted attachments with caregivers and exposure to violence within their homes and communities. Although youth mentoring is a widely used prevention approach nationally, it has not been rigorously studied for its effects in preventing these adverse outcomes among maltreated youth involved in the child welfare system. This randomized controlled trial will permit us to implement and evaluate the Fostering Healthy Futures for Teens (FHF-T) program, which will use mentoring and skills training within an innovative positive youth development (PYD) framework to promote adaptive functioning and prevent adverse outcomes. Graduate student mentors will deliver 9 months of prevention programming in teenagers' homes and communities. Mentors will focus on helping youth set and reach goals that will improve their functioning in five targeted "REACH" domains: Relationships, Education, Activities, Career, and Health. In reaching those goals, mentors will help youth build social-emotional skills associated with preventing adverse outcomes (e.g., emotion regulation, communication, problem solving). The randomized controlled trial will enroll 234 racially and ethnically diverse 8th and 9th grade youth (117 intervention, 117 control), who will provide data at baseline prior to randomization, immediately post-program and 15 months post program follow-up. The aims of the study include testing the efficacy of FHF-T for high-risk 8th and 9th graders in preventing adverse outcomes and examining whether better functioning in positive youth development domains mediates intervention effects. It is hypothesized that youth randomly assigned to the FHF-T prevention condition, relative to youth assigned to the control condition, will evidence better functioning on indices of positive youth development in the REACH domains leading to better long-term outcomes, including adaptive functioning, high school graduation, career attainment/employment, healthy relationships, and quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FHF-T Intervention Group | Experimental | 9 months of 1:1 youth mentoring by graduate-student mentors; workshops; educational advocacy |
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| Control group | No Intervention | Services as usual |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FHF-T | Behavioral | FHF-T employs mentoring, consisting of relationship development, advocating for and empowering youth, and skill-building activities to promote positive youth development. Mentors meet individually for 2-3 hours per week for 30 weeks with each teen they mentor, in order to engage teens in positive youth development activities and provide skills training in areas including emotion recognition, perspective-taking, problem solving, effective communication, managing anger, healthy coping and resisting peer pressure for deviant activities. Youth also attend group workshops over the course of the program, in which they engage with other participants and mentors in skill-building activities. |
| Measure | Description | Time Frame |
|---|---|---|
| Court filings for delinquency immediately post intervention | Presence of a court filing in administrative records for delinquent behavior | immediately post-intervention (T2) |
| Court filings for delinquency 15 months-post intervention | Presence of a court filing in administrative records for delinquent behavior | 15-months-post intervention (T3) |
| Self-reported delinquency immediately post intervention | The Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors, will assess any delinquency, number of types of delinquency, any violent delinquency, and any non-violent delinquency | immediately post-intervention (T2) |
| Self-reported delinquency 15 months-post intervention | The Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors, will assess any delinquency, number of types of delinquency, any violent delinquency, and any non-violent delinquency | 15-months-post intervention (T3) |
| School suspensions immediately post intervention | Any youth reported school suspensions, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors | immediately post-intervention (T2) |
| School suspensions 15 months-post intervention | Any youth reported school suspensions, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life | Self-reported mean quality of life as measured by the Life Satisfaction Scale (Andrews & Withey, 1976) | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Extracurricular activity involvement |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Heather Taussig, PhD | University of Denver | Principal Investigator |
| Kimberly Bender, PhD | University of Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Denver | Denver | Colorado | 80208 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27019678 | Background | Taussig H, Weiler L, Rhodes T, Hambrick E, Wertheimer R, Fireman O, Combs M. Fostering Healthy Futures for Teens: Adaptation of an Evidence-Based Program. J Soc Social Work Res. 2015 Dec;6(4):617-642. doi: 10.1086/684021. | |
| Result | Taussig, H.N., Bender, K., Bennett, R. Massey Combs, K., Fireman, O, & Wertheimer, R. (2020). Mentoring for teens with child welfare involvement: Permanency outcomes from a randomized controlled trial of the Fostering Healthy Futures for Teens program. Child Welfare, 97(5), 1-24. | ||
| Result | Taussig, H., Bender, K., Racz, S. & Evidence Based Policy Team, A. V. (2022, April 7). Fostering Healthy Futures for Teens. Retrieved from osf.io/673eu. |
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| ID | Type | URL | Comment |
|---|---|---|---|
| Individual Participant Data Set | View IPD |
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| ID | Term |
|---|---|
| D012309 | Risk-Taking |
| D019966 | Substance-Related Disorders |
| D000294 | Adolescent Behavior |
| D012725 | Sexual Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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Randomized controlled trial with 2 groups
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Research assistants who conduct the interviews are masked to condition.
|
| 15-months-post intervention (T3) |
| Substance use immediately post intervention | Self-reported number of types and frequency of substance use as assessed by the substance use scale of the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors | immediately post-intervention (T2) |
| Substance use 15 months-post intervention | Self-reported number of types and frequency of substance use as assessed by the substance use scale of the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors | 15-months-post intervention (T3) |
| Passing grades immediately post intervention | Youth report of passing all core academic courses, as assessed via researcher developed educational measure | immediately post-intervention (T2) |
| Passing grades 15 months-post intervention | Youth report of passing all core academic courses, as assessed via researcher developed educational measure | 15-months-post intervention (T3) |
Self-reported number and frequency of extracurricular activity involvement will be measured by The Activities Scale, a project-designed measure.
| Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Connectedness to school | Self-reported school connection will be measured by the mean score on the Psychological Sense of School Membership Scale (Goodenow, 1993) which assesses attachment and emotional response to a school environment. | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Academic achievement | Academic Achievement will be assessed using standard scores on The Wechsler Individual Achievement Test Screener (WIAT Screener; Psychological Corporation, 1992). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Perceived Opportunities | Self-reported perceived opportunities will be assessed using mean scores on the Perceived Opportunities scale of the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Trauma symptoms | Self-reported trauma symptoms will be assessed using mean total and subscale scores of the Trauma Symptom Checklist (TSC; Briere, 1996). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Internalizing symptoms | Self-reported internalizing symptoms will be assessed using the mean score on the internalizing subscale of The Youth Self Report (YSR; Achenbach, 2001). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Externalizing symptoms | Self-reported externalizing symptoms will be assessed using the mean score on the externalizing subscale of The Youth Self Report (YSR; Achenbach, 2001). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Dating violence | Self-reported dating violence will be measured by The Conflict in Adolescent Dating Relationships Inventory (CADRI; Wolfe, Scott, Wekerle, & Pittman, 2001). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Coping skills | Self-reported coping skills will be measured using the mean scores on the subscales of the Children's Coping Strategies Checklist (Program for Prevention Research, 1999). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Conflict management skills | Self-reported conflict management skills will be measured using the mean score on the conflict management subscale of the Safe Dates Evaluation Questionnaire (Foshee, Bauman, Bennett, Suchindran, Benefield, & Linder, 2005). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Self-efficacy | Self-reported self-efficacy will be measured by the mean score on the Perceived Self-Efficacy Scale (Cowen, Work, Hightower, Wyman, Parker, & Ltyczewski, 1991). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Resiliency | Self-reported resiliency will be measured using standardized scores on The Resiliency Scales for Children and Adolescents (RSCA; Prince-Embury, 2006, 2007). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Help seeking behaviors | Self-reported help seeking will be measured by the number of identified social network members from whom the youth seek help and the frequency of seeking help on The Help Seeking Behaviors Scale (Pham, Y. K., McWhirter, E. H., & Murray, C., 2014). | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |
| Use of protection while having sex | Self-report of using protection while having sex, assessed by the Adolescent Risk Behavior Survey (ARBS), a youth-report measure that assesses engagement in risk behaviors | Baseline (T1), immediately post-intervention (T2) and 15-months-post intervention (T3) |