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| ID | Type | Description | Link |
|---|---|---|---|
| K01AA027564 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Alcohol Abuse and Alcoholism (NIAAA) | NIH |
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This pilot cluster-randomized controlled trial will evaluate the PLANTS (Providing LGBTQ+ Adolescents with Nurturance, Trustworthiness, and Safety) course among high school staff. The primary hypotheses are that the PLANTS course will have high acceptability, usability, appropriateness, and feasibility as reported by high school staff.
The intervention being studied, PLANTS, is an online-delivered training program, including asynchronous and synchronous activities targeting high school staff. This intervention is informed by the Information-Motivation-Behavior theory to target high school staffs' skills, self-efficacy, knowledge, and outcome expectations. Members of the study population as well as collaborators invested in Sexual and Gender Minority Youth (SGMY) well-being provided valuable feedback on PLANTS throughout its development. Comparison schools will receive the email-based control intervention, E-learning to Maximize Academic Inclusion of LGBTQ+ Students (EMAILS). Staff will receive periodic emails with publicly available resources on similar topics to those of PLANTS.
Regarding the intervention's targeted behavioral outcomes, upon completion of the PLANTS program, high school staff will: provide interpersonal support and affirmation to SGMY; provide educational resources that are inclusive of SGMY; provide safe spaces for SGMY; promote acceptance of SGMY among cisgender heterosexual youth; prevent and reduce bullying, cyberbullying, and harassment of SGMY; evaluate and advocate for SGMY inclusivity and protections in school policies; and maintain the confidentiality of SGMY. By having high school staff achieve these behavioral outcomes, the investigators hypothesize that SGMY will experience less risk factors (e.g., bullying victimization) and more protective factors (e.g., school-based adult support), which will in turn reduce SGMY's substance use and mental health problems.
The primary aim of this clinical trial is to rigorously test the acceptability, usability, appropriateness, and feasibility of the PLANTS intervention using a 2-armed cluster-randomized controlled trial. The investigators will also examine the efficacy of intervention in improving high school staff outcomes as well as implementation and safety outcomes related to the intervention and trial. Results from this pilot trial will provide necessary information to conduct a fully powered trial of the efficacy of PLANTS for reducing the ultimate health outcome of SGMY alcohol use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PLANTS | Experimental | Schools will receive the online-delivered PLANTS intervention, which includes 3 asynchronous training modules and 3 synchronous group events. |
|
| EMAILS | Active Comparator | Comparison schools will receive emails with publicly available resources for supporting LGBTQ+ students as a control intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PLANTS | Behavioral | PLANTS intervention is an online-delivered training program, including asynchronous and synchronous activities. This intervention was informed by the Information-Motivation-Behavior theory to target skills, self-efficacy, knowledge, and outcome expectations. There are 3 asynchronous online modules that cover a variety of topics including lessons on LGBTQ+ terminology, names and pronouns, resources, antibullying, gender neutral bathrooms, student confidentiality, active empathic listening, and school policies. Module include recorded presentations, student testimonials, activities, and downloadable resources for future reference. Every month, 7-9 lessons are opened. There are 2 synchronous group events delivered via Zoom and are 1.5 hours each. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Value of Acceptability of Intervention Measure | At follow-up, participants will complete the four-question Acceptability of Intervention Measure (AIM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean acceptability value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more acceptable the intervention. | Approximately 4 months after intervention deployment |
| Mean Score on the System Usability Scale | At follow-up, participants will complete the ten-question System Usability Scale (SUS) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Strongly agree) to 5 (Strongly disagree). The odd-numbered question responses will be reverse coded. All items will be summed and that sum will be multiplied by 2.5 to produce the final SUS value (ranging from 0-100). The higher the computed value, the more useable the intervention. | Approximately 4 months after intervention deployment |
| Mean Value of Intervention Appropriateness Measure | At follow-up, participants will complete the four-question Intervention Appropriateness Measure (IAM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean appropriateness value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more appropriate the intervention. | Approximately 4 months after intervention deployment |
| Mean Value of Feasibility of Intervention Measure | At follow-up, participants will complete the four-question Feasibility of Intervention Measure (FIM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean feasibility value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more feasible the intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Trial Participation Rate | The investigators will divide the number of school staff who consent to participate by the total number of school staff who are invited, then multiply by 100 to get a percentage. | Baseline |
| Trial Retention Rate |
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Inclusion Criteria:
Exclusion Criteria:
• Does not interact with high school students at work
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| Name | Affiliation | Role |
|---|---|---|
| Robert Coulter, PhD, MPH | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15213 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38502156 | Derived | Coulter RW, Mahal IK, Lin CA, Schneider SK, Mathias AS, Baral K, Miller E, Abebe KZ. Providing Lesbian, Gay, Bisexual, Transgender, Nonbinary, and Queer Adolescents With Nurturance, Trustworthiness, and Safety: Protocol for Pilot Cluster Randomized Controlled Trial Design. JMIR Res Protoc. 2024 Mar 19;13:e55210. doi: 10.2196/55210. |
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In this pilot study, fewer school staff joined this study than anticipated.
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| ID | Title | Description |
|---|---|---|
| FG000 | PLANTS | Schools will receive the online-delivered PLANTS intervention, which includes 3 asynchronous training modules and 3 synchronous group events. PLANTS: PLANTS intervention is an online-delivered training program, including asynchronous and synchronous activities. This intervention was informed by the Information-Motivation-Behavior theory to target skills, self-efficacy, knowledge, and outcome expectations. There are 3 asynchronous online modules that cover a variety of topics including lessons on LGBTQ+ terminology, names and pronouns, resources, antibullying, gender neutral bathrooms, student confidentiality, active empathic listening, and school policies. Module include recorded presentations, student testimonials, activities, and downloadable resources for future reference. Every month, 7-9 lessons are opened. There are 2 synchronous group events delivered via Zoom and are 1.5 hours each. |
| FG001 | EMAILS | Comparison schools will receive emails with publicly available resources for supporting LGBTQ+ students as a control intervention. EMAILS: The active control arm is an email-based intervention, EMAILS, in which existing public resources for supporting, affirming, and protecting LGBTQ+ students are emailed to participants. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Our baseline analysis population is the 67 participants from PLANTS and 28 participants from EMAILS who completed the baseline survey. It excludes the two participants (one from each arm) who never started baseline and the two participants (one from each arm) who did not complete the baseline survey.
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| ID | Title | Description |
|---|---|---|
| BG000 | PLANTS | Schools will receive the online-delivered PLANTS intervention, which includes 3 asynchronous training modules and 3 synchronous group events. PLANTS: PLANTS intervention is an online-delivered training program, including asynchronous and synchronous activities. This intervention was informed by the Information-Motivation-Behavior theory to target skills, self-efficacy, knowledge, and outcome expectations. There are 3 asynchronous online modules that cover a variety of topics including lessons on LGBTQ+ terminology, names and pronouns, resources, antibullying, gender neutral bathrooms, student confidentiality, active empathic listening, and school policies. Module include recorded presentations, student testimonials, activities, and downloadable resources for future reference. Every month, 7-9 lessons are opened. There are 2 synchronous group events delivered via Zoom and are 1.5 hours each. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Value of Acceptability of Intervention Measure | At follow-up, participants will complete the four-question Acceptability of Intervention Measure (AIM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean acceptability value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more acceptable the intervention. | Intervention participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | score on a scale | Approximately 4 months after intervention deployment |
|
From baseline survey to follow-up survey (seven months)
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PLANTS | Schools will receive the online-delivered PLANTS intervention, which includes 3 asynchronous training modules and 3 synchronous group events. PLANTS: PLANTS intervention is an online-delivered training program, including asynchronous and synchronous activities. This intervention was informed by the Information-Motivation-Behavior theory to target skills, self-efficacy, knowledge, and outcome expectations. There are 3 asynchronous online modules that cover a variety of topics including lessons on LGBTQ+ terminology, names and pronouns, resources, antibullying, gender neutral bathrooms, student confidentiality, active empathic listening, and school policies. Module include recorded presentations, student testimonials, activities, and downloadable resources for future reference. Every month, 7-9 lessons are opened. There are 2 synchronous group events delivered via Zoom and are 1.5 hours each. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Robert W. S. Coulter | University of Pittsburgh | 412-624-0647 | robert.ws.coulter@pitt.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 5, 2024 | Feb 18, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D000428 | Alcohol Drinking |
| D003863 | Depression |
| D058445 | Bullying |
| D003075 | Coitus |
| ID | Term |
|---|---|
| D004327 | Drinking Behavior |
| D001519 | Behavior |
| D001526 | Behavioral Symptoms |
| D000374 | Aggression |
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| ID | Term |
|---|---|
| D012449 | Safety |
| ID | Term |
|---|---|
| D000056 | Accident Prevention |
| D000059 | Accidents |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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This is a two-armed cluster-randomized controlled pilot trial of the PLANTS intervention versus an active control group, the EMAILS intervention. The investigators will randomize schools in an equal 1:1 ratio, stratified by large versus small schools, into intervention or active control conditions. The investigators will use block randomization with block sizes of 2, which will be stratified by large schools versus not, where large is ≥1000 students. The investigators use block size of 2 because there are only 4 schools in this pilot trial.
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This is an unblinded study. This is an educational intervention that cannot be blinded because study participants will be able to tell which condition they are in based on the content they receive.
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|
|
| EMAILS | Behavioral | The active control arm is an email-based intervention, EMAILS, in which existing public resources for supporting, affirming, and protecting LGBTQ+ students are emailed to participants. |
|
|
| Approximately 4 months after intervention deployment |
The investigators will divide the number of school staff who complete the follow-up survey by the total number of school staff who were enrolled, then multiply by 100 to get a percentage.
| At follow-up (approximately 4 months after baseline) |
| Intervention Demand | The investigators will divide the number of participants who adhere to the PLANTS intervention by the total number of school staff who were enrolled at schools randomly assigned the PLANTS intervention and multiply by 100 to obtain a percentage. Adherence is a composite variable ranging from 0-100% comprised of: 55% for online module completion (based on the number of completed items divided by the total number of items offered); 45% for Live Zoom Event attendance (where each event is 15%). | At follow-up (approximately 4 months after baseline) |
| Change in Mean Scores on the Active-Empathic Listening Scale | Participants will complete the eleven-item Active-Empathic Listening Scale at baseline and follow-up. Each item uses a seven-point Likert scale for responses, coded from 1 ("never or almost never true") to 7 ("Always or almost always true"). Mean scores will be calculated for all eleven items at each time point. The minimum possible mean value is 1 and the maximum mean value is 7. Higher values represent greater active-empathic listening. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in active-empathic listening from baseline to follow-up. | Baseline and follow-up (approximately 4 months after baseline) |
| Change in Mean Scores on Self-efficacy Change Objectives for Providing LGBTQ+ Adolescents With Nurturance, Trustworthiness, and Safety | The investigators have developed items pertaining directly to PLANTS' self-efficacy change objectives. Participants will complete each item using a five-point Likert scale, where 1 represents "not at all certain" and 5 represents "extremely certain." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater self-efficacy. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in self-efficacy from baseline to follow-up. | Baseline and follow-up (approximately 4 months after baseline) |
| Change in Mean Scores on the Teacher Bystander Intervention Model in Traditional Bullying Scale | Participants will complete the 16-item Teacher Bystander Intervention Model in Traditional Bullying scale, which has five subscales. Each response will be coded on a scale of 1 to 5, with 1 representing "strongly disagree" and 5 representing "strongly agree." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater skills related to bystander intervention in bullying. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in bystander intervention skills from baseline to follow-up. | Baseline and follow-up (approximately 4 months after baseline) |
| Change in Mean Scores on the Teacher Bystander Intervention Model in Cyberbullying Scale | Participants will complete the 16-item Teacher Bystander Intervention Model in Cyberbullying scale, which has five subscales. Each response will be coded on a scale of 1 to 5, with 1 representing "strongly disagree" and 5 representing "strongly agree." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater skills related to bystander intervention in cyberbulling. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in bystander intervention skills from baseline to follow-up. | Baseline and follow-up (approximately 4 months after baseline) |
| Change in Mean Scores on the Modified Gay Affirmative Practice Scale | The investigators have modified the language of the Gay Affirmative Practice Scale to incorporate school-oriented words instead of therapy-oriented words to measure self-efficacy for school staff working with SGMY. Participants will complete the nine-item scale at baseline and follow-up, with each item using a five-point Likert scale ranging from "strongly disagree" (1) to "strongly agree" (5). Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater self-efficacy. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in self-efficacy from baseline to follow-up. | Baseline and follow-up (approximately 4 months after baseline) |
| Safety Outcomes | Investigators assess myriad safety outcomes including parent backlash, social media backlash, school board backlash, suspension or removal from employment, censorship of LGBTQ+ literature/history/stories or removal of books with LGBTQ+ representation from school libraries, and emotional discomfort with intervention and control conditions at follow-up. Response options include frequency of each event occurrence (none, once, twice, 3-9 times, and 10 or more times). Investigators will report the overall frequency of events, frequency of each type of event, and percentage of school staff reporting any event. | At follow-up (approximately 4 months after baseline) |
| BG001 | EMAILS | Comparison schools will receive emails with publicly available resources for supporting LGBTQ+ students as a control intervention. EMAILS: The active control arm is an email-based intervention, EMAILS, in which existing public resources for supporting, affirming, and protecting LGBTQ+ students are emailed to participants. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Years Worked at School | Mean | Full Range | years |
|
| Role in School | Count of Participants | Participants |
|
| Education Completed | Count of Participants | Participants |
|
| Sexual Identity | Count of Participants | Participants |
|
| Current Religion | Count of Participants | Participants |
|
| Childhood Religion | Count of Participants | Participants |
|
| Religious Attendance | Duke University Religious Index (DUREL) Analyzed as the mean response to the item "How often do you attend religious meetings (e.g. church)?" where 1 means "Never" and 6 means "More than once/week". | Mean | Standard Deviation | units on a scale |
|
| Religious Activity | Duke University Religious Index (DUREL) Analyzed as the mean response to the item "How often do you spend time in private religious activities, such as prayer, meditation or Bible study?" where 1 means "Rarely or never" and 6 means "More than once a day". | Mean | Standard Deviation | units on a scale |
|
| Intrinsic Religiosity | Duke University Religion Index (DUREL) Calculated as the mean response across 3 items (ex. "In my life, I experience the presence of the Divine (i.e., God)"), each assessed from 1-5, where 1 means "Definitely not true" and 5 means "Definitely true". Higher values indicate more intrinsic religiosity. . | Mean | Standard Deviation | units on a scale |
|
| Social Desirability | Marlowe-Crowne Social Desirability Scale (13-item) Each participant receives a score from 0-13, where 1 point is added for a "True" or a "False", depending on the item. An example item is "No matter who I'm talking to, I'm always a good listener." A higher score indicates a tendency towards socially desirable responses. | Mean | Standard Deviation | units on a scale |
|
| Previous Training about LGBTQ+ Issues | Count of Participants | Participants |
|
| Previous Online Training about LGBTQ+ Issues | Count of Participants | Participants |
|
|
|
|
| Primary | Mean Score on the System Usability Scale | At follow-up, participants will complete the ten-question System Usability Scale (SUS) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Strongly agree) to 5 (Strongly disagree). The odd-numbered question responses will be reverse coded. All items will be summed and that sum will be multiplied by 2.5 to produce the final SUS value (ranging from 0-100). The higher the computed value, the more useable the intervention. | Intervention participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | score on a scale | Approximately 4 months after intervention deployment |
|
|
|
|
| Primary | Mean Value of Intervention Appropriateness Measure | At follow-up, participants will complete the four-question Intervention Appropriateness Measure (IAM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean appropriateness value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more appropriate the intervention. | Intervention participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | score on a scale | Approximately 4 months after intervention deployment |
|
|
|
|
| Primary | Mean Value of Feasibility of Intervention Measure | At follow-up, participants will complete the four-question Feasibility of Intervention Measure (FIM) about PLANTS. Each question uses a five-point Likert scale for responses, coded with a value from 1 (Completely disagree) to 5 (Completely agree) and averaged to produce the mean feasibility value. The minimum possible mean value is 1 and the maximum mean value is 5. The higher the computed mean value, the more feasible the intervention. | Intervention participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | score on a scale | Approximately 4 months after intervention deployment |
|
|
|
|
| Secondary | Trial Participation Rate | The investigators will divide the number of school staff who consent to participate by the total number of school staff who are invited, then multiply by 100 to get a percentage. | Posted | Number | 95% Confidence Interval | percentage of total school staff | Baseline |
|
|
|
| Secondary | Trial Retention Rate | The investigators will divide the number of school staff who complete the follow-up survey by the total number of school staff who were enrolled, then multiply by 100 to get a percentage. | Posted | Number | percentage of consented staff | At follow-up (approximately 4 months after baseline) |
|
|
|
| Secondary | Intervention Demand | The investigators will divide the number of participants who adhere to the PLANTS intervention by the total number of school staff who were enrolled at schools randomly assigned the PLANTS intervention and multiply by 100 to obtain a percentage. Adherence is a composite variable ranging from 0-100% comprised of: 55% for online module completion (based on the number of completed items divided by the total number of items offered); 45% for Live Zoom Event attendance (where each event is 15%). | Intent-to-treat intervention population | Posted | Number | 95% Confidence Interval | percentage of enrolled staff | At follow-up (approximately 4 months after baseline) |
|
|
|
| Secondary | Change in Mean Scores on the Active-Empathic Listening Scale | Participants will complete the eleven-item Active-Empathic Listening Scale at baseline and follow-up. Each item uses a seven-point Likert scale for responses, coded from 1 ("never or almost never true") to 7 ("Always or almost always true"). Mean scores will be calculated for all eleven items at each time point. The minimum possible mean value is 1 and the maximum mean value is 7. Higher values represent greater active-empathic listening. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in active-empathic listening from baseline to follow-up. | Participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | units on a scale | Baseline and follow-up (approximately 4 months after baseline) |
|
|
|
|
| Secondary | Change in Mean Scores on Self-efficacy Change Objectives for Providing LGBTQ+ Adolescents With Nurturance, Trustworthiness, and Safety | The investigators have developed items pertaining directly to PLANTS' self-efficacy change objectives. Participants will complete each item using a five-point Likert scale, where 1 represents "not at all certain" and 5 represents "extremely certain." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater self-efficacy. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in self-efficacy from baseline to follow-up. | Participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | units on a scale | Baseline and follow-up (approximately 4 months after baseline) |
|
|
|
|
| Secondary | Change in Mean Scores on the Teacher Bystander Intervention Model in Traditional Bullying Scale | Participants will complete the 16-item Teacher Bystander Intervention Model in Traditional Bullying scale, which has five subscales. Each response will be coded on a scale of 1 to 5, with 1 representing "strongly disagree" and 5 representing "strongly agree." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater skills related to bystander intervention in bullying. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in bystander intervention skills from baseline to follow-up. | Participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | units on a scale | Baseline and follow-up (approximately 4 months after baseline) |
|
|
|
|
| Secondary | Change in Mean Scores on the Teacher Bystander Intervention Model in Cyberbullying Scale | Participants will complete the 16-item Teacher Bystander Intervention Model in Cyberbullying scale, which has five subscales. Each response will be coded on a scale of 1 to 5, with 1 representing "strongly disagree" and 5 representing "strongly agree." Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater skills related to bystander intervention in cyberbulling. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in bystander intervention skills from baseline to follow-up. | Participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | units on a scale | Baseline and follow-up (approximately 4 months after baseline) |
|
|
|
|
| Secondary | Change in Mean Scores on the Modified Gay Affirmative Practice Scale | The investigators have modified the language of the Gay Affirmative Practice Scale to incorporate school-oriented words instead of therapy-oriented words to measure self-efficacy for school staff working with SGMY. Participants will complete the nine-item scale at baseline and follow-up, with each item using a five-point Likert scale ranging from "strongly disagree" (1) to "strongly agree" (5). Mean scores will be calculated for all items at each time point. The minimum possible mean value is 1 and the maximum mean value is 5. Higher values represent greater self-efficacy. The mean scores from baseline will be subtracted from the mean scores from follow-up to produce the change in mean scores. Higher values represent greater increases in self-efficacy from baseline to follow-up. | Participants who completed the follow-up survey | Posted | Mean | 95% Confidence Interval | units on a scale | Baseline and follow-up (approximately 4 months after baseline) |
|
|
|
|
| Secondary | Safety Outcomes | Investigators assess myriad safety outcomes including parent backlash, social media backlash, school board backlash, suspension or removal from employment, censorship of LGBTQ+ literature/history/stories or removal of books with LGBTQ+ representation from school libraries, and emotional discomfort with intervention and control conditions at follow-up. Response options include frequency of each event occurrence (none, once, twice, 3-9 times, and 10 or more times). Investigators will report the overall frequency of events, frequency of each type of event, and percentage of school staff reporting any event. | Posted | Number | events | At follow-up (approximately 4 months after baseline) |
|
|
|
| 0 |
| 69 |
| 0 |
| 69 |
| 0 |
| 69 |
| EG001 | EMAILS | Comparison schools will receive emails with publicly available resources for supporting LGBTQ+ students as a control intervention. EMAILS: The active control arm is an email-based intervention, EMAILS, in which existing public resources for supporting, affirming, and protecting LGBTQ+ students are emailed to participants. | 0 | 30 | 0 | 30 | 0 | 30 |
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| D000071277 |
| Harassment, Non-Sexual |
| D012919 | Social Behavior |
| D012725 | Sexual Behavior |
| Mixed Models Analysis |
| 0.95 |
Threshold for statistical significance: <0.05 |
| Mean Difference (Net) |
| 0.01 |
| 2-Sided |
| 95 |
| -0.36 |
| 0.38 |
| Other |
To test for within-arm statistical significance, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Self-Efficacy in Inclusivity in Restrooms and Changing Options |
|
|
| Mixed Models Analysis |
| 0.01 |
Threshold for statistical significance: <0.05 |
| Mean Difference (Net) |
| 0.45 |
| 2-Sided |
| 95 |
| 0.10 |
| 0.80 |
| Other |
To test for within-arm statistical significance of the change in Self-Efficacy in LGBTQ+ Inclusivity, Awareness, and Advocacy, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.001 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.26 | 2-Sided | 95 | 0.11 | 0.41 | Other | To test for within-arm statistical significance of the change in Self-Efficacy in Identity-Affirming Practices, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.01 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.13 | 2-Sided | 95 | 0.03 | 0.24 | Other | To test for within-arm statistical significance of the change in Self-Efficacy in Identity-Affirming Practices, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.001 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.43 | 2-Sided | 95 | 0.18 | 0.68 | Other | To test for within-arm statistical significance of the change in Self-Efficacy in Inclusivity in Restrooms and Changing Options, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.04 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.44 | 2-Sided | 95 | 0.02 | 0.86 | Other | To test for within-arm statistical significance of the change in Self-Efficacy in Inclusivity in Restrooms and Changing Options, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Accept responsibility for intervening |
|
| Know how to intervene |
|
| Implement intervention decisions |
|
| Mixed Models Analysis |
| 0.14 |
Threshold for statistical significance: <0.05 |
| Mean Difference (Net) |
| -0.24 |
| 2-Sided |
| 95 |
| -0.55 |
| 0.07 |
| Other |
To test for within-arm statistical significance of the change in Notice the Event, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.07 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.19 | 2-Sided | 95 | -0.39 | 0.01 | Other | To test for within-arm statistical significance of the change in Interpret the Event as an Emergency, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.85 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.02 | 2-Sided | 95 | -0.18 | 0.22 | Other | To test for within-arm statistical significance of the change in Interpret the Event as an Emergency, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.06 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.15 | 2-Sided | 95 | -0.30 | 0.01 | Other | To test for within-arm statistical significance of the change in Accept Responsibility for Intervening, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.51 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.07 | 2-Sided | 95 | -0.14 | 0.28 | Other | To test for within-arm statistical significance of the change in Accept Responsibility for Intervening, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.001 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.33 | 2-Sided | 95 | 0.13 | 0.53 | Other | To test for within-arm statistical significance of the change in Know How to Intervene, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.04 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.28 | 2-Sided | 95 | 0.01 | 0.55 | Other | To test for within-arm statistical significance of the change in Know How to Intervene, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.36 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.06 | 2-Sided | 95 | -0.19 | 0.07 | Other | To test for within-arm statistical significance of the change in Implement Intervention Decisions, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.62 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.03 | 2-Sided | 95 | -0.16 | 0.10 | Other | To test for within-arm statistical significance of the change in Implement Intervention Decisions, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Accept responsibility for intervening |
|
| Know how to intervene |
|
| Implement intervention decisions |
|
| Mixed Models Analysis |
| 0.20 |
Threshold for statistical significance: <0.05 |
| Mean Difference (Net) |
| -0.21 |
| 2-Sided |
| 95 |
| -0.55 |
| 0.12 |
| Other |
To test for within-arm statistical significance of the change in Notice the Event, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.74 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.02 | 2-Sided | 95 | -0.14 | 0.10 | Other | To test for within-arm statistical significance of the change in Interpret the Event as an Emergency, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.55 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.05 | 2-Sided | 95 | -0.12 | 0.23 | Other | To test for within-arm statistical significance of the change in Interpret the Event as an Emergency, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.40 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.07 | 2-Sided | 95 | -0.22 | 0.09 | Other | To test for within-arm statistical significance of the change in Accept Responsibility for Intervening, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.36 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.12 | 2-Sided | 95 | -0.37 | 0.13 | Other | To test for within-arm statistical significance of the change in Accept Responsibility for Intervening, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | <0.001 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.39 | 2-Sided | 95 | 0.18 | 0.60 | Other | To test for within-arm statistical significance of the change in Know How to Intervene, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.41 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.12 | 2-Sided | 95 | -0.16 | 0.39 | Other | To test for within-arm statistical significance of the change in Know How to Intervene, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.92 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | -0.01 | 2-Sided | 95 | -0.22 | 0.20 | Other | To test for within-arm statistical significance of the change in Implement Intervention Decisions, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis | 0.37 | Threshold for statistical significance: <0.05 | Mean Difference (Net) | 0.14 | 2-Sided | 95 | -0.16 | 0.44 | Other | To test for within-arm statistical significance of the change in Implement Intervention Decisions, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Mixed Models Analysis |
| <0.001 |
Threshold for statistical significance: <0.05 |
| Mean Difference (Net) |
| 0.49 |
| 2-Sided |
| 95 |
| 0.29 |
| 0.69 |
| Other |
To test for within-arm statistical significance, we used linear mixed models accounting for within-person clustering using random effects. We reported the beta coefficients and 95% confidence intervals. |
| Times contacted by people who were upset because you supported LGBTQ+ students |
|
| Times your school was attacked for supporting LGBTQ+ youth |
|
| Times your school board got upset or concerned about staff supporting LGBTQ+ youth |
|
| Times received negative consequences from your employer about supporting LGBTQ+ youth |
|
| Times LGBTQ+ censorship happened in your school |
|
| Times uncomfortable while participating in the course |
|