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| Name | Class |
|---|---|
| National Academies of Sciences, Engineering and Medicine | UNKNOWN |
| University of Illinois at Urbana-Champaign | OTHER |
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The goal of this clinical trial is to examine the impact of the Communities Organizing for Power through Empathy (COPE) intervention in adults in communities having recently experienced or at risk of experiencing disaster. The main questions it aims to answer are:
Participants will participate in the three session COPE intervention. Researchers will compare individuals who participate in the COPE intervention to individuals who participate in house meetings to see if the COPE intervention improves mental health, coping, social support and community resilience. Researchers will also examine factors that affect implementation and intervention delivery.
This Community-Based Participatory Research (CBPR) study will follow a multiphase mixed-methods design to adapt, deliver, and assess the efficacy of the Communities Organizing for Power through Empathy (COPE) intervention model. We will partner with a broad-based community organization, Together Baton Rouge, to adapt the intervention model to fit the context of East Baton Rouge Parish (EBRP) and deliver it to members of religious and non-profit institutions.
The objectives of the multi-level COPE intervention model are twofold: (1) reduce psychological distress and amplify protective factors among individuals and communities at risk of experiencing disasters; and (2) build individual and community psychological support response capacity. The intervention will be delivered by trained Community Facilitators (CFs) at community institutions (i.e., churches) to their institutional members. We will conduct a stepped wedge cluster randomized controlled trial (SWCRCT) to examine the impact of the COPE intervention. Measures of mental health, coping, social support and community resilience will be assessed at four timepoints (see timeline for data collection timepoints). We will conduct interviews and group reflections with CFs and participants to gain insight into their experiences with the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COPE Intervention | Experimental | Is a three session brief group psychoeducational intervention. Session 1 is 4 hours, Session 2 and 3 are 1.5 hours. It is delivered in groups of 8-15 people with sessions spaced 1 month apart. |
|
| House Meeting Control | Active Comparator | Is a 1.5 hour group meeting delivered in groups of 8-15 people spaced 1 month apart. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| COPE: Communities Organizing for Power through Empathy | Behavioral | A three session brief group psychoeducational intervention. Session 1 is 4 hours, Session 2 and 3 are 1.5 hours. It is delivered in groups of 8-15 people with sessions spaced 1 month apart. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in perceived stress from baseline | Measured using Perceived Stress Scale, a 10-item scale that measures the degree to which a person appraises situations in their life as stressful. | T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
| Change in depression symptoms from baseline | Measured using The Depression, Anxiety, and Stress Scale (DASS), a set of three self-report scales designed to measure depression, anxiety and stress. | T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
| Change in anxiety symptoms from baseline | Measured using The Depression, Anxiety, and Stress Scale (DASS), a set of three self-report scales designed to measure depression, anxiety and stress. | T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
| Change in stress symptoms from baseline | Measured using The Depression, Anxiety, and Stress Scale (DASS), a set of three self-report scales designed to measure depression, anxiety and stress. | T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
| Change in perceived social support from baseline | Measured using the Multidimensional Scale of Perceived Social Support (MSPSS) is a 12 item scale, assessing perceived social support and connection. | T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
| Change in coping from baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Intervention acceptibility | Measured using the Acceptability of Intervention Measure (AIM), a 4 item measure of agreement with intervention. | After delivery of 3rd session |
| Intervention appropriateness |
| Measure | Description | Time Frame |
|---|---|---|
| Interviews | Semi-structured interviews about experience with participating in or facilitating the intervention | From date of first intervention delivery until 3 months post-date of delivery of final intervention session |
| Focus groups |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jennifer L Scott, PhD, LCSW | Contact | 225-578-0433 | jenscott@lsu.edu | |
| Tara L Powell, PhD | Contact | 217-300-0917 | tlpowell@illinois.edu |
| Name | Affiliation | Role |
|---|---|---|
| Jennifer L Scott, PhD, LCSW | Louisiana State University Health Sciences Center in New Orleans | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Together Baton Rouge | Recruiting | Baton Rouge | Louisiana | 70802 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40392582 | Derived | Scott J, Powell T, Lee-Johnson NM. The Communities Organizing for Power Through Empathy (COPE) Community-Based Intervention to Improve Adult Mental Health During Disasters and Crises: Protocol for a Stepped-Wedge Cluster Randomized Trial. JMIR Res Protoc. 2025 May 20;14:e63723. doi: 10.2196/63723. |
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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Measured using the Coping Self-Efficacy Scale (CSES) short form, a 12-item measure of confidence in managing stressors. |
| T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
| Change in community resilience from baseline | Measured using the Communities Advancing Resilience Toolkit (CART), a 21-item measure of community resilience items across 4 interrelated domains that both reflect and contribute to community resilience: (1) Connection and Caring; (2) Resources; (3) Transformative Potential; and (4) Disaster Management. | T1 (pre-intervention), T2 (1 month post-intervention), T3 (2 months post-intervention), T4 (3 months post-intervention) |
Measured using the Appropriateness Measure (IAM), a 4 item measure of agreement with the appropriateness of the intervention.
| After delivery of 3rd session |
| Intervention feasibility | Measured using the Feasibility of Intervention Measure (FIM), a 4 item measure of agreement with the feasibility of implementing the intervention. | After delivery of 3rd session |
Periodic reflections conducted with community facilitators.
| From date of first intervention delivery until 3 months post-date of delivery of final intervention session |
| Intervention fidelity | Assessed via facilitator observation using a structured fidelity questionnaire/form. | At each intervention session. |