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AnxietyNCT05822687

Factorial Optimization Trial to Test Effects of Coping Intervention Components

A study testing Education, Reappraisal Coping and Distraction Coping in people with Anxiety and Depression, run by Arizona State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

This study will identify components for inclusion in a coping intervention package to reduce mental health problems among children exposed to high interparental conflict after parental separation/divorce. Read more about this study

Who is it for?
Ages 9 to 12 years
Conditions the study is for
Anxiety, Depression, Coping Skills
What is being tested?
Education, Reappraisal Coping and Distraction Coping
Could I receive a placebo?
No, everyone receives an active treatment
How many people
148 participants
Where
1 siteUnited States
Study dates
18 Feb 2023to 30 Mar 2026
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 9 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • child between ages 9-12 whose parents are separated or divorced
  • child and one parent are fluent in English
  • a parent with sufficient contact (i.e., at least 4 overnights and/or 12 daytime visits per month) with child who is willing to complete study assessments and has legal right to give permission for the child to participate in research
  • child-report of high exposure to IPC (mean Z score ≥ 40th percentile on the two child report measures of IPC; score standardization based on data from 559 youth whose parents participated in an experimental parenting program)
  • elevated internalizing or externalizing problems (T score in the borderline clinical range according to either child or parent report on the BPM).

Who cannot join

  • in active therapy
  • score ≥ 99th percentile on either internalizing and externalizing problems subscale
  • endorse suicidality (will be ineligible for the study and referred for treatment)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Arizona State University

    Tempe, Arizona, 85087

Other trials in United States

About this study

Official title: Promoting Effective Coping by Children Exposed to Post-divorce Interparental Conflict to Reduce Risk for Mental Health Problems

This study will identify components for inclusion in a coping intervention package to reduce mental health problems among children exposed to high interparental conflict after parental separation/divorce. Reappraisal, distraction, and relaxation coping strategies are related to fewer mental health problems among children, making intervention components based on these strategies key candidates for inclusion in an optimized coping intervention. The primary aim is to experimentally assess the main and interactive effects of three digital intervention coping components (reappraisal, distraction, relaxation) on children's coping efficacy, emotional security, and internalizing and externalizing problems. Secondary aims are to assess indirect effects of the intervention components on children's coping efficacy, emotional security, and internalizing and externalizing problems through their cognitive, emotional, and behavioral reactions to post-separation/divorce interparental conflict events.

Read the detailed description

A randomized and counterbalanced 2x2x2 factorial trial (N = 144 children, ages 9-12) will be conducted to assess the individual effects of the three digital coping intervention components. The three components to be tested will be: (1) Reappraisal (No vs. Yes), (2) Distraction (No vs. Yes), (3) Relaxation (No vs. Yes). Components that meet a priori thresholds for meaningful change will be combined to form an intervention package that will be evaluated in a subsequent randomized controlled trial.

Being tested
Education, Reappraisal Coping, Distraction Coping, Relaxation Coping
Keywords
optimization, parental divorce/separation, interparental conflict, adaptive coping, child mental health
Medical subject headings
Anxiety Disorders, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EducationBehavioural

    This is a constant component; all participants will get a psychoeducation digital module.

  • Reappraisal CopingBehavioural

    This digital module will teach reappraisal coping skills.

  • Distraction CopingBehavioural

    This digital module will teach distraction coping skills.

  • Relaxation CopingBehavioural

    This digital module will teach relaxation coping skills.

Study groups in NCT05822687
Study groupRoleWhat they receive
EducationExperimentalParticipants will complete an educational digital module and no skills-based digital modules.
Receives: Behavioral: Education
Education + ReappraisalExperimentalParticipants will complete an educational digital module and a skills-based digital module that teaches reappraisal coping.
Receives: Behavioral: Education; Behavioral: Reappraisal Coping
Education + DistractionExperimentalParticipants will complete an educational digital module and a skills-based digital module that teaches distraction coping.
Receives: Behavioral: Education; Behavioral: Distraction Coping
Education + RelaxationExperimentalParticipants will complete an educational digital module and a skills-based digital module that teaches relaxation coping.
Receives: Behavioral: Education; Behavioral: Relaxation Coping
Education + Reappraisal + DistractionExperimentalParticipants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches distraction coping.
Receives: Behavioral: Education; Behavioral: Reappraisal Coping; Behavioral: Distraction Coping
Education + Reappraisal + RelaxationExperimentalParticipants will complete an educational digital module and two skills-based digital modules, one that teaches reappraisal coping and one that teaches relaxation coping.
Receives: Behavioral: Education; Behavioral: Reappraisal Coping; Behavioral: Relaxation Coping
Education + Distraction + RelaxationExperimentalParticipants will complete an educational digital module and two skills-based digital modules, one that teaches distraction coping and one that teaches relaxation coping.
Receives: Behavioral: Education; Behavioral: Distraction Coping; Behavioral: Relaxation Coping
Education + Reappraisal + Distraction + RelaxationExperimentalParticipants will complete an educational digital module and three skills-based digital modules, one that teaches reappraisal coping, one that teaches distraction coping, and one that teaches relaxation coping.
Receives: Behavioral: Education; Behavioral: Reappraisal Coping; Behavioral: Distraction Coping; Behavioral: Relaxation Coping

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Child-Reported Interparental Emotional Security Score on the SIS-SF at 3-Month Follow-Up

    Child-reported Security in the Interparental Subsystem Scale-Short Form (SIS-SF; Holt et al., 2020). The score is the mean of 17 items rated from 0 (not at all true) to 3 (very true for me). Higher scores indicate greater interparental emotional security (better outcome). The outcome table reports observed scores; factorial analyses adjust for baseline SIS-SF and prespecified covariates.

    Measured: approximately 3 months after posttest

  2. Mean Child-Reported Family Emotional Security Score on the SIFS at 3-Month Follow-Up

    Child-reported Security in the Family System Scale (SIFS; Forman \& Davies, 2005). The score is the mean of 24 items rated from 0 (completely disagree) to 3 (completely agree). Higher scores indicate greater family emotional security (better outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline SIFS score and prespecified covariates.

    Measured: approximately 3 months after posttest

  3. Mean Child-Reported Coping Efficacy Score on the CES at 3-Month Follow-Up

    Child-reported Coping Efficacy Scale (CES; Sandler et al., 2000). The score is the mean of 7 items rated from 0 (not at all) to 3 (very). Higher scores indicate greater coping efficacy (better outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline CES score and prespecified covariates.

    Measured: approximately 3 months after posttest

  4. Mean Child-Reported Internalizing Problems Score on the BPM at 3-Month Follow-Up

    Child-reported Brief Problem Monitor (BPM) Internalizing Problems scale. The score is the mean of 6 items rated from 0 (not true) to 2 (very true). Higher scores indicate more internalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline child-reported BPM Internalizing Problems score and prespecified covariates.

    Measured: approximately 3 months after posttest

  5. Mean Parent-Reported Internalizing Problems Score on the BPM at 3-Month Follow-Up

    Parent-reported Brief Problem Monitor (BPM) Internalizing Problems scale. The score is the mean of 6 items rated from 0 (not true) to 2 (very true). Higher scores indicate more internalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline parent-reported BPM Internalizing Problems score and prespecified covariates.

    Measured: approximately 3 months after posttest

  6. Mean Child-Reported Externalizing Problems Score on the BPM at 3-Month Follow-Up

    Child-reported Brief Problem Monitor (BPM) Externalizing Problems scale. The score is the mean of 7 items rated from 0 (not true) to 2 (very true). Higher scores indicate more externalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline child-reported BPM Externalizing Problems score and prespecified covariates.

    Measured: approximately 3 months after posttest

  7. Mean Parent-Reported Externalizing Problems Score on the BPM at 3-Month Follow-Up

    Parent-reported Brief Problem Monitor (BPM) Externalizing Problems scale. The score is the mean of 7 items rated from 0 (not true) to 2 (very true). Higher scores indicate more externalizing problems (worse outcome). The outcome table reports observed scores; the attached factorial analyses adjust for the baseline parent-reported BPM Externalizing Problems score and prespecified covariates.

    Measured: approximately 3 months after posttest

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Apr 2023
  2. Study start18 Feb 2023
  3. Primary completion30 Mar 2026
  4. Study completion30 Mar 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
148 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05822687
Sponsor's protocol ID
STUDY00016078
Other IDs
K01MH120321
Status last verified
Sep 2026
First submitted
17 Feb 2023
Last updated
30 Sep 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Study results will be shared through presentations at conferences and submissions in peer-reviewed journals. In addition, after taking all steps necessary to minimize possible re-identification of confidential data, I will make data, codebooks, and analysis scripts available to appropriate parties to verify findings and conclusions.

Publications

  • O'Hara KL, Wolchik SA, Sandler IN, West SG, Reis HT, Collins LM, Lyon AR, Cummings EM. Preventing Mental Health Problems in Children After High Conflict Parental Separation/Divorce Study: An Optimization Randomized Controlled Trial Protocol. Ment Health Prev. 2023 Dec;32:200301. doi: 10.1016/j.mhp.2023.200301. Epub 2023 Sep 16.

    PubMed 38496232

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