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One Talk at a Time: A Racial-ethnic Socialization Intervention for Diverse Families (OTAAT)

Primary Purpose

Depressive Symptoms, Anxiety Disorders and Symptoms, Behavioral Symptoms

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
One Talk at a Time: Race
One Talk at a Time: General
Sponsored by
University of North Carolina, Greensboro
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Depressive Symptoms focused on measuring Ethnic-racial socialization, Race, Ethnicity, Discrimination, Diverse families, Cultural socialization, Preparation for bias, Culture, Parent-Child communication

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Parent of a child between the ages of 11 and 13
  • Parental race/ethnicity either of East Asian, African American, Latinx (Central American) background
  • Both parents are from the same pan-ethnic group

Exclusion Criteria:

  • N/A

Sites / Locations

  • University of North Carolina GreensboroRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

OTAAT

Parent-Child Communication

Arm Description

This group will receive the One Talk at a Time curriculum.

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.

Outcomes

Primary Outcome Measures

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.
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
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
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)

Secondary Outcome Measures

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.
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.
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.
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.
Youth Self-Esteem (Youth and parent report)
Youth's self-esteem will be assessed using the Rosenberg (1979) measure
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)
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)

Full Information

First Posted
July 7, 2022
Last Updated
November 3, 2022
Sponsor
University of North Carolina, Greensboro
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1. Study Identification

Unique Protocol Identification Number
NCT05454293
Brief Title
One Talk at a Time: A Racial-ethnic Socialization Intervention for Diverse Families
Acronym
OTAAT
Official Title
One Talk at a Time: A Racial-ethnic Socialization Intervention for Diverse Families to Reduce Psychosocial Inequalities
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 24, 2022 (Actual)
Primary Completion Date
June 30, 2025 (Anticipated)
Study Completion Date
June 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of North Carolina, Greensboro

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Depressive Symptoms, Anxiety Disorders and Symptoms, Behavioral Symptoms, Ethnic-Racial Socialization
Keywords
Ethnic-racial socialization, Race, Ethnicity, Discrimination, Diverse families, Cultural socialization, Preparation for bias, Culture, Parent-Child communication

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
312 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
OTAAT
Arm Type
Experimental
Arm Description
This group will receive the One Talk at a Time curriculum.
Arm Title
Parent-Child Communication
Arm Type
Active Comparator
Arm Description
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.
Intervention Type
Other
Intervention Name(s)
One Talk at a Time: Race
Intervention Description
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.
Intervention Type
Other
Intervention Name(s)
One Talk at a Time: General
Intervention Description
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.
Primary Outcome Measure Information:
Title
Parental Motivation (Parent-reported)
Description
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
Title
Parental Skill (Parent-reported)
Description
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
Title
Parental Confidence (Parent-reported)
Description
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
Title
Coping with Discrimination (Youth-reported) Youth Coping with Discrimination
Description
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
Secondary Outcome Measure Information:
Title
Cultural Socialization Frequency (Parent and youth report)
Description
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
Title
Preparation for Bias Frequency (Parent and youth report)
Description
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
Title
Cultural Socialization Quality
Description
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
Title
Preparation for Bias Quality
Description
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
Title
Youth Self-Esteem (Youth and parent report)
Description
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
Title
Youth Depressive symptoms (Youth and parent report)
Description
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
Title
Youth Anxiety symptoms (Youth and parent report)
Description
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
Other Pre-specified Outcome Measures:
Title
Youth Academic Motivation (Youth and parent report)
Description
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
Title
Youth Behavioral Symptoms (Youth and parent report)
Description
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
Title
Youth Racial-Ethnic Identity (Youth-report)
Description
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
Title
Youth Racial-Ethnic Exploration (Youth-report)
Description
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
Title
Youth Coping Efficacy (Youth-report)
Description
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

10. Eligibility

Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Parent of a child between the ages of 11 and 13 Parental race/ethnicity either of East Asian, African American, Latinx (Central American) background Both parents are from the same pan-ethnic group Exclusion Criteria: N/A
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Gabriela Livas Stein, PhD
Phone
(336) 256-0041
Email
glstein@uncg.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gabriela Livas Stein, PhD
Organizational Affiliation
University of North Carolina, Greensboro
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Stephanie Coard, PhD
Organizational Affiliation
University of North Carolina, Greensboro
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Laura Gonzalez, PhD
Organizational Affiliation
University of North Carolina, Greensboro
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lisa Kiang, PhD
Organizational Affiliation
Wake Forest University
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of North Carolina Greensboro
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27401
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gabriela Livas-Stein, PhD
Phone
336-256-0041
Email
glstein@uncg.edu
First Name & Middle Initial & Last Name & Degree
Gabriela Livas Stein, PhD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

One Talk at a Time: A Racial-ethnic Socialization Intervention for Diverse Families

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