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Effectiveness of Treatment for Relational Aggression in Urban African American Girls

Primary Purpose

Aggression

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Friend to Friend program
Psychoeducational attention control intervention
Sponsored by
Children's Hospital of Philadelphia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Aggression focused on measuring Social Skills, Anger Management, Relational Aggression

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria for Schools :

  • Urban school located in Southwest Philadelphia
  • Student body is more than 80% African American
  • Large school with at least three classrooms per grade
  • Not currently involved with systematic anti-aggression social skills program

Inclusion Criteria for Participants:

  • In the 3rd, 4th, or 5th grade
  • Meets diagnostic criteria for relational aggression

Exclusion Criteria for Participants:

  • Enrolled in special education and not integrated into a regular education classroom

Sites / Locations

  • The Children's Hospital of Philadelphia

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

1

2

Arm Description

Participants will receive the Friend to Friend program

Participants will receive the psychoeducational attention control intervention

Outcomes

Primary Outcome Measures

Peer nominations
Playground observations
Children's Social Behavior Questionnaire
Social Cognitive Assessment Profile
Cartoon Based Hostile Attribution Bias Measure
Knowledge of Anger Problem Solving (KAPS)

Secondary Outcome Measures

Discipline referrals and suspensions
Academic Performance Rating Scale
Homework Performance Questionnaire
Asher-Wheeler Loneliness Questionnaire
Iowa-Conner Aggression subscale
Student-Teacher Relationship Scale
Peer Ratings of Aggression and Prosocial Behavior
Harter, Self-Perception Profile for Children
Peer Sympathy Scale

Full Information

First Posted
July 30, 2007
Last Updated
June 3, 2015
Sponsor
Children's Hospital of Philadelphia
Collaborators
National Institute of Mental Health (NIMH)
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1. Study Identification

Unique Protocol Identification Number
NCT00510094
Brief Title
Effectiveness of Treatment for Relational Aggression in Urban African American Girls
Official Title
Determining the Efficacy of a Relational Aggression Intervention for Urban African American Girls
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Children's Hospital of Philadelphia
Collaborators
National Institute of Mental Health (NIMH)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the effectiveness of a school-based social cognitive group treatment in reducing aggression (bullying) among relationally aggressive urban African American girls.
Detailed Description
Relational aggression, also known as "female bullying," is a type of psychological aggression in which covert tactics are used to harm other people and their relationships. These tactics include humiliation, intimidation, coercing, shaming, malicious teasing, shunning, and using other forms of emotional abuse in an attempt to harm others. Although aggressive behavior is typically common among younger children, most children become less aggressive as they mature and develop better interpersonal skills. However, consistent aggressive behavior can lead to further problems and increased violence in the aggressor. In this study, a social cognitive anger management group intervention called Friend to Friend (F2F) will be evaluated as a way to develop more productive social and emotional functioning among relationally aggressive urban African American girls. Participants will be randomly assigned to either the F2F program or a psycho-educational attention control (PAC) group. All participants will attend 40-minute treatment sessions twice a week for a total of 10 weeks. The sessions will occur during the girls' lunch or recess period. Participants assigned to the F2F program will learn how to identify signs of physiological arousal, react to a potential conflict while generating alternatives to the solution, and apply previously discussed social cognitive strategies to different situations. Culturally specific cartoons, videotape illustrations, and role playing will be used to portray these improved strategies and behaviors. Participants assigned to the PAC group will learn different organization and homework strategies as well as how to improve their study skills in an attempt to improve their overall academic performance. Outcomes will be assessed through observation, school reports, and questionnaires for all participants at baseline, immediately after treatment, and 9 months after treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aggression
Keywords
Social Skills, Anger Management, Relational Aggression

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
144 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Participants will receive the Friend to Friend program
Arm Title
2
Arm Type
Active Comparator
Arm Description
Participants will receive the psychoeducational attention control intervention
Intervention Type
Behavioral
Intervention Name(s)
Friend to Friend program
Other Intervention Name(s)
Relational aggression intervention
Intervention Description
Friend to Friend arm is a social information processing group treatment to help aggressive girls learn better social problem solving and decision making choices. Participants will learn how to identify signs of physiological arousal, evaluate others' intentions, react to a potential conflict situation, and generate and evaluate alternatives. Treatment sessions are twice per week (30 to 40 minutes per session) for ten weeks.
Intervention Type
Behavioral
Intervention Name(s)
Psychoeducational attention control intervention
Other Intervention Name(s)
Homework and study skills intervention
Intervention Description
Psychoeducational attention control group also meets two times per week for 10 weeks to control for nonspecific factors of treatment. Participants learn homework, study skills, and organizational skills.
Primary Outcome Measure Information:
Title
Peer nominations
Time Frame
Measured pre-treatment and immediately post-treatment
Title
Playground observations
Time Frame
Measured pre-treatment and immediately post-treatment
Title
Children's Social Behavior Questionnaire
Time Frame
Measured pre-treatment and immediately post-treatment and at 9-month follow-up
Title
Social Cognitive Assessment Profile
Time Frame
Measured pre-treatment and immediately post-treatment and at 9-month follow-up
Title
Cartoon Based Hostile Attribution Bias Measure
Time Frame
Measured pre-treatment and immediately post-treatment and at 9-month follow-up
Title
Knowledge of Anger Problem Solving (KAPS)
Time Frame
Measured pre-treatment, immediately post-treatment, and at 9 month follow-up
Secondary Outcome Measure Information:
Title
Discipline referrals and suspensions
Time Frame
Measured pre-treatment, immediately post-treatment and at 9-month follow-up
Title
Academic Performance Rating Scale
Time Frame
Measured pre-treatment, immediately post-treatment and at 9-month follow-up
Title
Homework Performance Questionnaire
Time Frame
Measured pre-treatment, immediately post-treatment and at 9-month follow-up
Title
Asher-Wheeler Loneliness Questionnaire
Time Frame
Measured pre-treatment, immediately post-treatment and at 9-month follow-up
Title
Iowa-Conner Aggression subscale
Time Frame
Measured pre-treatment, immediately post-treatment and at 9-month follow-up
Title
Student-Teacher Relationship Scale
Time Frame
Measured pre-treatment, immediately post-treatment and at 9-month follow-up
Title
Peer Ratings of Aggression and Prosocial Behavior
Time Frame
Measured pre-treatment, immediately post-treatment
Title
Harter, Self-Perception Profile for Children
Time Frame
Measured pre-treatment, immediately post-treatment, and at 9 month follow-up
Title
Peer Sympathy Scale
Time Frame
Measured pre-treatment, immediately post-treatment, and at 9 month follow-up

10. Eligibility

Sex
Female
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria for Schools : Urban school located in Southwest Philadelphia Student body is more than 80% African American Large school with at least three classrooms per grade Not currently involved with systematic anti-aggression social skills program Inclusion Criteria for Participants: In the 3rd, 4th, or 5th grade Meets diagnostic criteria for relational aggression Exclusion Criteria for Participants: Enrolled in special education and not integrated into a regular education classroom
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stephen S. Leff, PhD
Organizational Affiliation
Children's Hospital of Philadelphia
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Children's Hospital of Philadelphia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16999803
Citation
Leff SS, Crick NR, Angelucci J, Haye K, Jawad AF, Grossman M, Power TJ. Social cognition in context: validating a cartoon-based attributional measure for urban girls. Child Dev. 2006 Sep-Oct;77(5):1351-8. doi: 10.1111/j.1467-8624.2006.00939.x.
Results Reference
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Citation
Leff, S. S., Angelucci, J., Goldstein, A. B., Cardaciotto, L., Paskewich, B., & Grossman, M. (2007). Using a participatory action research model to create a school-based intervention program for relationally aggressive girls: The Friend to Friend Program. In J. Zins, M. Elias, & C. Maher (Eds.), Bullying, Victimization, and Peer Harassment: Handbook of Prevention and Intervention in Peer Harassment, Victimization, and Bullying (199-218). New York. Haworth Press.
Results Reference
background
PubMed Identifier
19830622
Citation
Leff SS, Gullan RL, Paskewich BS, Abdul-Kabir S, Jawad AF, Grossman M, Munro MA, Power TJ. An initial evaluation of a culturally adapted social problem-solving and relational aggression prevention program for urban African-American relationally aggressive girls. J Prev Interv Community. 2009;37(4):260-74. doi: 10.1080/10852350903196274.
Results Reference
background
PubMed Identifier
19834586
Citation
Blom-Hoffman J, Leff SS, Franko DL, Weinstein E, Beakley K, Power TJ. Consent Procedures and Participation Rates in School-Based Intervention and Prevention Research: Using a Multi-Component, Partnership-Based Approach to Recruit Participants. School Ment Health. 2009 Mar 1;1(1):3-15. doi: 10.1007/s12310-008-9000-7.
Results Reference
background
PubMed Identifier
20428475
Citation
Gullan RL, Feinberg BE, Freedman MA, Jawad A, Leff SS. Using Participatory Action Research to Design an Intervention Integrity System in the Urban Schools. School Ment Health. 2009 Sep 1;1(3):118-130. doi: 10.1007/s12310-009-9006-9.
Results Reference
background
PubMed Identifier
23389773
Citation
Leff SS, Waasdorp TE. Effect of aggression and bullying on children and adolescents: implications for prevention and intervention. Curr Psychiatry Rep. 2013 Mar;15(3):343. doi: 10.1007/s11920-012-0343-2.
Results Reference
background
PubMed Identifier
23086015
Citation
Waasdorp TE, Baker CN, Paskewich BS, Leff SS. The association between forms of aggression, leadership, and social status among urban youth. J Youth Adolesc. 2013 Feb;42(2):263-74. doi: 10.1007/s10964-012-9837-9. Epub 2012 Oct 20.
Results Reference
background
PubMed Identifier
22556114
Citation
Macevoy JP, Leff SS. Children's sympathy for peers who are the targets of peer aggression. J Abnorm Child Psychol. 2012 Oct;40(7):1137-48. doi: 10.1007/s10802-012-9636-5.
Results Reference
background
PubMed Identifier
21800228
Citation
Leff SS, Lefler EK, Khera GS, Paskewich B, Jawad AF. Preliminary examination of a cartoon-based hostile attributional bias measure for urban African American boys. Am J Community Psychol. 2012 Jun;49(3-4):332-46. doi: 10.1007/s10464-011-9461-y.
Results Reference
background
PubMed Identifier
21686034
Citation
Leff SS, Waasdorp TE, Paskewich B, Gullan RL, Jawad AF, Macevoy JP, Feinberg BE, Power TJ. The Preventing Relational Aggression in Schools Everyday Program: A Preliminary Evaluation of Acceptability and Impact. School Psych Rev. 2010 Dec;39(4):569-587.
Results Reference
background
PubMed Identifier
20449645
Citation
Leff SS, Cassano M, MacEvoy JP, Costigan T. Initial validation of a knowledge-based measure of social information processing and anger management. J Abnorm Child Psychol. 2010 Oct;38(7):1007-20. doi: 10.1007/s10802-010-9419-9.
Results Reference
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Effectiveness of Treatment for Relational Aggression in Urban African American Girls

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