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RECRUITING
NCT07842432
NA

Improving Student Mental Health Through a Universal Trauma-Informed Intervention

Sponsor: Johns Hopkins Bloomberg School of Public Health

View on ClinicalTrials.gov

Summary

The goal of this trial is to identify the most effective ways for schools to deliver RAP Club, a universal school-based mental health intervention. RAP Club is an evidence-based group program designed to help 8th grade students manage stress, regulate emotions, and make healthy decisions. This study investigates two factors related to program implementation: type of program facilitator (teacher vs. school-based clinician) and level of facilitator supervision (standard vs. enhanced). The investigators will test four conditions that represent all combinations of these two factors. The main questions this study aims to answer are: * Which combination of facilitator type and supervision level is most effective for improving student mental health? * How much does each of the four conditions cost, and how cost-effective, practical, and acceptable is each? The investigators will work with 32 public schools. Each school will deliver two RAP Club groups with approximately 15 students per group. One group will be led by a school clinician and the other by a teacher. One of these facilitators will be randomized to receive weekly group supervision and the other to receive enhanced supervision, which also includes observation and coaching. The investigators will collect survey data on student mental health at baseline, after RAP Club, at 4-month follow-up, and at 12-month follow up when students are in 9th grade. The investigators will also collect academic data, program delivery data (e.g., attendance), and feedback from students, facilitators, and principals.

Official title: Improving Student Mental Health Through a Universal Trauma-Informed Intervention: Testing Effectiveness and Implementation of Relax, be Aware, and do a Personal Rating (RAP) Club

Key Details

Gender

All

Age Range

12 Years - 15 Years

Study Type

INTERVENTIONAL

Enrollment

960

Start Date

2026-10-08

Completion Date

2031-03

Last Updated

2026-10-19

Healthy Volunteers

Yes

Interventions

BEHAVIORAL

RAP Club Delivered by a School Clinician

RAP Club is a 12-session universal group intervention to promote mental health among 8th graders. It is delivered twice weekly over six weeks during the school day. Sessions include mindfulness practices and skills training in emotion regulation, distress tolerance, communication, and problem-solving. School-based mental health providers will be trained to deliver the program.

BEHAVIORAL

RAP Club Delivered by a Teacher

RAP Club is a 12-session universal group intervention to promote mental health among 8th graders. It is delivered twice weekly over six weeks during the school day. Sessions include mindfulness practices and skills training in emotion regulation, distress tolerance, communication, and problem-solving. Teachers and school staff members without specialized mental health training will be trained to deliver the program.

BEHAVIORAL

Standard Supervision

RAP Club facilitators receive weekly virtual group supervision.

BEHAVIORAL

Enhanced Supervision

RAP Club facilitators receive weekly virtual group supervision plus in-person observation and coaching once per week (i.e., at 6 of the 12 intervention sessions).

Locations (3)

Henderson-Hopkins School

Baltimore, Maryland, United States

Walter P. Carter Elementary/Middle School

Baltimore, Maryland, United States

Francis Scott Key Elementary/Middle School

Baltimore, Maryland, United States