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Effectiveness of Treatment for Relational Aggression in Urban African American Girls
This study is currently recruiting participants.
Verified by National Institute of Mental Health (NIMH), October 2008
Sponsored by: National Institute of Mental Health (NIMH)
Information provided by: National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier: NCT00510094
  Purpose

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.


Condition Intervention Phase
Aggression
Behavioral: Friend to Friend program
Behavioral: Psychoeducational attention control intervention
Phase III

U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Determining the Efficacy of a Relational Aggression Intervention for Urban African American Girls

Further study details as provided by National Institute of Mental Health (NIMH):

Primary Outcome Measures:
  • Peer nominations [ Time Frame: Measured immediately post-treatment ] [ Designated as safety issue: No ]
  • Playground observations [ Time Frame: Measured immediately post-treatment ] [ Designated as safety issue: No ]
  • Children's Social Behavior Questionnaire [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Social Cognitive Assessment Profile [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Cartoon Based Hostile Attribution Bias Measure [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Nursing reports of injuries [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Discipline referrals and suspensions [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Academic Performance Rating Scale [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Homework Performance Questionnaire [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Asher-Wheeler Loneliness Questionnaire [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Iowa-Conner Aggression subscale [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Student-Teacher Relationship Scale [ Time Frame: Measured immediately post-treatment and at 9-month follow-up ] [ Designated as safety issue: No ]
  • Peer Ratings of Aggression and Prosocial Behavior [ Time Frame: Measured immediately post-treatment ] [ Designated as safety issue: No ]

Estimated Enrollment: 140
Study Start Date: October 2007
Estimated Study Completion Date: April 2012
Estimated Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Participants will receive the Friend to Friend program
Behavioral: Friend to Friend program
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.
2: Active Comparator
Participants will receive the psychoeducational attention control intervention
Behavioral: Psychoeducational attention control intervention
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.

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.

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00510094

Contacts
Contact: Stephen S. Leff, PhD 215-590-7067 Leff@email.chop.edu

Locations
United States, Pennsylvania
The Children's Hospital of Philadelphia Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Brooke Paskewich, MS     215-590-3193     Paskewich@email.chop.edu    
Principal Investigator: Stephen S. Leff, PhD            
Sub-Investigator: Thomas J. Power, PhD            
Sub-Investigator: Abbas Jawad, PhD            
Sponsors and Collaborators
Investigators
Principal Investigator: Stephen S. Leff, PhD Children's Hospital of Philadelphia
  More Information

Publications:
Responsible Party: The Children's Hospital of Philadelphia ( Stephen S. Leff, PhD )
Study ID Numbers: R01 MH75787, DSIR 84-CTS
Study First Received: July 30, 2007
Last Updated: October 1, 2008
ClinicalTrials.gov Identifier: NCT00510094  
Health Authority: United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
Social Skills
Anger Management
Relational Aggression

Study placed in the following topic categories:
Aggression
Behavioral Symptoms

ClinicalTrials.gov processed this record on January 16, 2009