GRIT Intervention for Adverse Childhood Experiences

Recruiting in Palo Alto (17 mi)

Overseen ByDawn T. Bounds, Ph.D.

Age: < 18

Sex: Any

Travel: May be covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of California, Irvine

No Placebo Group

Trial Summary

What is the purpose of this trial?The goal of this 2-arm randomized control trial is to determine the impact of a community health worker delivered coaching intervention, GRIT, on preventing the early initiation of regular use of alcohol and cannabis among adversity-impacted adolescents ages 11-14 who do not regularly use alcohol or cannabis at baseline. The specific aims include: * Aim 1. Examine the effect of GRIT on preventing the early initiation of regular alcohol and cannabis use over time. * Aim 2. Examine the role of youth and caregiver self-regulation in mediating the effect of GRIT on adolescent rates of alcohol and cannabis use. Researchers will compare participants who are randomized to the GRIT intervention to an active control group, receiving a Digital Citizenship Curriculum, to see if those who participate in GRIT experience greater improvements in self-regulation and lower cardiometabolic risks. Participants will: * Be randomized to either receive the GRIT intervention (experimental group) or the Digital Citizenship Curriculum (active control group) * Complete 3 in-person visits at baseline, post-intervention, and 12-month post intervention * Complete HRV assessments using emWave Pro Plus and survey assessments on REDCap during in-person visits. * Participate in six 60-minute sessions conducted over 8 weeks via Zoom with an assigned community-health worker * Be invited to complete a booster session at 6-months post-intervention * Complete online measures at baseline, post-intervention, 6-month, and 12-month post-intervention

Eligibility Criteria

The THRIVE Study is for adolescents aged 11-14 who have faced adverse childhood experiences and do not regularly use alcohol or cannabis. They must be able to attend three in-person visits, participate in Zoom sessions, and complete online measures over a year.

Inclusion Criteria

I am aged 11-14 and have a high-risk score for childhood stress.

Exclusion Criteria

I have used alcohol or cannabis in the last 14 days.

Participant Groups

This study tests if the GRIT program helps prevent early regular use of alcohol and cannabis better than a Digital Citizenship Curriculum. It involves coaching by community health workers, heart rate variability assessments, surveys, and follow-up booster sessions.

2Treatment groups

Experimental Treatment

Active Control

Group I: GRIT InterventionExperimental Treatment1 Intervention

Group II: Digital Citizenship CurriculumnActive Control1 Intervention