Recruiting

RAP Club

Sponsor:

Johns Hopkins Bloomberg School of Public Health

Code:

NCT07842432

Conditions

Anxiety Symptoms

Post-traumatic Stress Symptoms

Depressive Symptoms

Behavioral Problems

Eligibility Criteria

Sex: All

Age: 12 - 15

Healthy Volunteers: Accepted

Interventions

RAP Club Delivered by a School Clinician

RAP Club Delivered by a Teacher

Standard Supervision

Enhanced Supervision

Study Details

Brief 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.

Conditions

Anxiety Symptoms

Post-traumatic Stress Symptoms

Depressive Symptoms

Behavioral Problems

Study ID

NCT07842432

Start date

Oct 8, 2026

Status verified date

Oct, 2026

Completion date

Mar, 2031

Anticipated

Primary completion date

Mar, 2031

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 12 - 15

Healthy Volunteers: Accepted

Inclusion Criteria:

Students:

  • Eighth-grade students enrolled in a participating Baltimore City Public School who are not in a self-contained special education classroom

School Leaders:

  • Principals or vice principals from participating schools

RAP Club Facilitators:

  • School-based mental health providers or school staff members who deliver RAP Club at a participating school

Exclusion Criteria:

  • Students in self-contained special education classrooms are not eligible for participation because RAP Club has not been tailored to students in self-contained special education learning needs.
  • Students in foster care are not eligible for participation unless and until the study receives approval from the Social Services Administration for participation.

Study Design

Enrollment

960 participants

Anticipated

Allocation

Randomized

Intervention Model

Factorial

Primary purpose

Prevention

Interventions and Outcome Measures

Arms

experimental: Clinician Facilitator + Standard Supervision

Students participate in the RAP Club intervention delivered by a school-based mental health provider who receives standard supervision.

experimental: Clinician Facilitator + Enhanced Supervision

Students participate in the RAP Club intervention delivered by a school-based mental health provider who receives enhanced supervision.

experimental: Teacher + Standard Supervision

Students participate in the RAP Club intervention delivered by a teacher or staff member who receives standard supervision.

experimental: Teacher + Enhanced Supervision

Students participate in the RAP Club intervention delivered by a teacher who receives enhanced supervision.

Interventions

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.

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.

Standard Supervision

RAP Club facilitators receive weekly virtual group supervision.

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).

Primary outcome measure

  • Change in Post Traumatic Stress Disorder Symptoms as Assessed by the Child PTSD Symptom Scale V (CPSS-V-SR) [Effectiveness outcome] [ Time Frame: Baseline, post-intervention up to 2 weeks, 4-month follow-up, and 12-month follow-up ]

Central Contacts and Locations

Central contacts

Dahlia Aljuboori, MBChB, MHS

810-336-6737dahlia.aljuboori@jhmi.edu

Locations

Henderson-Hopkins School

Recruiting

Baltimore, Maryland, United States, 21205

Walter P. Carter Elementary/Middle School

Recruiting

Baltimore, Maryland, United States, 21212

Francis Scott Key Elementary/Middle School

Recruiting

Baltimore, Maryland, United States, 21230

More Information

Sponsor

Johns Hopkins Bloomberg School of Public Health

Last update posted

Oct 19, 2026

Last verified

Oct, 2026

Keywords

  • Trauma-Informed Intervention
  • Adolescent Mental Health
  • Implementation Science
  • School-Based Mental Health
  • Emotion Regulation
  • Mindfulness
  • RAP Club
  • Hybrid Effectiveness-Implementation Trial
  • Implementation Fidelity
  • Intervention Feasibility
  • Cost-Effectiveness
  • Project POWER Plus

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-20. This information was provided to ClinicalTrials.gov by Johns Hopkins Bloomberg School of Public Health on 2026-10-19. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.