RECRUITING Not applicable ClinicalTrials.gov

Teachers Leading the Front Lines - North Carolina (Tealeaf-NC)

Sponsor: University of North Carolina, Chapel Hill • ClinicalTrials.gov ID: NCT06587230

Registry updated: 2026-09-03

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Description

Purpose: The purpose of this research is to pilot test a novel, alternative, potentially sustainable system of teacher-delivered, task-shifted child mental health care. Participants: \~300 estimated Procedures: This is a RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) guided, mixed methods, clustered evaluation of Tealeaf-NC's Reach, Adoption \& Implementation (Primary Outcomes, implementation-based), as well as evaluating for preliminary indicators of Effectiveness \& Maintenance (Secondary Outcomes, clinically-based).

Interventions

Teachers Leading the Frontlines (Behavioral)
1. During 3-day training, Knowledge and attitudes toward child mental health care are measured pre-training, post-training, and post-intervention. 2. The teachers select students whom they believe have the highest mental health needs to receive care. 3. Teachers analyze chosen students' symptoms. 4. Teachers analyze students' behavior with the AABC Chart. 5. Teachers develop a targeted response using a behavior plan called the 4Cs plan (Cause, Change, Connect, and Cultivate). In the 4Cs, teachers select therapeutic techniques to deliver from a menu of evidence-based therapeutic options for each category of behavior. 6. Throughout the year, teachers receive supervision through monthly site visits supplemented by as-needed telephone and digital discussions to guide their care from the study team. Teachers encourage the use of the 4Cs plan at home.
Responding to Students' Emotions Through Education (Behavioral)
All processes for RE-SEED are the same as in Tealeaf except... 1. Teachers receive only 1 day of training 2. The study team does not provide supervision to the teachers, allowing only the school counselor to provide supervision This less resource-intensive approach will allow for an ethical comparator to Tealeaf, where the schools would like for teachers to have some skills to support identified students.

Eligibility criteria

Inclusion Criteria: Schools: * Have been trained in either Tealeaf or RE-SEED in Summer 2024 or 2025 after being randomized programmatically * Be a school in the State of North Carolina * Have an eligible principal Principals: * \>18 years old * Employed at an enrolled school * Not suspected or convicted of child-related misconduct or maltreatment Teachers: * \>18 years old * Employed at an enrolled school * Primary teaching responsibility for a single academic class (for a minimum of 1 hour per day and a minimum of 4 days per week) in any grade level Kindergarten to Grade 8 * Not suspected or convicted of child-related misconduct or maltreatment Counselors: * \>18 years old * Employed at an enrolled school * Hold a school counselor position at an enrolled school for at least 10 hours per week * Not suspected or convicted of child-related misconduct or maltreatment Students: * Enrolled in Kindergarten-Grade 8 * Student of an enrolled teacher * Has a parent or guardian who can provide consent * Positive/Clinical-level score on the Strengths and Difficulties Questionnaire (SDQ) Guardians: * \>18 years old * Guardian of enrolled student Exclusion Criteria: * Exclusion criteria will be set as each participant does not meet the inclusion criteria as set for their group.

Conditions

Child Behavior Mental Health Issue Psychosocial Functioning Depression Anxiety

Locations

University of North Carolina at Chapel Hill — Chapel Hill, North Carolina, United States

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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