Skip to main content
OpenTrials
Completed

NCT Number: NCT04514133

Testing the Causal Effects of a Civic Engagement Intervention on Health and Wellbeing Among Youth (I-ACTED)

The purpose of this research is to understand how participating or not participating in an action civics curriculum may affect the health and wellbeing of young people. Participants will be chosen from students who attend certain schools that choose to participate in the action civics curriculum. Participation in this research involves completing surveys during class time in the Spring and Fall 2021-2022 semesters and then completing online surveys outside of class in the future.

Completed

Looking for future studies?

Notify Me

Key information

Age range

10 year–20 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Wake Forest School of Medicine

Winston-Salem, North Carolina, 27157, United States

About this study

Equal access to civic resources, such as opportunities for civic engagement and connections to one's community, are an important part of a culture of health. Meaningful experiences in civic engagement and community connectedness are transformative for young people - especially for youth from marginalized backgrounds, who often feel voiceless and excluded from decision-making in civic and social institutions. Theories and correlational evidence point to positive associations between civic engagement (e.g., volunteering, voting, and feelings of civic empowerment) and better mental, physical, and behavioral health and wellbeing. Meaningful civic engagement experiences may have an especially powerful effect on health and wellbeing for those from traditionally marginalized backgrounds. However, causal pathways between civic interventions, civic outcomes, and health and wellbeing outcomes among are not firmly established. Further, how civic engagement and sense of community affect health and wellbeing outcomes are unknown, and questions remain about for whom these effects may be especially beneficial. In this study, we ask whether an established civic intervention called Action Civics affects civic engagement and sense of community, and subsequently affects health and wellbeing among youth. To build on these observational findings, the study team will: (a) examine the causal links between youth civic engagement and sense of community and health, and (b) test whether an established school-based, civic engagement intervention can affect individual health and wellbeing and equity outcomes.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Currently enrolled Middle or High School student
  • Enrolled in a course with a teacher from a school participating in the study

Treatment and study plan

Participating in Action Civics program

Behavioral

Students in school classrooms participating in Action Civics program

Primary outcomes

  1. Youth Inventory of Involvement (activism, political engagement, and leadership items)

    Time frame: Baseline

    Questionnaire measures civic engagement using a Likert scale (1-5) with higher composite scores indicating more involvement in each domain

  2. Youth Inventory of Involvement (activism, political engagement, and leadership items)

    Time frame: 4-6 month following baseline

    Questionnaire measures civic engagement using a Likert scale (1-5) with higher composite scores indicating more involvement in each domain

  3. Youth Inventory of Involvement (activism, political engagement, and leadership items)

    Time frame: 1 year following baseline

    Questionnaire measures civic engagement using a Likert scale (1-5) with higher composite scores indicating more involvement in each domain

Secondary outcomes

  1. Community Connection Scale

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    Questionnaire measures sense of community using a Likert scale (1-5) with higher scores indicating higher sense of community. Based on from the California Healthy Kids Survey.

  2. Questionnaire from the National Longitudinal Study of Adolescent to Adult Health

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    Questionnaire measures physical and mental health and wellbeing. Response options vary from 4-6 levels for the scales; higher numbers indicate better health.

Other outcomes

  1. Center for Epidemiological Studies Depression (CES-D)

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    CES-D measures depressive symptoms using a 1-4 range (1=Rarely or none of the time, 2=Some or a little of the time, 3=Occasionally or a moderate amount of time, 4=All of the time). Higher scores CES-D suggest a greater presence of depressive symptoms.

  2. Tobacco, Alcohol, Prescription medication, and other Substance use Tool part 2 (TAPS- 2)

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    Behavioral health symptoms will be measured using adapted items from part 2 of the TAPS questionnaire using a 1-4 range (1=never, 2=once or twice, 3=monthly, 4=weekly or more). Scores on these questions generate a risk level per substance endorsed, based on a range of possible scores per substance.

  3. The World Health Organization- Five Well-Being Index (WHO-5)

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    WHO5 measures general wellbeing. Responses ranges from 0-25, with 25 representing best possible quality of life.

  4. Social wellbeing-School Absences

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    Responses are counted as a continuous variable (number of class days missed) to generate a value.

  5. Social wellbeing-Purpose tool

    Time frame: baseline, 4-6 month following baseline, 1 year following baseline

    Items measure future aspirations/goals using a Likert scale (1-5) with higher composite scores indicating better social wellbeing.

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Collaborators

  • Robert Wood Johnson Foundation

Registry information

Official study title

The I-ACTED Study: Testing the Causal Effects of a Civic Engagement Intervention on Health and Wellbeing Among Youth

Acronym: I-ACTED

Important dates

Study start
2021
Primary completion
2025
Study completion
2025
First posted
Aug 14, 2020
Registry last updated
Feb 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.