Grow With Grit: A School Nurse-Led SBIRT Pilot for Early Anxiety Detection

Conditions

• Anxiety

Eligibility Criteria

Sex

ALL

Age

8 Years - 12 Years

Healthy Volunteers

Not accepted

Interventions

• Grow with Grit — BEHAVIORAL
  After targeted case-finding and enrollment, students and their parents or guardians complete the child and parent versions of the Screen for Child Anxiety Related Emotional Disorders (SCARED). Students with a score of 25 or higher on either version receive a standardized three- to five-minute, school nurse-delivered micro-CBT intervention during the same or next clinically appropriate encounter. The nurse provides brief psychoeducation about connections among body signals, thoughts, feelings, and stress; practices a coping skill matched to the student's concern, such as paced breathing, grounding, gentle movement, or cognitive reframing; and develops a brief plan for using the skill and returning to class when appropriate. The nurse also initiates a referral through the school's existing MTSS-aligned mental health pathway. Coping skills may be reinforced during subsequent school nurse encounters. Students who screen negative do not receive the study micro-CBT intervention or enter the

Study Details

All enrolled students and their parents or guardians will complete baseline anxiety questionnaires. Students with a positive baseline screen will receive a brief school nurse-delivered coping skill, referral support when indicated, and follow-up assessments at approximately three and six months. Students with a negative screen will not enter the intervention and follow-up phase.

Key Dates

First listed

Aug 17, 2026

Start date

Feb 9, 2026

Status verified

Aug 2026

Primary completion

Aug 31, 2027

Completion

Dec 31, 2027

Study Design

Enrollment

60 participants (estimated)

Allocation

NA

Intervention model

SINGLE_GROUP

Primary purpose

SCREENING

Arms

• Experimental: Grow with Grit School Nurse-Led SBIRT
  Participants complete child and parent anxiety screening. Students who screen positive receive a brief school nurse-led coping-skills intervention, referral through the school's existing mental health support pathway, and follow-up assessments at approximately three and six months. Students who screen negative do not continue into the intervention and follow-up phase.

Primary Outcome Measure

Positive Baseline Anxiety Screen Among Students Meeting the Somatic-Frequency Case-Finding Rule [ Time Frame: At baseline screening ]

Central Contacts

• Donna Sanders R Principal Investigator, DNP-PMH, BSN
  406-799-6554
  [email protected]
• Rebecca Brown Clinical Research Coordinator, BSN
  406-454-6045
  [email protected]

Locations (4)

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