6
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      School-based mental health promotion in children and adolescents with StresSOS using online or face-to-face interventions: study protocol for a randomized controlled trial within the ProHEAD Consortium

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Schools are an ideal setting in which to promote health. However, empirical data on the effectiveness of school-based mental health promotion programs are rare, and research on universal Internet-based prevention in schools is almost non-existent. Following the life skills approach, stress management training is an important component of health promotion. Mental health literacy is also associated with mental health status, and it facilitates formal help-seeking by children and adolescents (C&A). The main objectives of this study are (1) the development and evaluation of an Internet-based version of a universal school-based health promotion program called StresSOS and (2) demonstrating non-inferiority of the online setting compared to the face-to-face setting. StresSOS aims to improve stress management and mental health literacy in C&A.

          Methods/design

          A school-based sample of 15,000 C&A (grades 6–13 and older than 12 years) will be recruited in five regions of Germany within the ProHEAD Consortium. Those with a screening result at baseline indicating no mental health problems will be invited to participate in a randomized controlled trial comparing StresSOS online to an active online control condition (Study A). In addition, 420 adolescents recruited as a separate school-based sample will participate in the StresSOS face-to-face intervention. Participants in both intervention groups (online or face-to-face) will receive the same eight treatment modules to allow for the comparison of both methods of delivery (Study B). The primary outcome is the number of C&A with symptoms of mental health problems at a 12 months follow-up. Secondary outcomes are related to stress/coping (i.e., knowledge, symptoms of stress, coping resources), mental health literacy (knowledge and attitudes toward mental disorders and help-seeking), program usage patterns, cost-effectiveness, and acceptability of the intervention.

          Discussion

          This study represents the first adequately powered non-inferiority trial in the area of school-based mental health promotion. If online StresSOS proves efficacious and non-inferior to face-to-face delivery, this offers great potential for health promotion in youths, both in and outside the school environment.

          Trial registration

          German Clinical Trials Register, DRKS00014693. Registered on 14 May 2018.

          Electronic supplementary material

          The online version of this article (10.1186/s13063-018-3159-5) contains supplementary material, which is available to authorized users.

          Related collections

          Most cited references40

          • Record: found
          • Abstract: not found
          • Article: not found

          The central role of the propensity score in observational studies for causal effects

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States.

            Estimates of 12-month and lifetime prevalence and of lifetime morbid risk (LMR) of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) anxiety and mood disorders are presented based on US epidemiological surveys among people aged 13+. The presentation is designed for use in the upcoming DSM-5 manual to provide more coherent estimates than would otherwise be available. Prevalence estimates are presented for the age groups proposed by DSM-5 workgroups as the most useful to consider for policy planning purposes. The LMR/12-month prevalence estimates ranked by frequency are as follows: major depressive episode: 29.9%/8.6%; specific phobia: 18.4/12.1%; social phobia: 13.0/7.4%; post-traumatic stress disorder: 10.1/3.7%; generalized anxiety disorder: 9.0/2.0%; separation anxiety disorder: 8.7/1.2%; panic disorder: 6.8%/2.4%; bipolar disorder: 4.1/1.8%; agoraphobia: 3.7/1.7%; obsessive-compulsive disorder: 2.7/1.2. Four broad patterns of results are most noteworthy: first, that the most common (lifetime prevalence/morbid risk) lifetime anxiety-mood disorders in the United States are major depression (16.6/29.9%), specific phobia (15.6/18.4%), and social phobia (10.7/13.0%) and the least common are agoraphobia (2.5/3.7%) and obsessive-compulsive disorder (2.3/2.7%); second, that the anxiety-mood disorders with the earlier median ages-of-onset are phobias and separation anxiety disorder (ages 15-17) and those with the latest are panic disorder, major depression, and generalized anxiety disorder (ages 23-30); third, that LMR is considerably higher than lifetime prevalence for most anxiety-mood disorders, although the magnitude of this difference is much higher for disorders with later than earlier ages-of-onset; and fourth, that the ratio of 12-month to lifetime prevalence, roughly characterizing persistence, varies meaningfully in ways consistent with independent evidence about differential persistence of these disorders. Copyright © 2012 John Wiley & Sons, Ltd.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review

              Background Adolescents and young adults frequently experience mental disorders, yet tend not to seek help. This systematic review aims to summarise reported barriers and facilitators of help-seeking in young people using both qualitative research from surveys, focus groups, and interviews and quantitative data from published surveys. It extends previous reviews through its systematic research methodology and by the inclusion of published studies describing what young people themselves perceive are the barriers and facilitators to help-seeking for common mental health problems. Methods Twenty two published studies of perceived barriers or facilitators in adolescents or young adults were identified through searches of PubMed, PsycInfo, and the Cochrane database. A thematic analysis was undertaken on the results reported in the qualitative literature and quantitative literature. Results Fifteen qualitative and seven quantitative studies were identified. Young people perceived stigma and embarrassment, problems recognising symptoms (poor mental health literacy), and a preference for self-reliance as the most important barriers to help-seeking. Facilitators were comparatively under-researched. However, there was evidence that young people perceived positive past experiences, and social support and encouragement from others as aids to the help-seeking process. Conclusions Strategies for improving help-seeking by adolescents and young adults should focus on improving mental health literacy, reducing stigma, and taking into account the desire of young people for self-reliance.
                Bookmark

                Author and article information

                Contributors
                +49 7171-983408 , heike.eschenbeck@ph-gmuend.de
                laya.lehner@ph-gmuend.de
                hanna.hofmann@ph-gmuend.de
                Stephanie.Bauer@med.uni-heidelberg.de
                Katja.Becker@med.uni-marburg.de
                s.diestelkamp@uke.de
                Michael.Kaess@med.uni-heidelberg.de , Michael.Kaess@upd.ch
                Markus.Moessner@med.uni-heidelberg.de
                Christine.Rummel-Kluge@medizin.uni-leipzig.de
                hans-joachim.salize@zi-mannheim.de
                Journal
                Trials
                Trials
                Trials
                BioMed Central (London )
                1745-6215
                18 January 2019
                18 January 2019
                2019
                : 20
                : 64
                Affiliations
                [1 ]GRID grid.460114.6, Department of Psychology, , University of Education Schwäbisch Gmünd, ; Oberbettringer Str. 200, 73525 Schwäbisch Gmünd, Germany
                [2 ]ISNI 0000 0001 0328 4908, GRID grid.5253.1, Center for Psychotherapy Research, , University Hospital Heidelberg, ; Bergheimerstr. 54, 69115 Heidelberg, Germany
                [3 ]Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Marburg and Philipps-University Marburg, Hans-Sachs-Str. 6, 35039 Marburg, Germany
                [4 ]ISNI 0000 0004 1936 9756, GRID grid.10253.35, Marburg Center for Mind, Brain and Behavior (MCMBB), , Philipps-University Marburg, ; 35043 Marburg, Germany
                [5 ]ISNI 0000 0001 2180 3484, GRID grid.13648.38, University Hospital Hamburg-Eppendorf, German Center for Addiction Research in Childhood and Adolescence, ; Martinistr. 52, W29, 20246 Hamburg, Germany
                [6 ]ISNI 0000 0001 0328 4908, GRID grid.5253.1, Section for Translational Psychobiology in Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, , University Hospital Heidelberg, ; Blumenstraße 8, 69115 Heidelberg, Germany
                [7 ]ISNI 0000 0001 0726 5157, GRID grid.5734.5, University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, ; Stöckli, Bolligenstrasse 141c, 3000 Bern 60, Switzerland
                [8 ]ISNI 0000 0001 2230 9752, GRID grid.9647.c, Department of Psychiatry and Psychotherapy, , University Leipzig, ; Semmelweisstraße 10, 04103 Leipzig, Germany
                [9 ]ISNI 0000 0001 2190 4373, GRID grid.7700.0, Mental Health Services Research Group, Central Institute of Mental Health, , Medical Faculty Mannheim/Heidelberg University, ; J5, 68159 Mannheim, Germany
                Article
                3159
                10.1186/s13063-018-3159-5
                6339406
                30658675
                9a4f6360-71b3-4ed2-a817-b3aa7e396fc1
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 30 June 2018
                : 22 December 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100002347, Bundesministerium für Bildung und Forschung;
                Award ID: 01GL1744F
                Award Recipient :
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2019

                Medicine
                mental health promotion,prevention,school,stress,coping,mental health literacy,online intervention,adolescents,randomized controlled trial,prohead

                Comments

                Comment on this article