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      Study protocol: a randomised controlled trial of a telephone delivered social wellbeing and engaged living (SWEL) psychological intervention for disengaged youth

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          Abstract

          Background

          Internationally, from 12.2–23.4% of youth (aged 16–24 years) are not in employment, education or training (NEET). These disengaged youth are more likely to experience social exclusion, increased psychological distress and poor quality of life. Youth at risk of disengagement are less likely to access traditional support services, requiring development of innovative interventions.

          Methods

          The trial is a single blind, three arm, randomised controlled trial evaluating the effectiveness of a telephone delivered psychological intervention for disengaged youth (12–25 years). Participants will be randomised to receive either (i) SWEL, (ii) Befriending, or (iii) Single Session Psycho-Education. Therapy will be over an 8 week period with a minimum of four and maximum of eight sessions for the SWEL or Befriending conditions, or a single session for the Psycho-Education condition. Outcomes will be assessed at baseline and at 2, 8 and 14-month follow-up with the primary outcome being re-engagement in education, training or employment.

          Discussion

          This large, multi-site, randomised controlled trial will inform the delivery of services for young people at risk of disengaging from education or training. The provision of psychological therapy by telephone increases access by youth – especially those in rural and remote areas - both to the trial and the treatment, if adopted by services. The outcomes of this trial could have meaningful societal impact for a vulnerable population. It is expected that recruitment, intervention and retention will present challenges for the trial given the focus on disengaged youth.

          Trial registration

          ANZCTR, ACTRN12614001212640, Registered 18 Nov 2014. Retrospectively registered.

          Ethics and dissemination

          Ethics approval has been obtained from the participating institutions. Results of the trial will be submitted for publication in peer reviewed journals and findings presented at scientific conferences and to key service providers and policy makers.

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          Most cited references29

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          Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF).

          There is a growing consensus that mental health is not merely the absence of mental illness, but it also includes the presence of positive feelings (emotional well-being) and positive functioning in individual life (psychological well-being) and community life (social well-being). We examined the structure, reliability, convergent validity, and discriminant validity of the Mental Health Continuum-Short Form (MHC-SF), a new self-report questionnaire for positive mental health assessment. We expected that the MHC-SF is reliable and valid, and that mental health and mental illness are 2 related but distinct continua. This article draws on data of the LISS panel of CentERdata, a representative panel for Longitudinal Internet Studies for the Social Sciences (N = 1,662). Results revealed high internal and moderate test-retest reliability. Confirmatory factor analysis (CFA) confirmed the 3-factor structure in emotional, psychological, and social well-being. These subscales correlated well with corresponding aspects of well-being and functioning, showing convergent validity. CFA supported the hypothesis of 2 separate yet related factors for mental health and mental illness, showing discriminant validity. Although related to mental illness, positive mental health is a distinct indicator of mental well-being that is reliably assessed with the MHC-SF. © 2010 Wiley Periodicals, Inc.
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            The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility.

            The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed for the World Health Organization (WHO) by an international group of substance abuse researchers to detect psychoactive substance use and related problems in primary care patients. This report describes the new instrument as well as a study of its reliability and feasibility. The study was conducted at participating sites in Australia, Brazil, Ireland, India, Israel, the Palestinian Territories, Puerto Rico, the United Kingdom and Zimbabwe. Sixty per cent of the sample was recruited from alcohol and drug abuse treatment facilities; the remainder was drawn from general medical settings and psychiatric facilities. The study was concerned primarily with test item reliability, using a simple test-retest procedure to determine whether subjects would respond consistently to the same items when presented in an interview format on two different occasions. Qualitative and quantitative data were also collected to evaluate the feasibility of the screening items and rating format. A total of 236 volunteer participants completed test and retest interviews at nine collaborating sites. Slightly over half of the sample (53.6%) was male. The mean age of the sample was 34 years and they had completed, on average, 10 years of education. The average test-retest reliability coefficients (kappas) ranged from a high of 0.90 (consistency of reporting 'ever' use of substance) to a low of 0.58 (regretted what was done under influence of substance). The average kappas for substance classes ranged from 0.61 for sedatives to 0.78 for opioids. In general, the reliabilities were in the range of good to excellent, with the following items demonstrating the highest kappas across all drug classes: use in the last 3 months, preoccupied with drug use, concern expressed by others, troubled by problems related to drug use, intravenous drug use. Qualitative data collected at the end of the retest interview suggested that the questions were not difficult to answer and were consistent with patients' expectations for a health interview. The data were used to guide the selection of a smaller set of items that can serve as the basis for more extensive validation research. The ASSIST items are reliable and feasible to use as part of an international screening test. Further evaluation of the screening test should be conducted.
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              The efficacy of internet interventions for depression and anxiety disorders: a review of randomised controlled trials.

              To review the outcomes, nature and quality of published randomised controlled trials of preventive and treatment internet interventions for depression and anxiety disorders, and to document the availability of effective interventions. Previous reviews of internet interventions for mental health and related conditions were updated using an extension of the original methodology. All studies included in the original reviews and more recent eligible trials (published before June 2009) were included, together with any trials identified from a search of the health intervention web portal Beacon and the Journal of Medical Internet Research. A total of 29 reports describing 26 trials satisfied the inclusion criteria. All trials employed a cognitive behaviour therapy intervention program. Of the 26 trials, 23 demonstrated some evidence of effectiveness relative to controls. Effect size differences ranged from 0.42 to 0.65 for depression interventions involving participants with clinically significant symptoms of depression, and 0.29 to 1.74 for anxiety interventions involving participants with a diagnosed anxiety disorder. Of the five effective English-language programs, three are available to the public without charge and two can be accessed at a small cost through health practitioner referral. Internet interventions for depression and anxiety disorders offer promise for use as self-help applications for consumers or as an adjunct to usual care.
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                Author and article information

                Contributors
                h.stain@leedstrinity.ac.uk
                amanda.baker@newcastle.edu.au
                chris.jackson@bsmht.nhs.uk
                r.lenroot@unsw.edu.au
                georgiepaulik@perthvoicesclinic.com.au
                john.attia@newcastle.edu.au
                luke.wolfenden@newcastle.edu.au
                s.stoyanov@uq.edu.au
                hollydevir@yahoo.com.au
                l.hides@uq.edu.au
                Journal
                BMC Psychiatry
                BMC Psychiatry
                BMC Psychiatry
                BioMed Central (London )
                1471-244X
                6 May 2019
                6 May 2019
                2019
                : 19
                : 136
                Affiliations
                [1 ]GRID grid.417900.b, School of Social and Health Sciences, , Leeds Trinity University, ; Leeds, UK
                [2 ]ISNI 0000 0000 8831 109X, GRID grid.266842.c, School of Medicine and Public Health, , University of Newcastle, ; Newcastle, Australia
                [3 ]Early Intervention Service, Birmingham and Solihull NHS Foundation Trust, Birmingham, UK
                [4 ]ISNI 0000 0004 4902 0432, GRID grid.1005.4, School of Psychiatry, , University of New South Wales, ; Sydney, Australia
                [5 ]ISNI 0000 0004 0436 6763, GRID grid.1025.6, School of Psychology and Exercise Science, , Murdoch University, ; Perth, Australia
                [6 ]ISNI 0000 0000 9320 7537, GRID grid.1003.2, School of Psychology, , University of Queensland, ; Brisbane, Australia
                [7 ]ISNI 0000000089150953, GRID grid.1024.7, School of Psychology, , Queensland University of Technology, ; Brisbane, Australia
                [8 ]GRID grid.413648.c, Hunter Medical Research Institute, ; Newcastle, Australia
                [9 ]Perth Voices Clinic, Perth, Australia
                Author information
                http://orcid.org/0000-0003-3399-3347
                Article
                2116
                10.1186/s12888-019-2116-5
                6501393
                31060528
                a0a756b4-09f5-4ca4-b0ce-829de347ad2f
                © 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
                : 24 September 2018
                : 12 April 2019
                Funding
                Funded by: Australian National Health and Medical Research Council
                Award ID: APP1044507
                Award Recipient :
                Categories
                Study Protocol
                Custom metadata
                © The Author(s) 2019

                Clinical Psychology & Psychiatry
                social inclusion,neet,remote therapy,youth services,cbt,dbt,behavioural activation,befriending,motivational interviewing,social wellbeing

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