Slow-Breathing Curriculum for Stress Reduction in High School Students: A Feasibility Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 43
- 试验地点
- 2
- 主要终点
- Feasibility - compliance with effectiveness assessments
研究概览
简要总结
The purpose of this study was to test a simple slow breathing curriculum for reducing stress among high school students. The curriculum was developed by the Health and Human Performance Foundation and implemented for this study at a public high school in Colorado, United States.
详细描述
Nearly 1 in 3 US adolescents meet the criteria for anxiety, an issue worsened by the COVID-19 pandemic. Untreated adolescent stress and anxiety can adversely affect teenagers' development, education, and physical and mental health. Although stress-management strategies may seem abundant, many are unscalable or inaccessible for today's youth. Slow diaphragmatic breathing reduces stress and anxiety by downregulating the body's stress response, and is a recommended adolescent stress management strategy. Schools are under pressure to support students in reducing stress, yet diaphragmatic breathing practices are rarely used in school settings. The investigators developed and implemented a 5-week curriculum during COVID-era hybrid learning to conduct the first randomized controlled trial of slow diaphragmatic breathing for stress reduction in a US high school setting.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 16 Years 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Students were eligible to participate in this study if they:
- •Were enrolled at study start (baseline period) in one of four senior (12th grade) English classes taught by the teacher who was recruited for the study;
- •Accepted participation in the study, including willingness to abide by the randomization process, by signing student assent on the consent form;
- •Had parental permission to participate in the study, indicated by their signing their consent on the consent form.
排除标准
- •Students were excluded from the study and data collection, but not from class, if they:
- •Chose not to participate; or,
- •Did not receive parental permission.
结局指标
主要结局
Feasibility - compliance with effectiveness assessments
时间窗: 7.5 weeks
Number of participants completing the STAI and CO2TT assessments
Feasibility - effectiveness assessments ease and tolerability
时间窗: 1-week followup period
Ease and tolerability of the preliminary effectiveness assessments was measured as the average ratings on a scale of 0 to 3 (worst to best) of responses about the effectiveness assessments' ease and tolerability.
Feasibility - compliance with breathing curriculum
时间窗: 5 weeks
Number of participants completing the breathing practices
Feasibility - curriculum ease and tolerability
时间窗: 1-week followup period
Ease and tolerability of the breathing curriculum was measured as the average ratings on a scale of 0 to 3 (worst to best) of responses about the curriculum's ease, usefulness, and tolerability.
次要结局
- Change in in-the-moment stress levels from before to after breathing exercises, as measured by the State-Trait Anxiety Inventory, State (STAI-State) Scale, short version.(5 weeks)
- Change in general stress levels from before to after the 5-week curriculum, as measured by the State-Trait Anxiety Inventory, Trait (STAI-Trait) Scale.(1.5-week baseline period and 1-week followup period)