MedPath

First Evaluation of COMET-Y

Not Applicable
Recruiting
Conditions
Quality of Life
Self Esteem
Interventions
Behavioral: COMET-Y
Registration Number
NCT06343740
Lead Sponsor
Accare
Brief Summary

The goal of this pilot study is to evaluate COMET-Y in 22 adolescents (11-18 years) with various mental health problems and low self-esteem. The main questions is: Does COMET-Y, parallel to care as usual (CAU), improve self-esteem?

Before and after the training participants fill in questionnaires to measure self-esteem, mental health problems, resilience, quality of life, emotions and individual goals. Some of the outcomes are measured through diary methods. Youth and therapists will be assessed to evaluate feasibility and acceptability of the COMET-Y training.

Detailed Description

Low self-esteem plays an important role in various mental health problems, and targeted treatment of self-esteem could potentially enhance the efficacy of existing treatments. Research in adults shows that self-esteem training improves self-esteem and mental health problems, but in adolescents this is still unknown. COMET-Y is a personalized self-esteem training, specifically developed for adolescents.

In this pilot study, 22 adolescents (11-18 years) with various mental health problems and low self-esteem will be included. Participants receive COMET-Y parallel to care as usual (CAU). Before and after the training participants fill in questionnaires to measure self-esteem, mental health problems, resilience, quality of life, emotions and individual goals. Some of the outcomes are measured through diary methods. Feasibility and acceptability of the COMET-Y training will be evaluated with youth and therapists.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
22
Inclusion Criteria
  • sufficient mastery of Dutch to complete the measurements
  • age between 11 - 18 years
  • having self-esteem below average (based on a score =<15 on the Rosenberg Self-esteem Scale; RSES)
  • currently receiving care for a mental disorder, for example (but not limited to) anxiety disorder, depression, eating disorder, attention-deficit/hyperactivity disorder, oppositional defiant disorder, or autism spectrum disorder.
  • willingness to participate in weekly sessions
Exclusion Criteria

• As intensive treatment can restrain the feasibility of attending the 7 weekly sessions of COMET-Y and engage in homework assignments, participants who need acute care are excluded (e.g. crisis, acute suicidality, or psychotic episode).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
COMET-YCOMET-YAll participants receive COMET-Y.
Primary Outcome Measures
NameTimeMethod
Self EsteemTwo weeks before COMET-Y and a week after COMET-Y

Global self esteem measured with the Rosenberg self-esteem scale (RSES). Range: 0-30, higher score means higher self-esteem.

Secondary Outcome Measures
NameTimeMethod
Quality of lifeTwo weeks before COMET-Y and a week after COMET-Y

Several aspects of quality of life measured with the Kidscreen-27. Range: 0-130, a higher score means a higher quality of life.

Domain-specific Self EsteemTwo weeks before COMET-Y and a week after COMET-Y

Domain-specific self esteem measured with the Competentiebelevingsschaal voor adolescenten (CBSA). Range: 5-20 for each subscale, a higher score means more competence for the specific domains.

Mental Health ProblemsTwo weeks before COMET-Y and a week after COMET-Y

Mental health problems measured with the Strengths and Difficulties Questionnaire (SDQ). Range total score: 0-40, with a higher score corresponding to more problems.

ResilienceTwo weeks before COMET-Y and a week after COMET-Y

Resilience is measured with the Brief Resilience Scale (BRS). Range: 1-5, a higher score indicates more resilience.

Ecological Momentary Assessments - Global self-esteemTwo weeks before and two weeks after COMET-Y

Global self-esteem: short-version of the Rosenberg Self-esteem Scale, as part of a short questionnaire filled in three times a day by the participants via their mobile phones.

Range: 0-16, higher score means higher self-esteem.

Ecological Momentary Assesments - Goal Based Outcome (GBO) tool for young peopleTwo weeks before and two weeks after COMET-Y

The Goal-Based Outcome (GBO) tool for young people, as part of a short questionnaire filled in three times a day by the participants via their mobile phones.

Participants fill in three personalized goals, which they rate on a scale from 1-10, where higher scores indicate improved goal progress.

Ecological Momentary Assesments - Domain-specific self-esteemTwo weeks before and two weeks after COMET-Y

Domain-specific self-esteem: perceived self-esteem related functioning covering the specific domains measured by the Competentiebelevingsschaal voor Adolescenten. Range: 0-60, where higher scores indicate more competence.

AffectTwo weeks before COMET-Y and a week after COMET-Y

Positive and negative affect, measured with the Positive and negative affects schedule. (PANAS-C). Range: 0-100, with a higher score higher affect (positive or negative).

Trial Locations

Locations (1)

Accare

🇳🇱

Groningen, Netherlands

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