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Clinical Trials/NCT03274934
NCT03274934
Completed
N/A

The Effectiveness of the Novel Web- and Mobile-based Acceptance- and Commitment Therapy Program Youth COMPASS to Promote Adolescent Well-being and Life-control

University of Jyvaskyla1 site in 1 country249 target enrollmentSeptember 21, 2017
ConditionsWell-being

Overview

Phase
N/A
Intervention
Not specified
Conditions
Well-being
Sponsor
University of Jyvaskyla
Enrollment
249
Locations
1
Primary Endpoint
Life satisfaction (Diener et al., 1985)
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

The aim of this randomized control trial is to examine effectiveness of individually tailored web- and mobile-based Acceptance- and Commitment Therapy interventions to promote adolescents' well-being and life-control and subsequently support their successful transition from basic education to upper secondary education. Our additional aim is to examine to what extent the effectiveness of the intervention varies according to intervention intensity and according to risk for school failure. The five-week structured intervention is delivered using the novel web-and mobile-based program Youth COMPASS following the principles of the Acceptance and Commitment Therapy (ACT). The Internet context is assumed to be particularly motivating for youth who enjoy spending time online using different social media. Internet-based interventions have several advantages; they can include more information and treatment components than traditionally delivered treatments and that intervention programs are accessible at any time and at any place. Another unique aspect of the Youth COMPASS is the fact that it is individually-tailored. Each participant have an individually assigned online coach who provides support and encouragement, reminds about Youth COMPASS, sends individualized feedback, and recommends different exercises. The study hypothetizes that the Youth COMPASS is more effective than school counseling as usual. More specifically, the Youth COMPASS is expected to be more effective when it is combined with face-to-face support than when support and feedback are provided only via the Internet. Also, the Youth COMPASS with no face-to-face support (online only) is expected to be more effective than receiving only regular school counseling. Finally, the Youth COMPASS is expected to be more effective for students at risk for school failure than for students without risk for school failure, especially when at risk-adolescents receive more intensive support (i.e., both online and face-to-face support).

Detailed Description

The aim of this randomized control trial is to examine effectiveness of individually tailored web- and mobile-based Acceptance- and Commitment Therapy interventions to promote adolescents' well-being and life-control and subsequently support their successful transition from basic education to upper secondary education. Our additional aim is to examine to what extent the effectiveness of the intervention varies according to intervention intensity and according to risk for school failure. The five-week structured intervention is delivered using the novel web-and mobile-based program Youth COMPASS following the principles of the Acceptance and Commitment Therapy (ACT). The Internet context is assumed to be particularly motivating for youth who enjoy spending time online using different social media. Internet-based interventions have several advantages; they can include more information and treatment components than traditionally delivered treatments and that intervention programs are accessible at any time and at any place. Another unique aspect of the Youth COMPASS is the fact that it is individually-tailored. Each participant have an individually assigned online coach who provides support and encouragement, reminds about Youth COMPASS, sends individualized feedback, and recommends different exercises. The study hypothetizes that the Youth COMPASS is more effective than school counseling as usual. More specifically, the Youth COMPASS is expected to be more effective when it is combined with face-to-face support than when support and feedback are provided only via the Internet. Also, the Youth COMPASS with no face-to-face support (online only) is expected to be more effective than receiving only regular school counseling. Finally, the Youth COMPASS is expected to be more effective for students at risk for school failure than for students without risk for school failure, especially when at risk-adolescents receive more intensive support (i.e., both online and face-to-face support). The participants of the effectiveness study of the Youth COMPASS are selected from the participants of the broader longitudinal STAIRWAY (TIKAPUU in Finnish) - From Primary School to Secondary School study, which follows a community sample of Finnish adolescents (n\~850) across critical educational transitions. The overall aim of the STAIRWAY project is to broaden our understanding of the individual- and environment-related factors that promote learning, well-being and successful educational transitions.

Registry
clinicaltrials.gov
Start Date
September 21, 2017
End Date
December 31, 2019
Last Updated
6 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Adolescents (n = 120) who have risk for school failure (learning difficulties or low grade point average without learning difficulties)
  • Randomly chosen adolescents (n=120) from the same classrooms who have no risk for school failure

Exclusion Criteria

  • Not provided

Outcomes

Primary Outcomes

Life satisfaction (Diener et al., 1985)

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Self-esteem (Rosenberg, 1965),

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Depressive symptoms (Salokangas et al., 1995)

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Stress (Elo et al., 2003)

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Difficulties and Strenghts questionnaire (SDQ, Goodman et al. 1997) measuring emotional symptoms, hyperactivity, conduct problems and prosociality

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Well-being in school (World Health Organization)

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Career choice preparedness (Koivisto et al., 2011)

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Educational expectations

Time Frame: Change from baseline at 2, 6, 12 and 18 months after the intervention.

Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

Secondary Outcomes

  • Psychological flexibility (Greco et al., 2008)(Change from baseline at 2, 6, 12 and 18 months after the intervention.)
  • Mindfulness skills (Ciarrochi et al., 2011)(Change from baseline at 2, 6, 12 and 18 months after the intervention.)
  • Identity formation (DIDS; Luyckx et al., 2008; see also Marttinen et al., 2016)(Change from baseline at 2, 6, 12 and 18 months after the intervention)
  • Truancy(Change from baseline at 2, 6, 12 and 18 months after the intervention.)
  • School grades(Four years from the baseline.)
  • Initiation of upper secondary education(Four years from the baseline.)
  • Progress in upper secondary studies(Four years from the baseline.)
  • Changes in study field in upper secondary education(Four years from the baseline.)
  • Staying in vs. dropping out of education(Four years from the baseline.)
  • Graduation time(Four years from the baseline.)

Study Sites (1)

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