Comprehensive Program for Youth Mental Health

Not Applicable

Completed

• Conditions: Suicide; Anxiety; Depression
• Interventions: Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX); Behavioral: Breaking Free; Behavioral: This Way Up; Behavioral: Resiliency Training

• Registration Number: NCT02169960
• Lead Sponsor: University of Alberta

Brief Summary

The majority of addiction and mental health problems seen in adults present first in youth. There is strong evidence that prevention and early identification during childhood can mitigate some of these risks. Students who screen at risk for the development of mental illness will be offered online intervention programs with personal guidance from a trained coach. In addition, lessons revolving around resiliency will be provided to all students.

The objectives of this study are:

* Decreased rates of depression and suicide (as well as rates of suicide attempts)

* Decreased use of alcohol, tobacco, and other drugs, with additional downstream benefits such as reduced rates of fetal alcohol spectrum disorder (FASD) and cancer

* Decreased school drop-out rates Decreased rates of interactions with the justice system

* Decreased costs across a range of ministries (health, education, justice, human services), both for youth as well as their families who have been involved in this program

Detailed Description

Not available

Study Timeline

• Study Start: 2014-02
• Study First Submitted: 2014-06-09
• Study First Submitted QC: 2014-06-20
• Study First Posted: 2014-06-23
• Primary Completion: 2015-06
• Study Completion: 2015-06
• Status Verified: 2015-12
• Last Update Submitted: 2015-12-08
• Last Update Posted: 2015-12-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 5514

Inclusion Criteria

• The intervention group will be the top 10% of all students participating in the school screening.

Exclusion Criteria

• Lack of consent, lack of assent, lack of the ability to read and understand the screening tools or intervention tools

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
High School, Top 10%	Breaking Free	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues.
Middle School, Top 10%	Smart, Positive, Active, Realistic X-factor thoughts (SPARX)	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided.
Middle School, Top 10%	Resiliency Training	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided.
Middle School, General	Resiliency Training	OVK Resiliency Training Program - Cognitive Behavioral Therapy designed to modify negative thoughts and feelings. This program also includes a social problem-solving component.
Middle School, Top 10%	Breaking Free	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided.
Middle School, Top 10%	This Way Up	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided.
High School, Top 10%	This Way Up	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues.
High School, Top 10%	Smart, Positive, Active, Realistic X-factor thoughts (SPARX)	Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues.

Primary Outcome Measures

Name	Time	Method
Decrease from baseline in rates of depression and suicide	12 months	This will be based on scores on the Patient Health Questionnaire for Adolescents (PHQ-A) questionnaire

Secondary Outcome Measures

Name	Time	Method
Decreased rates of interactions with the justice system	12 months	Will be linking with a data groups' repository as well as ministries in order to determine rates of interactions with the justice system.
Decreased use of alcohol, tobacco and other drugs	Baseline, 3 months, 6 months, 12 months	Questionnaire (CRAFFT)
Decreased school drop-out rates	12 months	Will be tracking the School identification numbers of the students in order to determine how many drop out prior to graduation. This will be compared with historical data from Red Deer Public Schools.

Trial Locations

Locations (1)

Red Deer Public Schools; 🇨🇦 Red Deer, Alberta, Canada