HELP (HEalthy Lifestyles Project) for Youth With Mental Distress
- Conditions
- Mental Health Issue
- Interventions
- Behavioral: Healthy Lifestyles Project e-intervention
- Registration Number
- NCT06232733
- Lead Sponsor
- Children's Hospital of Eastern Ontario
- Brief Summary
The goal of this clinical trial is to learn about how healthcare providers can support youths' mental health. The main question\[s\] it aims to answer are:
* Do youth (12 to 17 years of age) who engage in the 6-month HELP e-intervention have a larger improvement in emotional health (measured by the Strengths and Difficulties Questionnaire) than youth who do not receive the intervention?
* Does engagement in the HELP e-intervention improve lifestyle behaviour (physical activity, sleep or screen time)?
* Do youth who engage in the 6-month HELP e-intervention utilize fewer mental healthcare resources, during and for 1 year following study participation, than youth who do not receive the intervention? Participants will receive the HELP intervention for 6 months, either immediately or after waiting 6 months from study enrollment. At 0, 3, 6, and 12 months, participants will answer a series of questionnaires to assess their emotional health and lifestyle behaviors. Researchers will compare the emotional health and lifestyle behaviors of youth who received HELP immediately to those who wait for 6 months prior to the intervention to see if their emotional health or lifestyle behaviors differ.
- Detailed Description
This study will evaluate the efficacy of 6 months of HELP e-intervention access with kinesiologist support in a randomized controlled trial to determine if the changes in emotional health (primary outcome) and lifestyle behaviors (secondary outcomes) differ from changes among youth with delayed intervention access (control condition). Sustainability of the intervention will be assessed for an additional 6 months. Participants will be youth 12-17 years of age who contact youth mental health services. The unique HELP e-resources developed by the research team utilize age-appropriate graphics and interactive formats developed collaboratively with youth/parent/clinician partners. There are 4 sections: 1) Know Your Habits, 2) Physical Activity, 3) Screen Time, 4) Sleep. A kinesiologist will support participants in the intervention. Study assessments will be completed by researchers blind to study group allocation. Researchers will also evaluate the impact of the HELP e-intervention on the use of mental healthcare services, the need for mental health professional support of lifestyle behaviors and the association between self-reported and objectively measured lifestyle behaviors. It is hypothesized that youth engaging in the HELP e-intervention will have improved emotional health and enhanced lifestyle behaviors in comparison to those receiving the delayed (post 6-months) intervention. It is also hypothesized that changes during the intervention will be maintained for an additional 6 months, and that self-reported measures will accurately reflect objective measurements. Finally, it is hypothesized that youth engaging in the HELP e-intervention will require fewer youth mental health supports, and when supported will be less likely to require treatment directed at lifestyle behaviors.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 130
- Youth 12-17 years of age seeking, waiting for or receiving support for emotional distress.
- Able to provide informed consent to study participation.
- Able to engage in the HELP e-intervention in English (French translation of the e-modules will not be available until intervention efficacy is established).
- Willing to be randomized to a study group.
- Willing to complete objective behaviour measures if selected (1 of 3 participants).
- Willing to complete the study questionnaires.
- Willing to provide consent for evaluation of mental healthcare system outcomes via their health record.
- Identified or suspected eating disorder
- Youth whose health or family status is deemed to be inappropriate for the study as per their most responsible clinician.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Immediate Intervention Healthy Lifestyles Project e-intervention Access to HELP e-intervention from 0 to 6 months with kinesiology support. Delayed Intervention Healthy Lifestyles Project e-intervention Access to HELP e-intervention from 6 to 12 months with kinesiology support.
- Primary Outcome Measures
Name Time Method Strengths and Difficulties Questionnaire 6 months Youth emotional distress. Minimum score 0. Maximum Score 50. Higher score is lower emotional health.
- Secondary Outcome Measures
Name Time Method Habitual Activity Estimation Scale 6 months Self-reported daily physical activity. Minutes and proportion of day spent inactive, somewhat inactive, somewhat active and active for weekend and week days.
Adolescent Sleep Hygiene Scale 6 months Self-reported sleep habits. Minimum score 33. Maximum score 198. Higher score is better sleep hygiene.
Adolescent Sedentary Activity Questionnaire 6 months Self-reported screen time (hours and minutes).
Trial Locations
- Locations (1)
Children's Hospital of Eastern Ontario
🇨🇦Ottawa, Ontario, Canada