Effectiveness of an Online Life Skills-based Intervention on Depression, Anxiety and Stress Among Arabic Adolescents in Klang Valley, Malaysia: Protocol for a Cluster-randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 339
- 试验地点
- 1
- 主要终点
- Change in the depression, anxiety and stress mean scores
研究概览
简要总结
It is a parallel cluster randomised controlled trial designed to assess the effectiveness of an online life skills education in reducing depression, anxiety, and stress and improving self-efficacy and coping skills among Arabic secondary school students at Arabic schools in Klang Valley in Malaysia.
详细描述
Children and adolescents' mental health is a global public health issue. Worldwide, it is estimated between 10% and 20% of children and adolescents suffer from mental health problems. Depression and anxiety are the most frequently encountered mental disorders which significantly impact children and adolescents. These disorders have been shown to increase the risk of adverse outcomes such as impairment, loss of productivity and community involvement, decreased educational performance, increased likelihood of engaging in risky behaviours, disability, and increased self-harm and suicide rates. Migrant children and adolescents are at increased risk of these mental disorders, mainly Arabic immigrants. Arab adolescents face additional challenges such as high illiteracy rates, inadequate health services and poor access to health facilities, especially mental health facilities. There is also a clear trend of the increasing burden of mental disorders in the Arabic countries from 1990 to 2015 compared to the global average. This study examines the effectiveness of an online life skills-based intervention in reducing depression, anxiety and stress and improving self-efficacy and coping skills among Arabic secondary school students in Klang Valley in Malaysia. The life skills intervention modules and activities will be developed based on the WHO and UNICEF guidelines for implementing life skills. This program will also undergo a process of consultations with a group of experts. The intervention group will receive education videos and discussion sessions that will target self-awareness, Empathy, Interpersonal relationship skills, Communication skills, Critical and creative thinking, problem-solving, decision-making, and coping with stress and emotion. The sessions will be carried out per week for 1 hour for eight consecutive weeks via the zoom platform. Before conducting the intervention, all the participants will receive a short reminder SMS for enrolling in the online session. The control group will receive the education program after finishing the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
No one in the control groups will know what the experimental groups will be offered. The the statistician who will perform the primary analyses will be blinded to group allocation.
入排标准
- 年龄范围
- 14 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The inclusion criteria for schools are:
- •Arabic schools that agree to participate.
- •The Arabic schools are located in Klang Valley.
- •The inclusion criteria for students:
- •Arabic Students aged from 14 to 18 years old.
- •students who give the assent and consent from their parents.
- •Students who have scored mild to extremely severe score in depression, anxiety and stress based on baseline assessment (screening stage).
排除标准
- •The exclusion criteria for schools are:
- •non-Arabic schools that have Arabic students.
- •Schools that refuse to participate in the study.
- •The exclusion criteria for students:
- •students who refuse to participate.
- •Students who have hearing limitations because they cannot interact during the online session.
- •Students who have been diagnosed or treated for mental health problems before based on their school file because it may interfere with the effect of the program.
结局指标
主要结局
Change in the depression, anxiety and stress mean scores
时间窗: Measurement will be pre-intervention(baseline), immediately post-intervention and 3 months post-intervention
Depression, Anxiety Stress Scales-21 ( DASS-21). The DASS-21 is a set of three self-report scales designed to measure depression, anxiety, and stress. Each of the three sets of the DASS21 scales include seven items with a 4-point Likert scale. The minimum and maximum DASS21 scores are 0 and 21 for each subscale. Higher scores indicate higher levels of problems.
次要结局
- Change in the Self-efficacy mean score(Measurement will be pre-intervention(baseline), immediately post-intervention and 3 months post-intervention)
- Change in coping skills mean score(Measurement will be pre-intervention(baseline), immediately post-intervention and 3 months post-intervention)
研究者
YOSRA MOHAMED M SHERIF
Principal Investigator
Universiti Putra Malaysia