The Efficacy of a Video-based Transdiagnostic REBT Universal Prevention Program Delivered in a School Context for Internalizing Problems in Adolescents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 381
- 试验地点
- 1
- 主要终点
- Beck Depression Inventory for Youth subscale from the Beck Youth Inventories-Second edition for children and adolescents (Beck, 2005)
研究概览
简要总结
Anxiety and depressive disorders are common in adolescents, however they are often unrecognized. Rational emotive behavioral therapy (REBT), a form of cognitive behavioral therapy (CBT) is efficient for children and adolescents. School settings are appropriate environments to deliver such interventions for vulnerable youths. Given youth's access and predilection to use technology, a video-based prevention program was developed. The present study aims to investigate the efficacy of a transdiagnostic REBT prevention program for internalizing symptoms in adolescents, implemented in a school setting.
Classes from different Romanian public schools will be randomized in either intervention or wait list group.
详细描述
The prevention program will be group-based, delivered in 6 sessions, over 3 weeks.
Each of the six modules aimed a different component: Psychoeducation, Relaxation, Relationship between cognitive distortions/irrational beliefs and emotions, Cognitive restructuring, Exposure/ behavioral activation and problem solving, Maintenance of gainings. Despite specific activities, for each session a video cartoon on that subject will be viewed and discussed. Homework would be given at every session.
REBT prevention programs delivered in school settings represent ecological modalities to target vulnerable groups. Technology components added to traditional programs may lead to greater motivation and satisfaction with treatment.
Adolescents will complete assessments at four time-points: T1 (baseline), T2 (post-intervention), T3 (3 months follow-up) and T4 (12 months follow-up).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Preadolescents and adolescents will have ages between 12 and 17 years old;
- •Are attending middle school or high-school;
- •Adolescents have sufficient understanding of the Romanian language in order to complete assessments at all time points and to participate in the prevention program;
- •Their parents have sufficient understanding of the Romanian language in order to sign the informed consent;
- •Parents will sign the informed consent and adolescents will provide informed assent.
排除标准
- •Age below 14 or above 17 years;
- •No signed informed consent from parents;
- •Adolescents will score high on suicidal ideation according to (1 item on the Depression subscale from Beck Youth Inventories);
- •Not Romanian-speaking in order to understand the content of the prevention program and to complete the assessments.
研究组 & 干预措施
video-based transdiagnostic REBT
Children and adolescents in the experimental group attend 6 modules of video-based transdiagnostic rational emotive behavioral therapy (REBT). Each of the six modules aimes a different component: Psychoeducation, Relaxation, Relationship between cognitive distortions/irrational beliefs and emotions, Cognitive restructuring, Exposure/ behavior activation and problem solving, Maintenance of gaining.
干预措施: video-based transdiagnostic REBT (Behavioral)
wait list
The wait-list is a delayed treatment condition.
干预措施: Wait list (Behavioral)
结局指标
主要结局
Beck Depression Inventory for Youth subscale from the Beck Youth Inventories-Second edition for children and adolescents (Beck, 2005)
时间窗: Change from baseline depressive symptoms at 3 weeks post-intervention, 3 months follow up, 12 months follow-up
depressive symptoms
The Multidimensional Anxiety Scale for Children (MASC; March, Parker, Sullivan, Stallings, & Conners, 1997)
时间窗: Change from baseline anxiety symptoms at 3 weeks post-intervention, 3 months follow up, 12 months follow-up
anxiety symptoms
次要结局
- The Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents, The Revised Version - adolescent version (Kiddo-KINDL) (Ravens-Sieberer et al., 2001)(Change from baseline quality of life at 3 weeks post-intervention, 3 months follow up, 12 months follow-up)
- The Client Satisfaction Scale (Vigerland et al., 2016)(post-intervention)
- The Credibility/ Expectancy Questionnaire (Devilly & Borkovec, 2000)(pre-intervention)
- The Children's Automatic Thoughts Scale - Negative/Positive (CATS-N/P) (Hogendoorn et al., 2010)(Change from baseline maladaptive cognitions at 3 weeks post-intervention, 3 month follow up, 12 months follow-up)
- The Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997)(Change from baseline comorbid problems at 3 weeks post-intervention, 3 months follow up, 12 months follow-up)
研究者
Anca Dobrean
Ph.D.
Babes-Bolyai University