Piloting and Evaluating the Fundamental Adaptive Skills Training (FAST): a New Digitally Augmented Single-Session Transdiagnostic Resilience Intervention
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 105
- 试验地点
- 2
- 主要终点
- Acceptability Questionnaire
研究概览
简要总结
The present study seeks to develop, refine, and test a novel psychological treatment for boosting mental health resilience among college students. This Fundamental Adaptive Skills Training (FAST) will be evaluated in a randomized controlled trial. We will seek to recruit 5 undergraduate students as participants for a pilot phase and 100 undergraduate students for a randomized controlled trial. The primary questions we are seeking to answer in this trial are:
Do participants rate the FAST intervention as acceptable? Does FAST improve sleep quality, physical activity, anxiety sensitivity, loneliness, and social isolation for college students?
Participants will:
Receive the active FAST or a placebo control Relaxation and Mindfulness Training (RMT) and will complete measures at baseline, week 2, and week 4.
详细描述
The mental health crisis among college students has intensified in recent years, with rising rates of anxiety, depression, and stress. Despite increased institutional efforts, existing mental health services often remain inaccessible or insufficient. The present study proposes and evaluates the Fundamental Adaptive Skills Training (FAST), a novel, single-session intervention designed to promote mental health resilience in college students. FAST will be developed to target empirically supported mechanisms-sleep and physical activity, anxiety sensitivity, loneliness, and social isolation-each linked to a broad range of emotional disorders. Delivered in a digital, group-based format by trained undergraduate peer facilitators, FAST will be scalable, cost-effective, and engaging. This randomized controlled trial will assess the intervention's acceptability and efficacy in improving targeted mechanisms and reducing symptoms of anxiety, depression, and stress over a four-week follow-up period. 100 participants identified as at-risk based on elevated negative affectivity will be randomly assigned to FAST or an active control condition involving mindfulness and relaxation training (RMT). Primary outcomes include improvements in sleep quality, physical activity, anxiety sensitivity, loneliness, and social isolation from baseline through week two and week four follow-up. Similarly, clinical outcomes will include improvements in anxiety, depression, and stress levels as indicators of broader emotional resilience. Findings will advance the science of developing and implementing accessible, evidence-based mental health interventions and may contribute to a novel, scalable solution for addressing mental health issues in higher education settings.
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •At-risk for emotional disorders as indicated by a PANAS-NA Score >= 20
- •Ability to use a computer or smartphone
- •Currently enrolled at college/university at the time of study enrollment
排除标准
- •Adults aged 17 and under
- •PANAS-NA Score <= 19
- •Inability to use a computer or smartphone
- •Not currently enrolled at college/university at the time of study enrollment
研究组 & 干预措施
Fundamental Adaptive Skills Training
干预措施: Fundamental Adaptive Skills Training (Behavioral)
Relaxation and Mindfulness Training
干预措施: Relaxation and Mindfulness Training (Behavioral)
结局指标
主要结局
Acceptability Questionnaire
时间窗: Post-intervention through week 4 follow up
Self report measure indexing intervention acceptability. Scores range from 0 to 27 with higher scores indicating more favorable acceptability.
Athens Insomnia Scale
时间窗: Baseline through week 4 follow up
8 item self report measure of sleep quality. Scores range from 0 to 24 with higher scores indicating more severe sleep problems.
Brief Physical Activity Assessment Tool
时间窗: Baseline through week 4 follow up
2 item self report measure indexing physical activity. Scores range from 0 to 8 with higher scores indicating more frequent engagement in physical activity.
Anxiety Sensitivity Index 3
时间窗: Baseline through week 4 follow up
18 item self report measure indexing anxiety sensitivity. Scores range from 0 to 72 with higher scores indicating more severe anxiety sensitivity.
UCLA Loneliness 10
时间窗: Baseline through week 4 follow up
10 item self-report measure indexing loneliness. Scores range from 10 to 40 with higher scores indicating more severe loneliness symptoms.
PROMIS Anxiety Scale 8a
时间窗: Baseline through week 4 follow up
8 item self report measure of anxiety. Scores range from 8 to 40 with higher scores indicating more severe anxiety symptoms.
PROMIS Depression 8b
时间窗: Baseline through week 4 follow up
8 item self report measure indexing depression. Scores range from 8 to 40 with higher scores indicating more severe depression symptoms
Perceived Stress Scale
时间窗: Baseline through week 4 follow up
14 item self report measure indexing stress. Scores range from 0 to 56 with higher scores reflecting more severe stress symptoms.
Acceptability Questionnaire
时间窗: Post-intervention through week 4 follow up
Self report measure indexing intervention acceptability. Scores range from 0 to 27 with higher scores indicating more favorable acceptability.
Athens Insomnia Scale
时间窗: Baseline through week 4 follow up
8 item self report measure of sleep quality. Scores range from 0 to 24 with higher scores indicating more severe sleep problems.
Brief Physical Activity Assessment Tool
时间窗: Baseline through week 4 follow up
2 item self report measure indexing physical activity. Scores range from 0 to 8 with higher scores indicating more frequent engagement in physical activity.
Anxiety Sensitivity Index 3
时间窗: Baseline through week 4 follow up
18 item self report measure indexing anxiety sensitivity. Scores range from 0 to 72 with higher scores indicating more severe anxiety sensitivity.
UCLA Loneliness 10
时间窗: Baseline through week 4 follow up
10 item self-report measure indexing loneliness. Scores range from 10 to 40 with higher scores indicating more severe loneliness symptoms.
PROMIS Anxiety Scale 8a
时间窗: Baseline through week 4 follow up
8 item self report measure of anxiety. Scores range from 8 to 40 with higher scores indicating more severe anxiety symptoms.
PROMIS Depression 8b
时间窗: Baseline through week 4 follow up
8 item self report measure indexing depression. Scores range from 8 to 40 with higher scores indicating more severe depression symptoms
Perceived Stress Scale
时间窗: Baseline through week 4 follow up
14 item self report measure indexing stress. Scores range from 0 to 56 with higher scores reflecting more severe stress symptoms.
次要结局
- Short Form 12(Baseline through week 4 follow up)
- Short Form 12(Baseline through week 4 follow up)
研究者
Norman Schmidt
Distinguished Research Professor
Florida State University