Reasons for non-participation of children and adolescents in a large-scale school-based mental health project

被引:5
作者
Baldofski, Sabrina [1 ]
Klemm, Sarah-Lena [1 ]
Kohls, Elisabeth [1 ,2 ]
Mueller, Sophia M. E. [1 ]
Bauer, Stephanie [3 ]
Becker, Katja [4 ,5 ,6 ,7 ]
Diestelkamp, Silke [8 ]
Eschenbeck, Heike [9 ]
Hiery, Alisa [4 ,5 ]
Kaess, Michael [10 ,11 ]
Koenig, Julian [12 ,13 ]
Lehner, Laya [9 ]
Moessner, Markus [3 ]
Thomasius, Rainer [8 ]
Rummel-Kluge, Christine [1 ,2 ]
机构
[1] Univ Leipzig, Med Fac, Dept Psychiat & Psychotherapy, Leipzig, Germany
[2] Univ Leipzig, Med Ctr, Dept Psychiat & Psychotherapy, Leipzig, Germany
[3] Univ Hosp Heidelberg, Ctr Psychotherapy Res, Heidelberg, Germany
[4] Philipps Univ, Fac Med, Dept Child & Adolescent Psychiat Psychosomat & Psy, Marburg, Germany
[5] Univ Hosp Marburg, Marburg, Germany
[6] Univ Marburg, Ctr Mind Brain & Behav CMBB, Giessen, Germany
[7] Justus Liebig Univ Giessen, Giessen, Germany
[8] Univ Med Ctr Hamburg Eppendorf, German Ctr Addict Res Childhood & Adolescence, Hamburg, Germany
[9] Univ Educ Schwab Gmund, Dept Educ Psychol & Hlth Psychol, Schwabisch Gmund, Germany
[10] Univ Hosp Child & Adolescent Psychiat & Psychother, Univ Bern, Bern, Switzerland
[11] Univ Hosp Heidelberg, Ctr Psychosocial Med, Dept Child & Adolescent Psychiat, Heidelberg, Germany
[12] Univ Cologne, Fac Med, Dept Child & Adolescent Psychiat Psychosomat & Psy, Cologne, Germany
[13] Univ Cologne, Univ Hosp Cologne, Cologne, Germany
关键词
mental health; children; adolescence; non-participation; school-based study; online intervention; DISORDERS;
D O I
10.3389/fpubh.2023.1294862
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Non-participation in mental health studies is an under-explored but very important topic. Investigating reasons for non-participation holds promise for the planning of future study designs and recruitment strategies. This study aimed at investigating reasons for children and adolescents (C&A) not participating in a school-based mental health research project.Methods Data collection took place within the school-based recruitment of a large-scale multi-site project ("ProHEAD-Promoting Help-seeking using E-technology for Adolescents") in Germany. Participants were N = 534 C&A aged >= 12 years attending secondary schools. The present cross-sectional study analyzed anonymous survey data of C&A who themselves or whose parents, respectively, did not provide written consent to participate in the mental health research project. The questionnaire consisted of 14 items covering potential reasons for non-participation, and four free text fields. Besides descriptive statistics, free text field answers were analyzed using qualitative content analysis.Results Students indicated an average of M = 2.94 (SD = 1.75) reasons for their non-participation in the project. In the descriptive analysis of indicated items, the three most frequently reported reasons for non-participation included students reporting to not be concerned by the topic "mental health" (n = 290, 54.3%), not having returned the consent form to the teacher (n = 175, 32.8%), and not having time for participation (n = 149, 27.9%). In the qualitative content analysis, the most frequently assigned categories were organizational reasons (n = 216, 57.1%), general disinterest in study participation (n = 139, 36.8%), and personal attitudes toward the topic "mental health" (n = 84, 22.2%), such as not being concerned with the topic "mental health" (n = 23, 6.1%) or being too concerned with the topic "mental health" (n = 16, 4.2%).Conclusion The study provides unique insights into reasons for C&A and their caregivers not participating in a large federally funded mental health research project. The results suggest that in order to increase participation rates, stigma should be reduced, parents as well as teachers should be involved where possible, and the use of incentives might be helpful. The study highlights the importance of assessing reasons for non-participation, especially in online intervention studies on mental health.
引用
收藏
页数:9
相关论文
共 22 条
[1]  
Altman D G., 1990, Practical Statistics for Medical Research, DOI DOI 10.1201/9780429258589
[2]   Efficacy and cost-effectiveness of two online interventions for children and adolescents at risk for depression (E.motion trial): study protocol for a randomized controlled trial within the ProHEAD consortium [J].
Baldofski, Sabrina ;
Kohls, Elisabeth ;
Bauer, Stephanie ;
Becker, Katja ;
Bilic, Sally ;
Eschenbeck, Heike ;
Kaess, Michael ;
Moessner, Markus ;
Salize, Hans Joachim ;
Diestelkamp, Silke ;
Voss, Elke ;
Rummel-Kluge, Christine ;
Thomasius, Rainer ;
Salize, Hans-Joachim ;
Bertsch, Katja ;
Brunner, Romuald ;
Feldhege, Johannes ;
Gallinat, Christina ;
Herpertz, Sabine C. ;
Koenig, Julian ;
Lustig, Sophia ;
Ozer, Fikret ;
Parzer, Peter ;
Resch, Franz ;
Ritter, Sabrina ;
Spinner, Jens ;
Wille, Kristina ;
Peter, Lina-Jolien ;
Gille, Vera ;
Hofmann, Hanna ;
Lehner, Laya ;
Pfeiffer, Jens ;
Samel, Alisa .
TRIALS, 2019, 20 (1)
[3]   Efficacy and cost-effectiveness of Internet-based selective eating disorder prevention: study protocol for a randomized controlled trial within the ProHEAD Consortium [J].
Bauer, Stephanie ;
Bilic, Sally ;
Reetz, Christina ;
Ozer, Fikret ;
Becker, Katja ;
Eschenbeck, Heike ;
Kaess, Michael ;
Rummel-Kluge, Christine ;
Salize, Hans-Joachim ;
Diestelkamp, Silke ;
Moessner, Markus ;
Thomasius, Rainer ;
Bertsch, Katja ;
Brunner, Romuald ;
Feldhege, Johannes ;
Gallinat, Christina ;
Herpertz, Sabine C. ;
Koenig, Julian ;
Lustig, Sophia ;
Parzer, Peter ;
Resch, Franz ;
Ritter, Sabrina ;
Spinner, Jens ;
Wille, Kristina ;
Baldofski, Sabrina ;
Kohls, Elisabeth ;
Peter, Lina-Jolien ;
Gille, Vera ;
Hofmann, Hanna ;
Lehner, Laya ;
Voss, Elke ;
Pfeiffer, Jens ;
Samel, Alisa .
TRIALS, 2019, 20 (1)
[4]  
Cullingford C., 1997, BRIT RES ED J, V23, P61, DOI DOI 10.1080/0141192970230106
[5]   Effectiveness of a web-based screening and brief intervention with weekly text-message-initiated individualised prompts for reducing risky alcohol use among teenagers: study protocol of a randomised controlled trial within the ProHEAD consortium [J].
Diestelkamp, Silke ;
Wartberg, Lutz ;
Kaess, Michael ;
Bauer, Stephanie ;
Rummel-Kluge, Christine ;
Becker, Katja ;
Eschenbeck, Heike ;
Salize, Hans-Joachim ;
Moessner, Markus ;
Baldus, Christiane ;
Arnaud, Nicolas ;
The, Rainer Thomasius .
TRIALS, 2019, 20 (1)
[6]   School-based mental health promotion in children and adolescents with StresSOS using online or face-to-face interventions: study protocol for a randomized controlled trial within the ProHEAD Consortium [J].
Eschenbeck, Heike ;
Lehner, Laya ;
Hofmann, Hanna ;
Bauer, Stephanie ;
Becker, Katja ;
Diestelkamp, Silke ;
Kaess, Michael ;
Moessner, Markus ;
Rummel-Kluge, Christine ;
Salize, Hans-Joachim ;
Thomasius, Rainer ;
Bertsch, Katja ;
Bilic, Sally ;
Brunner, Romuald ;
Feldhege, Johannes ;
Gallinat, Christina ;
Herpertz, Sabine C. ;
Koenig, Julian ;
Lustig, Sophia ;
Ozer, Fikret ;
Parzer, Peter ;
Resch, Franz ;
Ritter, Sabrina ;
Spinner, Jens ;
Wille, Kristina ;
Baldofski, Sabrina ;
Kohls, Elisabeth ;
Peter, Lina-Jolien ;
Gille, Vera ;
Voss, Elke ;
Pfeiffer, Jens ;
Samel, Alisa .
TRIALS, 2019, 20 (1)
[7]   Participation rates in epidemiologic studies [J].
Galea, Sandro ;
Tracy, Melissa .
ANNALS OF EPIDEMIOLOGY, 2007, 17 (09) :643-653
[8]   Burden of psychiatric disorder in young adulthood and life outcomes at age 30 [J].
Gibb, Sheree J. ;
Fergusson, David M. ;
Horwood, L. John .
BRITISH JOURNAL OF PSYCHIATRY, 2010, 197 (02) :122-127
[9]   Self-labeling as having a mental or physical illness: the effects of stigma and implications for help-seeking [J].
Horsfield, Philip ;
Stolzenburg, Susanne ;
Hahm, Stefanie ;
Tomczyk, Samuel ;
Muehlan, Holger ;
Schmidt, Silke ;
Schomerus, Georg .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2020, 55 (07) :907-916
[10]   Epidemiology of mental disorders in childhood and adolescence: Prevalence, course, comorbidity and gender differences [J].
Ihle, W ;
Esser, G .
PSYCHOLOGISCHE RUNDSCHAU, 2002, 53 (04) :159-169