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

被引：28

作者：

Eschenbeck, Heike ^{[1
,14
]}

Lehner, Laya ^{[1
,14
]}

Hofmann, Hanna ^{[1
,14
]}

Bauer, Stephanie ^{[2
,11
]}

Becker, Katja ^{[3
,4
,5
]}

Diestelkamp, Silke ^{[6
,12
]}

Kaess, Michael ^{[7
,8
,11
]}

Moessner, Markus ^{[2
,11
]}

Rummel-Kluge, Christine ^{[9
,13
]}

Salize, Hans-Joachim ^{[10
,15
]}

Thomasius, Rainer ^{[12
]}

Bertsch, Katja ^{[11
]}

Bilic, Sally ^{[11
]}

Brunner, Romuald ^{[11
]}

Feldhege, Johannes ^{[11
]}

Gallinat, Christina ^{[11
]}

Herpertz, Sabine C. ^{[11
]}

Koenig, Julian ^{[11
]}

Lustig, Sophia ^{[11
]}

Ozer, Fikret ^{[11
]}

Parzer, Peter ^{[11
]}

Resch, Franz ^{[11
]}

Ritter, Sabrina ^{[11
]}

Spinner, Jens ^{[11
]}

Wille, Kristina ^{[12
]}

Baldofski, Sabrina ^{[13
]}

Kohls, Elisabeth ^{[13
]}

Peter, Lina-Jolien ^{[13
]}

Gille, Vera ^{[14
]}

Voss, Elke ^{[15
]}

Pfeiffer, Jens ^{[4
]}

Samel, Alisa ^{[4
]}

机构：

[1] Univ Educ Schwabisch Gmund, Dept Psychol, Oberbettringer Str 200, D-73525 Schwabisch Gmund, Germany

[2] Univ Hosp Heidelberg, Ctr Psychotherapy Res, Bergheimerstr 54, D-69115 Heidelberg, Germany

[3] Univ Hosp Marburg, Dept Child & Adolescent Psychiat Psychosomat & Ps, Hans Sachs Str 6, D-35039 Marburg, Germany

[4] Philipps Univ Marburg, Hans Sachs Str 6, D-35039 Marburg, Germany

[5] Philipps Univ Marburg, MCMBB, D-35043 Marburg, Germany

[6] Univ Hosp Hamburg Eppendorf, German Ctr Addict Res Childhood & Adolescence, Martinistr 52,W29, D-20246 Hamburg, Germany

[7] Univ Hosp Heidelberg, Ctr Psychosocial Med, Dept Child & Adolescent Psychiat, Sect Translat Psychobiol Child & Adolescent Psych, Blumenstr 8, D-69115 Heidelberg, Germany

[8] Univ Bern, Univ Hosp Child & Adolescent Psychiat & Psychothe, Bolligenstr 141c, CH-3000 Bern 60, Switzerland

[9] Univ Leipzig, Dept Psychiat & Psychotherapy, Semmelweisstr 10, D-04103 Leipzig, Germany

[10] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Mental Hlth Serv Res Grp, J5, D-68159 Mannheim, Germany

[11] Univ Hosp Heidelberg, Heidelberg, Germany

[12] Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany

[13] Univ Leipzig, Leipzig, Germany

[14] Univ Educ Schwabisch Gmund, Schwabisch Gmund, Germany

[15] Heidelberg Univ, Med Fac Mannheim, Mannheim, Germany

来源：

TRIALS | 2019年 / 20卷 / 1期

关键词：

Mental health promotion; Prevention; School; Stress; Coping; Mental health literacy; Online intervention; Adolescents; Randomized controlled trial; ProHEAD; HELP-SEEKING; LITERACY; PREVENTION; MANAGEMENT; DISORDERS; ATTITUDES; QUESTIONNAIRE; VALIDATION; INSTRUMENT; STRATEGIES;

D O I：

10.1186/s13063-018-3159-5

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

BackgroundSchools are an ideal setting in which to promote health. However, empirical data on the effectiveness of school-based mental health promotion programs are rare, and research on universal Internet-based prevention in schools is almost non-existent. Following the life skills approach, stress management training is an important component of health promotion. Mental health literacy is also associated with mental health status, and it facilitates formal help-seeking by children and adolescents (C&A). The main objectives of this study are (1) the development and evaluation of an Internet-based version of a universal school-based health promotion program called StresSOS and (2) demonstrating non-inferiority of the online setting compared to the face-to-face setting. StresSOS aims to improve stress management and mental health literacy in C&A.Methods/designA school-based sample of 15,000 C&A (grades 6-13 and older than 12years) will be recruited in five regions of Germany within the ProHEAD Consortium. Those with a screening result at baseline indicating no mental health problems will be invited to participate in a randomized controlled trial comparing StresSOS online to an active online control condition (Study A). In addition, 420 adolescents recruited as a separate school-based sample will participate in the StresSOS face-to-face intervention. Participants in both intervention groups (online or face-to-face) will receive the same eight treatment modules to allow for the comparison of both methods of delivery (Study B). The primary outcome is the number of C&A with symptoms of mental health problems at a 12 months follow-up. Secondary outcomes are related to stress/coping (i.e., knowledge, symptoms of stress, coping resources), mental health literacy (knowledge and attitudes toward mental disorders and help-seeking), program usage patterns, cost-effectiveness, and acceptability of the intervention.DiscussionThis study represents the first adequately powered non-inferiority trial in the area of school-based mental health promotion. If online StresSOS proves efficacious and non-inferior to face-to-face delivery, this offers great potential for health promotion in youths, both in and outside the school environment.Trial registrationGerman Clinical Trials Register, DRKS00014693. Registered on 14 May 2018.

引用

页数：12

共 59 条

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