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

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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. / Eschenbeck, Heike; Lehner, Laya; Hofmann, Hanna; Bauer, Stephanie; Becker, Katja; Diestelkamp, Silke; Kaess, Michael; Moessner, Markus; Rummel-Kluge, Christine; Salize, Hans-Joachim; ProHEAD consortium.

In: TRIALS, Vol. 20, No. 1, 18.01.2019, p. 64.

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@article{a01b051df35a46e39d6929a78a6ba751,
title = "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",
abstract = "BACKGROUND: Schools 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/DESIGN: A school-based sample of 15,000 C&A (grades 6-13 and older than 12 years) 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.DISCUSSION: This 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 REGISTRATION: German Clinical Trials Register, DRKS00014693 . Registered on 14 May 2018.",
keywords = "Adaptation, Psychological, Adolescent, Adolescent Behavior, Age Factors, Equivalence Trials as Topic, Female, Germany, Health Knowledge, Attitudes, Practice, Health Literacy, Humans, Internet, Longitudinal Studies, Male, Mental Health, Mental Health Services, Multicenter Studies as Topic, Patient Education as Topic, School Health Services, Stress, Psychological/diagnosis, Therapy, Computer-Assisted/methods, Time Factors, Treatment Outcome",
author = "Heike Eschenbeck and Laya Lehner and Hanna Hofmann and Stephanie Bauer and Katja Becker and Silke Diestelkamp and Michael Kaess and Markus Moessner and Christine Rummel-Kluge and Hans-Joachim Salize and {ProHEAD consortium}",
year = "2019",
month = jan,
day = "18",
doi = "https://doi.org/10.1186/s13063-018-3159-5",
language = "English",
volume = "20",
pages = "64",
journal = "TRIALS",
issn = "1745-6215",
publisher = "Current Controlled Trials Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - 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

AU - Eschenbeck, Heike

AU - Lehner, Laya

AU - Hofmann, Hanna

AU - Bauer, Stephanie

AU - Becker, Katja

AU - Diestelkamp, Silke

AU - Kaess, Michael

AU - Moessner, Markus

AU - Rummel-Kluge, Christine

AU - Salize, Hans-Joachim

AU - ProHEAD consortium

PY - 2019/1/18

Y1 - 2019/1/18

N2 - BACKGROUND: Schools 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/DESIGN: A school-based sample of 15,000 C&A (grades 6-13 and older than 12 years) 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.DISCUSSION: This 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 REGISTRATION: German Clinical Trials Register, DRKS00014693 . Registered on 14 May 2018.

AB - BACKGROUND: Schools 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/DESIGN: A school-based sample of 15,000 C&A (grades 6-13 and older than 12 years) 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.DISCUSSION: This 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 REGISTRATION: German Clinical Trials Register, DRKS00014693 . Registered on 14 May 2018.

KW - Adaptation, Psychological

KW - Adolescent

KW - Adolescent Behavior

KW - Age Factors

KW - Equivalence Trials as Topic

KW - Female

KW - Germany

KW - Health Knowledge, Attitudes, Practice

KW - Health Literacy

KW - Humans

KW - Internet

KW - Longitudinal Studies

KW - Male

KW - Mental Health

KW - Mental Health Services

KW - Multicenter Studies as Topic

KW - Patient Education as Topic

KW - School Health Services

KW - Stress, Psychological/diagnosis

KW - Therapy, Computer-Assisted/methods

KW - Time Factors

KW - Treatment Outcome

U2 - https://doi.org/10.1186/s13063-018-3159-5

DO - https://doi.org/10.1186/s13063-018-3159-5

M3 - SCORING: Journal article

C2 - 30658675

VL - 20

SP - 64

JO - TRIALS

JF - TRIALS

SN - 1745-6215

IS - 1

ER -