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《万事之上:一项针对丹麦高中和健康与社会关怀学校学生开展正念教师培训计划的集群随机对照试验研究方案》

On Top of Everything: a study protocol for a cluster-randomised controlled trial testing a teacher training programme to teach mindfulness among students in Danish upper secondary schools and schools of health and social care.

机构信息

Department of Clinical Medicine, Danish Center for Mindfulness, Aarhus University, Hack Kampmanns Plads 1-3, 4Th Floor, 8000, Aarhus C, Denmark.

MFStat, Aarhus, Høgemosevej 19A, 8380, Trige, Denmark.

出版信息

Trials. 2023 Jan 6;24(1):17. doi: 10.1186/s13063-022-06920-7.

DOI:10.1186/s13063-022-06920-7
PMID:36609335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9824979/
Abstract

BACKGROUND

Mental health is decreasing among young people in Denmark. Our primary aim is to evaluate the effectiveness of a teacher training programme to teach mindfulness as part of regular classroom teaching in Danish upper secondary schools and schools of health and social care on students' self-reported mental well-being 6 months from baseline. Secondary aims are (1) to evaluate the effectiveness in a vulnerable subgroup as well as in the total population of students 3 and 6 months from baseline using other outcome measures on mental health and (2) to investigate the facilitators and barriers among teachers to implement mindfulness in schools.

METHODS

This pragmatic cluster-randomised two-arm superiority trial includes 30 upper secondary schools, 13 schools of health and social care, 76 teachers, and approximately 1100 students aged 16 to 24 years. Our intervention is multi-level and consists of (a) a teacher training programme and (b) a mindfulness programme delivered to students. Students in control schools receive education as usual. Our primary study population is the total population of students. The primary outcome is changes in the short version of the Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). We also evaluate the effectiveness in a vulnerable subgroup (the 15% with the lowest SWEMWBS score), as well as in the total population of students 3 and 6 months from baseline using other outcome measures on mental health. Data will be analysed using repeated measurement models taking clusters into account. Facilitators and barriers among teachers to implement mindfulness in schools will be investigated through qualitative focus group interviews.

DISCUSSION

The trial will estimate the effectiveness of a population-based strategy on mental health in Danish young people enrolled in education.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04610333 . Registered on October 10 2020.

摘要

背景

丹麦年轻人的心理健康状况正在下降。我们的主要目的是评估一项教师培训计划的效果,该计划将正念作为丹麦高中和健康与社会关怀学校常规课堂教学的一部分,以评估学生自我报告的心理健康状况,从基线开始 6 个月后的效果。次要目的是(1)使用其他心理健康评估措施,在弱势群体和学生总人群中评估 3 个月和 6 个月从基线开始的效果,(2)调查教师在学校实施正念的促进因素和障碍。

方法

这是一项实用的两臂优效集群随机对照试验,纳入 30 所高中、13 所健康与社会关怀学校、76 名教师和约 1100 名 16 至 24 岁的学生。我们的干预措施是多层次的,包括(a)教师培训计划和(b)向学生提供的正念计划。对照学校的学生接受常规教育。我们的主要研究人群是学生的总人群。主要结局是华威-爱丁堡心理健康量表(SWEMWBS)短版的变化。我们还使用其他心理健康评估措施,评估弱势亚组(SWEMWBS 得分最低的 15%)和总人群中 3 个月和 6 个月从基线开始的效果。数据分析将使用重复测量模型,考虑到聚类。通过定性焦点小组访谈调查教师在学校实施正念的促进因素和障碍。

讨论

该试验将估计针对丹麦接受教育的年轻人的基于人群的心理健康策略的效果。

试验注册

ClinicalTrials.gov NCT04610333。于 2020 年 10 月 10 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f2/9824979/5eb414a9045c/13063_2022_6920_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f2/9824979/5eb414a9045c/13063_2022_6920_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91f2/9824979/5eb414a9045c/13063_2022_6920_Fig1_HTML.jpg

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