基于学校的复原力干预措施对高危青少年的有效性：一项整群随机对照试验。
Effectiveness of a resilience school-based intervention in adolescents at risk: a cluster-randomized controlled trial.
作者信息
Llistosella Maria, Castellví Pere, García-Ortiz Mercedes, López-Hita Griselda, Torné Clara, Ortiz Ramona, Guallart Erika, Uña-Solbas Estefanía, Carlos Martín-Sánchez Juan
机构信息
Primary Health Care, Consorci Sanitari de Terrassa (CST), Terrassa, Spain.
Department of Nursing, International University of Catalonia (UIC), Sant Cugat del Vallès, Spain.
出版信息
Front Psychol. 2024 Oct 22;15:1478424. doi: 10.3389/fpsyg.2024.1478424. eCollection 2024.
INTRODUCTION
School offers a key context to promote resilience. The aim of this study was to assess the effectiveness of a school-based resilience intervention in 578 at-risk adolescents aged 12 to 15, emphasizing the significance of resilience improving mental health.
METHODS
A cluster-randomized controlled trial with parallel arms was conducted during the 2021/22 academic course. A specific training of six 55-minute sessions over 6 weeks was carried out for the students. Each session consisted of 5 minutes of mindfulness, followed by 45 minutes of the corresponding activity: introduction to resilience, self-esteem, emotional regulation strategies, social skills, problem solving, community resources, and peer support. Primary outcomes were assessed by the Child Youth Resilience Measure-32 at baseline (T1), post-intervention (T2), and then at the 24-week follow-up (T3). Both groups were compared using the Student's t-test. The effect size was calculated using Cohen's and linear regression models were used.
RESULTS
A total of 578 adolescents were included, 323 in the control group and 255 in the intervention group. Significant differences in both crude and adjusted analyses for Child Youth Resilience Measure were observed at 24 weeks follow-up, showing higher resilience for the intervention group [IG, = 128.7, = 14.2; CG, = 125.3, = 18.4; = 0.027; = 0.2; = 0.043, = 0.16]. Furthermore, in Depressive symptoms, lower values were found for the intervention group in both crude and adjusted analyses [IG, M = 2.3 (SD = 2.5); CG, M = 2.8 (SD = 2.5); = 0.04; -0.20; 0.037, = -0.18].
DISCUSSION
This study contributes to fostering resilience and positive adolescent development. It also reinforces the potential of multicomponent interventions. More continuous follow-up assessments are needed to identify possible long-term changes in resilience.
CLINICAL TRIAL REGISTRATION
Identifier: NCT05133115. https://clinicaltrials.gov/study/NCT05133115.
引言
学校是促进心理韧性的关键环境。本研究旨在评估一项针对578名12至15岁高危青少年的校内心理韧性干预措施的有效性，强调心理韧性对改善心理健康的重要性。
方法
在2021/22学年期间进行了一项平行组群随机对照试验。为学生开展了一项为期6周、共六节、每节55分钟的特定培训。每节课包括5分钟的正念练习，随后是45分钟的相应活动：心理韧性介绍、自尊、情绪调节策略、社交技能、问题解决、社区资源和同伴支持。主要结局在基线（T1）、干预后（T2）以及24周随访（T3）时通过儿童青少年心理韧性量表-32进行评估。两组采用学生t检验进行比较。效应量使用科恩d值计算，并使用线性回归模型。
结果
共纳入578名青少年，对照组323名，干预组255名。在24周随访时，儿童青少年心理韧性量表的粗分析和调整分析均观察到显著差异，干预组的心理韧性更高[干预组，均值=128.7，标准差=14.2；对照组，均值=125.3，标准差=18.4；t=0.027；d=0.2；F=0.043，β=-0.16]。此外，在抑郁症状方面，干预组在粗分析和调整分析中的得分均较低[干预组，均值=2.3（标准差=2.5）；对照组，均值=2.8（标准差=2.5）；t=0.04；d=-0.20；F=0.037，β=-0.18]。
讨论
本研究有助于培养心理韧性和促进青少年积极发展。它还强化了多成分干预措施的潜力。需要更多持续的随访评估来确定心理韧性可能的长期变化。
临床试验注册
标识符：NCT05133115。https://clinicaltrials.gov/study/NCT05133115 。
Zotero 插件