Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents
Abstract Worldwide, 10–20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based interventi...
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| Veröffentlicht in: | Journal of adolescence (London, England.) England.), 2017-06, Vol.57 (1), p.74-89 |
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| container_title | Journal of adolescence (London, England.) |
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| creator | Dray, Julia Bowman, Jenny Campbell, Elizabeth Freund, Megan Hodder, Rebecca Wolfenden, Luke Richards, Jody Leane, Catherine Green, Sue Lecathelinais, Christophe Oldmeadow, Christopher Attia, John Gillham, Karen Wiggers, John |
| description | Abstract Worldwide, 10–20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based intervention targeting resilience protective factors in reducing mental health problems in adolescents. A cluster randomised controlled trial was conducted in 20 intervention and 12 control secondary schools located in socio-economically disadvantaged areas of NSW, Australia. Data were collected from 3115 students at baseline (Grade 7, 2011), of whom 2149 provided data at follow up (Grade 10, 2014; enrolments in Grades 7 to 10 typically aged 12–16 years; 50% male; 69.0% retention). There were no significant differences between groups at follow-up for three mental health outcomes: total SDQ, internalising problems, and prosocial behaviour. A small statistically significant difference in favour of the control group was found for externalising problems. Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987). |
| doi_str_mv | 10.1016/j.adolescence.2017.03.009 |
| format | Article |
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Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based intervention targeting resilience protective factors in reducing mental health problems in adolescents. A cluster randomised controlled trial was conducted in 20 intervention and 12 control secondary schools located in socio-economically disadvantaged areas of NSW, Australia. Data were collected from 3115 students at baseline (Grade 7, 2011), of whom 2149 provided data at follow up (Grade 10, 2014; enrolments in Grades 7 to 10 typically aged 12–16 years; 50% male; 69.0% retention). There were no significant differences between groups at follow-up for three mental health outcomes: total SDQ, internalising problems, and prosocial behaviour. A small statistically significant difference in favour of the control group was found for externalising problems. Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987).</description><identifier>ISSN: 0140-1971</identifier><identifier>EISSN: 1095-9254</identifier><identifier>DOI: 10.1016/j.adolescence.2017.03.009</identifier><identifier>PMID: 28384523</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescence ; Adolescent ; Adolescents ; Attrition ; Australia ; Behavior problems ; Child ; Child development ; Control Groups ; Disadvantaged ; Disease prevention ; Female ; Grade 10 ; Health behavior ; Health planning ; Health problems ; Humans ; Internal-External Control ; Intervention ; Male ; Mental disorders ; Mental Disorders - prevention & control ; Mental health ; Mental health services ; New South Wales ; Pediatrics ; Prevention ; Prosocial behavior ; Protective factors ; Resilience ; Resilience, Psychological ; School Health Services ; Schools ; Secondary schools ; Students - psychology ; Treatment outcomes ; Universal intervention</subject><ispartof>Journal of adolescence (London, England.), 2017-06, Vol.57 (1), p.74-89</ispartof><rights>The Authors</rights><rights>2017 The Authors</rights><rights>Copyright © 2017 The Authors. Published by Elsevier Ltd.. 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Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based intervention targeting resilience protective factors in reducing mental health problems in adolescents. A cluster randomised controlled trial was conducted in 20 intervention and 12 control secondary schools located in socio-economically disadvantaged areas of NSW, Australia. Data were collected from 3115 students at baseline (Grade 7, 2011), of whom 2149 provided data at follow up (Grade 10, 2014; enrolments in Grades 7 to 10 typically aged 12–16 years; 50% male; 69.0% retention). There were no significant differences between groups at follow-up for three mental health outcomes: total SDQ, internalising problems, and prosocial behaviour. A small statistically significant difference in favour of the control group was found for externalising problems. Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987).</description><subject>Adolescence</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Attrition</subject><subject>Australia</subject><subject>Behavior problems</subject><subject>Child</subject><subject>Child development</subject><subject>Control Groups</subject><subject>Disadvantaged</subject><subject>Disease prevention</subject><subject>Female</subject><subject>Grade 10</subject><subject>Health behavior</subject><subject>Health planning</subject><subject>Health problems</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Intervention</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - prevention & control</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>New South Wales</subject><subject>Pediatrics</subject><subject>Prevention</subject><subject>Prosocial behavior</subject><subject>Protective factors</subject><subject>Resilience</subject><subject>Resilience, Psychological</subject><subject>School Health Services</subject><subject>Schools</subject><subject>Secondary schools</subject><subject>Students - psychology</subject><subject>Treatment outcomes</subject><subject>Universal intervention</subject><issn>0140-1971</issn><issn>1095-9254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNks1u1DAUhSMEokPhFVAQGzYZfO3EiTdIw9Dyo0osgLXlsa9nPDhJsZ2ieR2eFKdTRqirrixZ3zk-vucWxSsgSyDA3-6Xyoweo8ZB45ISaJeELQkRj4oFENFUgjb142JBoCYViBbOimcx7gkhtOXN0-KMdqyrG8oWxZ8La1End4MDxliOtlTldVDbXiWny6h34-irjYpoymnIVIjKl25IGLIiuXEokwpbTG7YljFNJl-WAaPzbs6WrcZ0tC-t0mkMMYszYCY9K_qMZ78dKp92M7zx2N8ipw-m-Lx4YpWP-OLuPC9-XF58X3-qrr5-_LxeXVW6ER2veEs7rYBz4K3lTSMEERujATaq5h2jRtsautpgC8QKYKCssFabVmnBhCbsvHhz9M05fk0Yk-xdTuC9GnCcooSua0QDdT2jr--h-3EKQ04nKak5pxSoyJQ4UjqMMQa08jq4XoWDBCLnIuVe_leknIuUhMlcZNa-vHth2vRoTsp_zWVgdQR-O4-HhzvLL6sP7y8Jo8Czx_rogXmsNw6DjPq2N-NCbk2a0T0o6rt7Ltq7wWnlf-IB42kyICOVRH6bt3JeSmgZIXUn2F9rY-KD</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Dray, Julia</creator><creator>Bowman, Jenny</creator><creator>Campbell, Elizabeth</creator><creator>Freund, Megan</creator><creator>Hodder, Rebecca</creator><creator>Wolfenden, Luke</creator><creator>Richards, Jody</creator><creator>Leane, Catherine</creator><creator>Green, Sue</creator><creator>Lecathelinais, Christophe</creator><creator>Oldmeadow, Christopher</creator><creator>Attia, John</creator><creator>Gillham, Karen</creator><creator>Wiggers, John</creator><general>Elsevier Ltd</general><general>John Wiley & Sons, Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>201706</creationdate><title>Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents</title><author>Dray, Julia ; 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Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987).</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28384523</pmid><doi>10.1016/j.adolescence.2017.03.009</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of adolescence (London, England.), 2017-06, Vol.57 (1), p.74-89 |
| issn | 0140-1971 1095-9254 |
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| source | Wiley-Blackwell Journals; MEDLINE; Sociological Abstracts |
| subjects | Adolescence Adolescent Adolescents Attrition Australia Behavior problems Child Child development Control Groups Disadvantaged Disease prevention Female Grade 10 Health behavior Health planning Health problems Humans Internal-External Control Intervention Male Mental disorders Mental Disorders - prevention & control Mental health Mental health services New South Wales Pediatrics Prevention Prosocial behavior Protective factors Resilience Resilience, Psychological School Health Services Schools Secondary schools Students - psychology Treatment outcomes Universal intervention |
| title | Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents |
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