PDF(Pubmed)
Abstract：
BACKGROUND: Adolescents and young adults in residential care and correctional institutions face various challenges, leading to negative life outcomes. Implementation barriers within these institutions, such as limited financial and spatial resources, pose significant hurdles to providing necessary support. Web-based approaches address these challenges by offering cost-effective, accessible solutions. This study aims to assess the efficacy of a newly developed web-based version of the existing evidence-based START NOW skills training in fostering emotion regulation and resilience among institutionalized adolescents and young adults. We present the study protocol (Version 5, August 2023) of the trial titled \"Implementation of an e-version of the skills training START NOW for promoting emotion regulation and resilience in residential youth care and correctional institutions\".
METHODS: The study is a monocentric, prospective, confirmatory randomized controlled trial with 150 institutionalized adolescents and young adults with a need to improve resilience (predefined cut-offs). Participating institutions will be randomized to one of three conditions: (i) 9-week web-based group training guided by a facilitator, (ii) 9-week web-based self-help training, (iii) and treatment as usual. The primary endpoint is the change in psychological flexibility, assessed by the Avoidance and Fusion Questionnaire for Youth score, from baseline to follow-up 12 weeks post skills training. Secondary objectives encompass assessing pre-post changes in psychological flexibility and other psychological health-related outcome measures in participating adolescents, young adults, and caretakers from baseline, to post training, and to 12- and 24-week follow-ups.
CONCLUSIONS: This study evaluates the efficacy of START NOW as web-based training for institutionalized adolescents and young adults, providing valuable insights into web-based interventions and aiming to optimize support levels. TRIAL REGISTRATION {2A AND 2B}: ClinicalTrials.gov NCT05313581. Registered on 6 April 2022.
METHODS: The study is a monocentric, prospective, confirmatory randomized controlled trial with 150 institutionalized adolescents and young adults with a need to improve resilience (predefined cut-offs). Participating institutions will be randomized to one of three conditions: (i) 9-week web-based group training guided by a facilitator, (ii) 9-week web-based self-help training, (iii) and treatment as usual. The primary endpoint is the change in psychological flexibility, assessed by the Avoidance and Fusion Questionnaire for Youth score, from baseline to follow-up 12 weeks post skills training. Secondary objectives encompass assessing pre-post changes in psychological flexibility and other psychological health-related outcome measures in participating adolescents, young adults, and caretakers from baseline, to post training, and to 12- and 24-week follow-ups.
CONCLUSIONS: This study evaluates the efficacy of START NOW as web-based training for institutionalized adolescents and young adults, providing valuable insights into web-based interventions and aiming to optimize support levels. TRIAL REGISTRATION {2A AND 2B}: ClinicalTrials.gov NCT05313581. Registered on 6 April 2022.
摘要：
背景：寄宿护理和惩教机构中的青少年和年轻人面临各种挑战，导致负面的生活结果。这些机构内部的执行障碍，例如有限的财政和空间资源，对提供必要的支持构成重大障碍。基于网络的方法通过提供具有成本效益的、可访问的解决方案。这项研究旨在评估新开发的基于网络的现有基于证据的STARTNOW技能培训在促进制度化青少年和年轻人的情绪调节和韧性方面的功效。我们介绍了该试验的研究方案（第5版，2023年8月），标题为“实施从现在开始的技能培训的电子版，以促进住院青年护理和惩教机构的情绪调节和韧性”。
方法：这项研究是单中心的，prospective,对150名需要提高复原力的住院青少年和年轻成年人进行验证性随机对照试验(预定义的界限).参与机构将被随机分为以下三个条件之一：（i）在主持人的指导下进行为期9周的基于网络的团体培训，(ii)为期9周的网络自助培训，(iii)及照常治疗。主要终点是心理灵活性的变化，通过青少年得分的回避和融合问卷进行评估，技能培训后从基线到随访12周。次要目标包括评估参与青少年的心理灵活性和其他与心理健康相关的结果指标的事后变化，年轻人,和从基线开始的看护人，在培训后，以及12周和24周的随访。
结论：这项研究评估了STARTNOW作为制度化青少年和年轻人的网络培训的有效性，为基于网络的干预提供有价值的见解，并旨在优化支持水平。试验注册{2A和2B}：ClinicalTrials.govNCT05313581。2022年4月6日注册。
方法：这项研究是单中心的，prospective,对150名需要提高复原力的住院青少年和年轻成年人进行验证性随机对照试验(预定义的界限).参与机构将被随机分为以下三个条件之一：（i）在主持人的指导下进行为期9周的基于网络的团体培训，(ii)为期9周的网络自助培训，(iii)及照常治疗。主要终点是心理灵活性的变化，通过青少年得分的回避和融合问卷进行评估，技能培训后从基线到随访12周。次要目标包括评估参与青少年的心理灵活性和其他与心理健康相关的结果指标的事后变化，年轻人,和从基线开始的看护人，在培训后，以及12周和24周的随访。
结论：这项研究评估了STARTNOW作为制度化青少年和年轻人的网络培训的有效性，为基于网络的干预提供有价值的见解，并旨在优化支持水平。试验注册{2A和2B}：ClinicalTrials.govNCT05313581。2022年4月6日注册。
