Internet-Based Stress Recovery Program for Adolescents

Vilnius University82 enrolled

Overview

The study aims to evaluate the feasibility and efficacy of the internet-based stress recovery program for adolescents.

The FOREST-A is a third-wave cognitive behavioral therapy and mindfulness-based internet-delivered 4-week psychosocial intervention for recovery from stress, which was initially developed for healthcare workers and is now adapted for adolescents. The program comprises six modules: introduction, relaxation, psychological detachment, mastery, control, and summary, with psychologist engagement on-demand. Each module includes psychoeducation and exercises. The program will be delivered in Lithuanian. The intervention will be evaluated using the two-arm randomized controlled trial with intervention and care as usual condition at pre-test and post-test.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stress, Psychological

Interventions

FOREST-ABEHAVIORAL

The internet-based psychosocial intervention will be delivered. The intervention comprises six modules: introduction, relaxation, psychological detachment, mastery, control, and summary, within psychoeducation and exercises in each module. The interactions with psychologists will be on demand. The whole intervention duration will be 4 weeks.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 19 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Recent exposure to life-stressor. * Students of high schools in Lithuania. * Comprehending Lithuanian. * Parental and own consent for minor-aged participants (\< 18 years)/only own consent for adolescents aged 18 years or older to participate in the study provided. * Have access to a device (such as a tablet, phone or computer) with an internet connection. Exclusion Criteria: * Acute psychiatric condition/crisis. * No recent life-stressor exposure, or low levels of stress.

Locations (1)

Vilnius University

Vilnius, Lithuania

Outcomes

Primary Outcomes

The Recovery Experience Questionnaire

The Recovery Experience Questionnaire (Sonnentag \& Fritz, 2007) adapted Child and Adolescent version will be used to measure the changes in recovery from stress experience. It is a self-report measure comprising 16 items, with provided 5-point Likert scale, ranging from Totally disagree (=1) to Totally agree (=5). Total scores may range from 16 to 80, and higher scores will indicate higher recovery.

Time frame: Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up

Secondary Outcomes

The Adjustment Disorder New Module-8 Child and Adolescent Version Questionnaire

The Adjustment Disorder New Module-8 Child and Adolescent Version (Kazlauskas et al., 2018) will be used to measure the changes in symptoms of adjustment disorder, which are described in the International Classification of diseases 11th edition (WHO, 2018). The measure includes a list of 16 potentially stressful events (with binary answers Yes and No, indicating whether the participant has experienced a stressor) and 8 items for adjustment disorder symptoms evaluation (with a 4-point Likert scale ranging from Never (=1) to Often (=4)). Total scores may range from 8 to 32, and higher scores will indicate higher adjustment problems.

Time frame: Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up

The Generalized Anxiety Disorder-7 scale

The Generalized Anxiety Disorder-7 scale (Spitzer, Kroenke, Williams, \& Löwe, 2007) will be used to measure the changes in generalized anxiety symptoms.The measure comprises 7 items with the possible answers ranging on a 4-point Likert scale from Not at all (=0) to Nearly every day (=3). Total scores may range from 0 to 21. Higher scores will indicate higher generalized anxiety symptoms.

Time frame: Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up

The Patient Health Questionnaire-9 questionnaire

The Patient Health Questionnaire-9 (Löwe, Kroenke, Herzog, \& Gräfe, 2004) will be used to measure changes in depressive symptoms. The measure comprises 9 items, with provided a 4-point Likert scale, ranging from Not at all (=0) to Nearly every day (=3). Total scores may range from 0 to 27. Higher scores will indicate higher depressive symptoms.

Data from ClinicalTrials.gov

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