Effects of Implementing a Program to Develop Emotional Skills and Post-traumatic Growth in Adolescents and Young Adults Receiving Child Welfare Services-a Pilot Study in the Haute-Loire Department

N/ANot Yet RecruitingNCT07334704

Centre Hospitalier Emile Roux32 enrolled

Overview

Adolescents and young adults receiving child welfare services constitute a vulnerable population, with an overrepresentation of mental health issues and past trauma, often exacerbated by a difficult transition to independence. Current support focuses mainly on material needs, lacking specific interventions targeting psychological resilience. This study draws on literature demonstrating that the development of emotional skills and post-traumatic growth are major protective factors promoting psychosocial adaptation and mental health.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Child Protection Service Child Welfare

Interventions

completion of all questionnaires : * l'Adverse Childhood Experiences-International Questionnaire * Benevolent Childhood Experiences * Emotional Competency Profile * psychological distress (K6) * Warwick-Edinburgh Mental Well-Being Scale * Post traumatic Growth Inventory * Attention Assessment Tests * Wechsler Adult Intelligence Scale * Behavior Rating Inventory of Executive Function

Program JEMotionOTHER

Programm JEMotion : 6-week emotional skills development and psychoeducation program. It consists of 8 modules of 2 hours each. The program is structured around a variety of activities based on pedagogical and experiential principles. It includes enriching emotional vocabulary, identifying emotional components, and exploring their functional value.

mobile appOTHER

Mobile app promoting mental health for teens aged 14 to 17. It is a gamified, self-guided 6-week digital program (about 1 hour per week), incorporating techniques from cognitive behavioral therapy, positive psychology, and lifestyle medicine. The game offers a narrative journey through an imaginary world consisting of six islands, each corresponding to a health and well-being theme: physical activity, stress management, sleep, addictive behaviors, emotional regulation, automatic thoughts, and self-compassion. Side quests also address balanced eating and the integration of positive psychology practices into everyday life. The player takes on the role of a hero accompanied by their guide, tasked with restoring the vital balance of the islands threatened by pollution and destruction. The player must clean up the islands, recycle waste into seeds, regenerate nature, and interact with totem animals, which impart psychoeducational lessons related to mental health.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 21 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Minors: \> 15 to \< 18 years old: 1. Be taken in or accompanied by a child protection service. 2. Have given informed consent to participate in the study. 3. Have obtained authorization from those with parental authority. Young adults aged ≥ 18 to 21: 1. Have signed a young adult contract (CJM) with the Child Welfare Service (ASE). 2. Have given their informed consent to participate in the study.

Outcomes

Primary Outcomes

Emotional Competence

score assessed by Emotional Skills Profile. 45 items from this instrument assess the management of one's own emotions. 15 subscale covers five skills : identifying, understanding, expressing, regulating, and using emotions, over 3 targets : self / others / context Each item is rated on a 5-point Likert scale. The total ESP score ranges from 45 to 225 (45 items rated from 1 to 5) and reflects the overall level of emotional skills, with a low score indicating poorly developed skills, a medium score indicating adequate emotional functioning, and a high score indicating good abilities to identify, express, regulate, and use emotions.

Time frame: Baseline and 6 months

post-traumatic growth

Score assessed by Posttraumatic Growth Inventory (PTGI) This 21-item questionnaire measures perceived positive psychological changes following adversity. It covers five dimensions: relationships with others, personal strength, new possibilities, spiritual changes, and appreciation of life. The score is calculated by adding up the scores for the 21 items (rated from 0 = no change to 5 = very significant change), giving a total score between 0 and 105. Subscale scores can also be obtained by adding up the items corresponding to each of the five dimensions. A low score indicates little perceived positive change after the event, a moderate score indicates partial growth, and a high score indicates significant positive psychological transformation.

Time frame: Baseline and 6 months

Secondary Outcomes

Mental well-being

Mental well-being will be assessed using the Warwick-Edinburgh Mental Well-Being Scale.The total WEMWBS score ranges from 14 to 70 and reflects the overall level of mental well-being, with a low score indicating reduced well-being, a medium score indicating moderate well-being, and a high score indicating significant and positive mental well-being.