START NOW WebAPP: Skill training to promote resilience
Zusammenfassung der Studie
Almost every young person has experienced difficult situations, crises, and stress in their life. It is challenging to cope with such situations, and it is not uncommon for this to lead to a deterioration in mental health. At the same time, affected individuals often receive no help. There are too few support services available. Therefore, we developed the START NOW training and the associated WebAPP. With this training, young people can train their resilience, i.e., their psychological resistance. Resilient individuals cope better with difficult situations and remain mentally healthy for longer. Since the START NOW training is now also available as a WebAPP, users can apply it conveniently, playfully, and at any time. Furthermore, the WebAPP can be used resource-efficiently and cost-effectively in institutions as a means of prevention and treatment. The aim is to determine in a randomized study plan with two treatment conditions and a waiting group whether START NOW as a newly developed WebAPP is effective. The project is funded by the Federal Office of Justice as part of a pilot project.
(BASEC)
Untersuchte Intervention
Specifically, it will be investigated whether a digital web-based self-help training can already achieve positive effects or whether a format in which guidance by a coach and social learning is possible (support from a trainer who guides adolescents during the training) is better for achieving sustainable changes.
(BASEC)
Untersuchte Krankheit(en)
Adolescents with good resilience experience fewer psychological difficulties; they can better manage stress and challenges. Promoting resilience is therefore a central approach to fostering healthy psychological development. START NOW is a skill training program for adolescents aged 12 and older aimed at promoting resilience and improving stress and emotion regulation (www.istartnow.ch). The training was developed by Professor Robert Trestman at the University of Connecticut and further developed for adolescents by Professor Christina Stadler at the University of Basel. START NOW has been positively evaluated as both a prevention and intervention program in clinical settings in several studies.
(BASEC)
All educational institutions recognized by the Federal Office of Justice, where adolescents and young adults aged 14 to 24 live, who have sufficient knowledge of German or French and need to improve stress and emotion regulation. (BASEC)
Ausschlusskriterien
Suicidality, acute psychotic symptoms, or mania. Participation in another training similar to START NOW. (BASEC)
Studienstandort
Aarau, Basel, Bern, Chur, Freiburg, Genf, Lausanne, Lugano, Luzern, Neuenburg, Sion, St Gallen, Winterthur, Zürich, Andere
(BASEC)
Ganze deutsch- und französischsprechende Schweiz.
(BASEC)
Sponsor
Federal Office of Justice
(BASEC)
Kontakt für weitere Auskünfte zur Studie
Kontaktperson Schweiz
Christina Stadler
+41 61 265 8970
christina.stadler@clutterupk.chUniversity Psychiatric Clinics Basel (UPK)
(BASEC)
Allgemeine Auskünfte
University Psychiatric Clinics Basel
(ICTRP)
Wissenschaftliche Auskünfte
University Psychiatric Clinics Basel
(ICTRP)
Name der bewilligenden Ethikkommission (bei multizentrischen Studien nur die Leitkommission)
Ethikkommission Nordwest- und Zentralschweiz EKNZ
(BASEC)
Datum der Bewilligung durch die Ethikkommission
15.02.2022
(BASEC)
ICTRP Studien-ID
NCT05313581 (ICTRP)
Offizieller Titel (Genehmigt von der Ethikkommission)
Implementation of an e-version of the skills training START NOW for promoting emotion regulation and resilience in residential youth care and correctional institutions (BASEC)
Wissenschaftlicher Titel
Implementation of an E-version of the Skills Training START NOW for Promoting Emotion Regulation and Resilience in Residential Youth Care and Correctional Institutions: a Cluster Randomized Controlled Trial (ICTRP)
Öffentlicher Titel
START NOW WebApp: Skill Training for Promoting Resilience (ICTRP)
Untersuchte Krankheit(en)
Resilience;Emotion Regulation;Social Competence;Stress (ICTRP)
Untersuchte Intervention
Behavioral: START NOW WebApp (ICTRP)
Studientyp
Interventional (ICTRP)
Studiendesign
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Prevention. Masking: None (Open Label). (ICTRP)
Ein-/Ausschlusskriterien
Gender: All
Maximum age: 24 Years
Minimum age: 14 Years
Inclusion Criteria:
- Youth and young adults in Residential Youth Care (RYC) or Correctional Institutions
(CI)
- Age between 14-24 at time of screening
- Need for improvement: Avoidance and Fusion Questionnaire for Youth (AFQ-Y) equal or
higher than 34.05, or
- Massachusetts Youth Screening Instrument-2 (MAYSI-2) subscale Angry-Irritable equal or
higher than 5, or
- MAYSI-2 subscale Depressed-Anxious equal or higher than 3.
- Sufficient speaking, writing and reading skills in German or French
- (Written) informed consent
- No planned discharge before end of intervention phase; Exception: Self-Help condition
Exclusion Criteria:
- Suicidality: MAYSI-2 subscale Suicide Ideation equal or higher than 2
- Acute psychotic symptoms or mania: MAYSI-2 subscale Thought Disturbance equal or
higher than 1
- Concurrent Cognitive Behavioral Therapy (CBT) based skills training similar to START
NOW
(ICTRP)
nicht verfügbar
Primäre und sekundäre Endpunkte
Response to web-based training: pre-post participation CHANGE in psychological inflexibility as measured by scores on the AFQ-Y questionnaire (ICTRP)
change in resilience (all 3 conditions);change in self-reported psychological well-being (all 3 conditions);change in self-reported self-efficacy (all 3 conditions);change in general impairment (all 3 conditions);change in depression and anxiety (all 3 conditions);change in anger-irritability (all 3 conditions);change in substance use (all 3 conditions) (ICTRP)
Registrierungsdatum
nicht verfügbar
Einschluss des ersten Teilnehmers
nicht verfügbar
Sekundäre Sponsoren
nicht verfügbar
Weitere Kontakte
Christina Stadler, Prof. Dr., University Psychiatric Clinics Basel (ICTRP)
Sekundäre IDs
2022-00108 (ICTRP)
Angaben zur Verfügbarkeit von individuellen Teilnehmerdaten
nicht verfügbar
Weitere Informationen zur Studie
https://clinicaltrials.gov/ct2/show/NCT05313581 (ICTRP)
Ergebnisse der Studie
Zusammenfassung der Ergebnisse
zusammenfassung-uberarbeitet-20250613.pdfLink zu den Ergebnissen im Primärregister
nicht verfügbar