START NOW WebAPP: Skill training to promote resilience
Descrizione riassuntiva dello studio
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)
Intervento studiato
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)
Malattie studiate
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)
Criteri di esclusione
Suicidality, acute psychotic symptoms, or mania. Participation in another training similar to START NOW. (BASEC)
Luogo dello studio
Aarau, Basilea, Berna, Chur, Friburgo, Ginevra, Losanna, Lugano, Luzern, Neuchâtel, Sion, San Gallo, Winterthur, Zurigo, Altro
(BASEC)
Ganze deutsch- und französischsprechende Schweiz.
(BASEC)
Sponsor
Federal Office of Justice
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
Christina Stadler
+41 61 265 8970
christina.stadler@clutterupk.chUniversity Psychiatric Clinics Basel (UPK)
(BASEC)
Informazioni generali
University Psychiatric Clinics Basel
(ICTRP)
Informazioni scientifiche
University Psychiatric Clinics Basel
(ICTRP)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione d'etica svizzera nord-ovest/centrale EKNZ
(BASEC)
Data di approvazione del comitato etico
15.02.2022
(BASEC)
ID di studio ICTRP
NCT05313581 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
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)
Titolo accademico
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)
Titolo pubblico
START NOW WebApp: Skill Training for Promoting Resilience (ICTRP)
Malattie studiate
Resilience;Emotion Regulation;Social Competence;Stress (ICTRP)
Intervento studiato
Behavioral: START NOW WebApp (ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Prevention. Masking: None (Open Label). (ICTRP)
Criteri di inclusione/esclusione
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)
non disponibile
Endpoint primari e secondari
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)
Data di registrazione
non disponibile
Inclusione del primo partecipante
non disponibile
Sponsor secondari
non disponibile
Contatti aggiuntivi
Christina Stadler, Prof. Dr., University Psychiatric Clinics Basel (ICTRP)
ID secondari
2022-00108 (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
https://clinicaltrials.gov/ct2/show/NCT05313581 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
zusammenfassung-uberarbeitet-20250613.pdfLink ai risultati nel registro primario
non disponibile