Internet-Based Stress Recovery Program for Adolescents

Study Overview
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Brief Summary
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The study aims to evaluate the efficacy of the internet-based stress recovery program for adolescents.

Detailed Description
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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, post-test, and 3-month follow-up.

Official Title
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Internet-Based Stress Recovery Program for Adolescents

Conditions
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Stress, Psychological

Intervention / Treatment
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* Behavioral: FOREST-A


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants will be randomly allocated either to the intervention or control groups. The intervention group will use the intervention and the control will take care as usual.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>The intervention group will get a 4-week online stress recovery intervention. | Behavioral: FOREST-A<br>* 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.<br>|
| No Intervention: Control group<br>The control group will take care as usual. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 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. | 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. | Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up | 
| The WHO-5 Well-being Index Questionnaire | The WHO-5 Well-being Index (Topp, Østergaard, Søndergaard, & Bech, 2015) will be used to measure changes in general psychological well-being. The measure comprises 5 items with a Likert scale ranging At no time (=0) to All of the time (=5). Total scores may range from 0 to 25. Higher scores will indicate better psychological well-being. | Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up | 
| The Perceived Positive Social Support Scale | The Perceived Positive Social Support Scale (Kazlauskas et al., 2022) will be used to measure changes in social support. The measure comprises 4 items, with provided an 8-point Likert scale ranging from Never (=0) to Always (=7). Total scores may range from 0 to 28. Higher scores will indicate higher perceived positive support. | Pre-treatment, post-treatment (after 4 weeks), 3 months follow-up |