Clinical trial NCT05979649: An Internet-Based Intervention With Peer Support for the Mental Health of Youths
Official title: The Effectiveness of an Internet-Based Intervention With Peer Support for the Mental Health of Youths: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Mental Health Issue
Keywords: adolescent
internet-based
peer support
post-pandemic era
stressful life event
Coping Behavior
Lead sponsor: Sun Yat-sen University
Sponsor class: OTHER
First posted: 2023-08-07
Enrollment: 200
Sex: ALL
Minimum age (years): 14
Maximum age (years): 25
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The aim of this randomized control trial study is to develop an online intervention project that specifically targets and addresses mental health issues among youths in the post-pandemic era, while also assessing its effectiveness. Additionally, this intervention project has the potential to effectively address other post-traumatic conditions experienced by youths. Furthermore, our research group will investigate the specific impacts of long-term interventions on various aspects including changes in mental health status, psychological resilience, coping strategies, perceived social support, and emotional intelligence among the participants.

Detailed description: Over the past decade, mental health issues have become increasingly prevalent among young people. Approximately 14% of adolescents aged 10-19 years globally suffer from conditions like depression and anxiety. This is concerning because adolescence is a critical period for development, and these mental health problems can have long-term consequences on various aspects of their lives, including relationships, education, and work.

The mental health of young people (15-24) is a significant global concern, affecting one in five individuals within this age group and representing the largest burden of illness. Moreover, the impact of mental health problems during adolescence can extend into adulthood, affecting physical and mental well-being and limiting opportunities for a fulfilling life.

According to the World Health Organization (WHO), mental health and psychosocial well-being are essential for youth's human potential and rights. However, the COVID-19 pandemic has exacerbated mental health problems among adolescents, leading to disruptions in critical mental health services in many countries. Studies have shown that the pandemic has resulted in increased depression, anxiety, stress, and sleep disorders among young people. Additionally, the previously mentioned conditions faced by adolescents have worsened to the point of mental disorders and suicide attempts.

The impact of the pandemic on youths' mental health has drawn global attention and highlights the urgency of intervening in their mental well-being. Stressors among young people primarily come from academics, employment, relationships, appearance, finances, etc. The lack of effective coping strategies and emotional regulation further exacerbate physical health symptoms and negative consequences. Unfortunately, a significant number of young people experiencing mental health problems do not seek professional help, primarily due to denial, embarrassment, lack of time, and stigma. They often turn to informal resources such as family, friends, books, or counseling websites, with uncertain effectiveness. Long waiting lists for psychological services add to the dilemma. Therefore, it is crucial to help youths overcome these barriers when providing support services.

Currently, access to cost-effective and accessible mental health services remains challenging for young people. In addition to counseling and psychiatric services, peer support has emerged as a novel resource for young people seeking help. Peer support involves social and emotional support from individuals with similar experiences. Research suggests that peer support is an accessible, affordable, and easily implemented mental health resource. Involving peer supporters in mental health services can promote recovery and has positive effects on depressive symptoms, anxiety, psychological distress, self-esteem, self-efficacy, and self-management. However, there is a lack of research on the development and implementation of peer-support based interventions for adolescents with psychological problems. This study aims to address this gap.

Given the concerns surrounding psychological problems among young people, this study aims to design a pragmatic and comprehensive peer support-based intervention. The intervention will be based on the Youth Stressful Life Event Response Model, which explains how adolescents respond to stress and how factors like emotional intelligence, social support, and coping strategies impact their mental health. This online, single-blind, randomized controlled trial will include both an intervention group and a control group. The control group will receive motivational articles unrelated to the main monitoring indicators. Participants will be assessed at baseline, post-intervention, and during follow-up. Through the implementation of a peer support program, this study aims to investigate the specific effects of long-term intervention on changes in mental health status, psychological resilience, perceived social support, and emotional intelligence.

Eligibility criteria: Experimental group and control group:

Inclusion Criteria:

* Aged 14-25
* Individuals who have experienced a stressful life event of moderate or greater magnitude within the past six months (with a moderate impact on one or more of the Stressful Events Scale screenings).
* Individuals who can provide informed consent and willingly cooperate with this study

Exclusion Criteria:

* Individuals currently undergoing clinical psychotherapy or participating in other interventional studies.
* Individuals diagnosed with psychological or mental disorders.

Peer intervener group：

Inclusion Criteria:

* Aged 18-25
* Individuals with a Bachelor's degree in progress or higher, and a professional background in sociology, psychology, education, or medicine.
* Individuals who can provide informed consent and willingly cooperate with this study.

Exclusion Criteria:

* Individuals currently undergoing clinical psychotherapy or participating in other interventional studies.
* Individuals diagnosed with psychological or mental disorders.

Primary outcomes:
measure: The ability to cope with stressful situations
timeFrame: Baseline,2 months，4 months
measure: The level of emotional intelligence
timeFrame: Baseline,2 months，4 months
measure: The mental health level of the youths
timeFrame: Baseline,2 months，4 months
measure: The participants' somatization symptoms, anxiety, and depression status
timeFrame: Baseline,2 months，4 months
measure: The perceived level of social support system for oneself
timeFrame: Baseline,2 months，4 months
measure: Subjects' mental toughness Connor-Davidson resilience scale
timeFrame: Baseline,2 months，4 months
Secondary outcomes:
measure: The extent of negative impact caused by stressful life events.
timeFrame: Baseline,2 months，4 months
measure: The level of social support received. Social Support Rating Scale
timeFrame: Baseline,2 months，4 months
Other outcomes:
Locations:
city: Guangzhou
country: China
facility: XIAW
state: Guangdong
Study officials:
affiliation: Sun Yat-sen University
name: Wei Xia, PhD
role: PRINCIPAL_INVESTIGATOR
References: