Universal school‐based intervention targeting depressive symptoms in adolescents: a cluster randomised trial

2021 ◽  
Author(s):  
Rodrigo Antunes Lima ◽  
Mauro Virgílio Gomes de Barros ◽  
Jorge Bezerra ◽  
Simone José dos Santos ◽  
Elena Monducci ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
School Based Intervention ◽  
School Based ◽  
Cluster Randomised

scholarly journals Music Interventions for Dementia and Depression in ELderly care (MIDDEL): protocol and statistical analysis plan for a multinational cluster-randomised trial

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023436 ◽  
Author(s):  
Christian Gold ◽  
Jasmin Eickholt ◽  
Jörg Assmus ◽  
Brynjulf Stige ◽  
Jo Dugstad Wake ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Rating Scale ◽  
Controlled Trial ◽  
Elderly Care ◽  
Neuropsychiatric Symptoms ◽  
Care Home ◽  
Randomised Trial ◽  
Cluster Randomised Controlled Trial ◽  
Cluster Randomised Trial ◽  
Cluster Randomised

IntroductionIn older adults, dementia and depression are associated with individual distress and high societal costs. Music interventions such as group music therapy (GMT) and recreational choir singing (RCS) have shown promising effects, but their comparative effectiveness across clinical subgroups is unknown. This trial aims to determine effectiveness of GMT, RCS and their combination for care home residents and to examine heterogeneity of treatment effects across subgroups.Methods and analysisThis large, pragmatic, multinational cluster-randomised controlled trial with a 2×2 factorial design will compare the effects of GMT, RCS, both or neither, for care home residents aged 65 years or older with dementia and depressive symptoms. We will randomise 100 care home units with ≥1000 residents in total across eight countries. Each intervention will be offered for 6 months (3 months 2 times/week followed by 3 months 1 time/week), with extension allowed if locally available. The primary outcome will be the change in the Montgomery-Åsberg Depression Rating Scale score at 6 months. Secondary outcomes will include depressive symptoms, cognitive functioning, neuropsychiatric symptoms, psychotropic drug use, caregiver burden, quality of life, mortality and costs over at least 12 months. The study has 90% power to detect main effects and is also powered to determine interaction effects with gender, severity and socioeconomic status.Ethics and disseminationEthical approval has been obtained for one country and will be obtained for all countries. Results will be presented at national and international conferences and published in scientific journals.Trial registration numbersNCT03496675; Pre-results, ACTRN12618000156280.

scholarly journals Impact of a school-based water, sanitation and hygiene programme on children’s independent handwashing and toothbrushing habits: a cluster-randomised trial

2020 ◽  
Vol 65 (9) ◽  
pp. 1699-1709
Author(s):  
Denise Duijster ◽  
Helen Buxton ◽  
Habib Benzian ◽  
Jed Dimaisip-Nabuab ◽  
Bella Monse ◽  
...  
Keyword(s):  
Primary Schools ◽  
Randomised Trial ◽  
Cluster Randomised Trial ◽  
Monday Morning ◽  
Daily Group ◽  
School Based ◽  
Cluster Randomised ◽  
Sanitation And Hygiene ◽  
Filipino Children ◽  
And Control

Abstract Objectives To explore whether a school-based water, sanitation and hygiene programme, which includes group hygiene activities, contributes to the formation of independent handwashing and toothbrushing habits among Filipino children. Methods In this cluster-randomised trial, twenty primary schools were randomly allocated to the intervention or control arm. Intervention schools received group handwashing facilities and implemented daily group handwashing and toothbrushing activities. A soap use to toilet event ratio was calculated to measure children’s independent handwashing behaviour after toilet use, and dental plaque accumulation on Monday morning was measured as a proxy indicator for children’s independent toothbrushing behaviour at home. Results Four months after implementation, handwashing and toothbrushing behaviours did not significantly differ between intervention and control schools. The mean soap use in intervention schools and control schools was 0.41 g and 0.30 g per toilet event, respectively (p = 0.637). Compared to baseline, mean plaque scores reduced by 4.2% and 3.5% in intervention and control schools, respectively (p = 0.857). Conclusions Although health benefits have been established, school-based group handwashing and toothbrushing may not be sufficient to increase children’s uptake of independent hygiene behaviours.

scholarly journals An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial

The Lancet ◽  
2008 ◽  
Vol 371 (9624) ◽  
pp. 1595-1602 ◽  
Author(s):  
R Campbell ◽  
F Starkey ◽  
J Holliday ◽  
S Audrey ◽  
M Bloor ◽  
...  
Keyword(s):  
Randomised Trial ◽  
Smoking Prevention ◽  
Cluster Randomised Trial ◽  
School Based ◽  
Cluster Randomised

scholarly journals Effectiveness of a school-based intervention for adolescents and teachers to promote mental health among refugee and migrant adolescents

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Osman ◽  
A Sarkadi ◽  
I Feldman ◽  
A Tökés ◽  
A Perez-Aronsson ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Randomised Trial ◽  
Significant Risk ◽  
Cluster Randomised Trial ◽  
Post Traumatic Stress ◽  
Refugee Youth ◽  
School Based Intervention ◽  
School Based ◽  
The Impact

Abstract Refugee youth have often experienced trauma during relocation and continue to face adversity in their host country in the form of acculturation stress, residence insecurity, social isolation, and experiences of discrimination. These experiences are associated with a significant risk of developing mental health problems such as post-traumatic stress disorder (PTSD). This cluster randomised trial aims to evaluate the effectiveness of a school-based intervention that provides a manualized, trauma-focussed programme called Teaching Recovery Techniques (TRT) to target refugee and migrant youth and an In-Service Teacher Training (INSETT) programme to teachers. The study will consider the impact of the intervention on the mental health of adolescent refugees and their guardians who participate in the TRT programme. It will also consider the intervention's impact on the interrelationships between teachers and parents and teachers' cultural competence, as well as the social support and school belonging experienced by adolescents who do not participate in TRT but whose teachers receive INSETT training. Further details on TRT and INSETT, trial design and preliminary findings will be presented at the workshop.

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