10.26686/wgtn.12331289.v2
Y Perry
Y
Perry
AL Calear
AL
Calear
A Mackinnon
A
Mackinnon
PJ Batterham
PJ
Batterham
J Licinio
J
Licinio
C King
C
King
N Thomsen
N
Thomsen
J Scott
J
Scott
T Donker
T
Donker
S Merry
S
Merry
Theresa Fleming
Theresa
Fleming
K Stasiak
K
Stasiak
A Werner-Seidler
A
Werner-Seidler
H Christensen
H
Christensen
Trial for the Prevention of Depression (TriPoD) in final-year secondary students: Study protocol for a cluster randomised controlled trial
Open Access Te Herenga Waka-Victoria University of Wellington
2020
Adolescents
CBT
Computerised CBT
Depression
eHealth
Prevention
RCT
School
Clinical
Public Health
Mental Health
Clinical Research
Pediatric
Clinical Trials and Supportive Activities
Behavioral and Social Science
Mind and Body
3.1 Primary prevention interventions to modify behaviours or promote well-being
6.6 Psychological and behavioural
Adolescent
Adolescent Behavior
Age Factors
Cognitive Behavioral Therapy
Educational Measurement
Educational Status
Female
Humans
Male
Mental Health Services
New South Wales
Psychiatric Status Rating Scales
Research Design
Risk Factors
School Health Services
Students
Therapy, Computer-Assisted
Time Factors
Cognitive Therapy
Science & Technology
Life Sciences & Biomedicine
Medicine, Research & Experimental
Research & Experimental Medicine
INSOMNIA SEVERITY INDEX
RISK BEHAVIOR SURVEY
OF-LIFE AQOL
MENTAL-HEALTH
MAJOR DEPRESSION
PSYCHOMETRIC PROPERTIES
ADOLESCENT DEPRESSION
MAINTENANCE THERAPIES
CONSTRUCT-VALIDITY
SUICIDAL-BEHAVIOR
General & Internal Medicine
Cardiovascular System & Hematology
Public Health and Health Services
Psychology
Clinical Sciences
Cardiorespiratory Medicine and Haematology
Mental Health
2020-07-22 01:31:51
Journal contribution
https://openaccess.wgtn.ac.nz/articles/journal_contribution/Trial_for_the_Prevention_of_Depression_TriPoD_in_final-year_secondary_students_Study_protocol_for_a_cluster_randomised_controlled_trial/12331289
© 2015 Perry et al. Background: Evidence suggests that current treatments cannot fully alleviate the burden of disease associated with depression but that prevention approaches offer a promising opportunity to further reduce this burden. Adolescence is a critical period in the development of mental illness, and final school examinations are a significant and nearly universal stressor that may act as a trigger for mental health difficulties such as depression. The aim of the present trial is to investigate the impact of SPARX-R, an online, gamified intervention based on cognitive behavioural principles, on the prevention of depression in secondary school students before their final examinations. Methods/Design: Government, independent and Catholic secondary schools in New South Wales, Australia, will be recruited to participate in the trial. All students enrolled in their final year of high school (year 12) in participating schools will be invited to participate. To account for possible attrition, the target sample size was set at 1600 participants across 30 schools. Participating schools will be cluster randomised at the school level to receive either SPARX-R or lifeSTYLE, an attention-controlled placebo comparator. The control intervention is an online program aimed at maintaining a healthy lifestyle. The primary outcome will be symptoms of depression, and secondary outcomes will include symptoms of anxiety, suicidal ideation and behaviours, stigma and academic performance. Additional measures of cost-effectiveness, as well as process variables (e.g., adherence, acceptability) and potential predictors of response to treatment, will be collected. Consenting parents will be invited to complete measures regarding their own mental health and expectations for their child. Assessments will be conducted pre- and post-intervention and at 6- and 18-month follow-up. Primary analyses will compare changes in levels of depressive symptomatology for the intervention group relative to the attention control condition using mixed-effects model repeated-measures analyses to account for clustering within schools. Discussion: This is the first trial of a universal depression prevention intervention delivered to school students in advance of a specific, significant stressor. If found to be effective, this program may offer schools a new approach to preparing students for their final year of schooling. Trial registration: Australian New Zealand Clinical Trials Registry identifier: ACTRN12614000316606. Registered 25 March 2014.