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Trial Protocol for the Building Resilience Through Socio-Emotional Training (reset) Programme: a Cluster Randomised Controlled Trial of a New Transdiagnostic Preventative Intervention for Adolescents

Current controlled trials in cardiovascular medicine(2024)

University College London | Anna Freud National Centre for Children and Families | University of Groningen | University of Oxford | Royal Holloway | MRC Integrative Epidemiology Unit at the University of Bristol | University of Bristol

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Abstract
Background Adolescence is a period of heightened vulnerability to developing mental health problems, and rates of mental health disorder in this age group have increased in the last decade. Preventing mental health problems developing before they become entrenched, particularly in adolescents who are at high risk, is an important research and clinical target. Here, we report the protocol for the trial of the ‘Building Resilience through Socioemotional Training’ (ReSET) intervention. ReSET is a new, preventative intervention that incorporates individual-based emotional training techniques and group-based social and communication skills training. We take a transdiagnostic approach, focusing on emotion processing and social mechanisms implicated in the onset and maintenance of various forms of psychopathology. Methods A cluster randomised allocation design is adopted with randomisation at the school year level. Five-hundred and forty adolescents (aged 12–14) will be randomised to either receive the intervention or not (passive control). The intervention is comprised of weekly sessions over an 8-week period, supplemented by two individual sessions. The primary outcomes, psychopathology symptoms and mental wellbeing, will be assessed pre- and post-intervention, and at a 1-year follow-up. Secondary outcomes are task-based assessments of emotion processing, social network data based on peer nominations, and subjective ratings of social relationships. These measures will be taken at baseline, post-intervention and 1-year follow-up. A subgroup of participants and stakeholders will be invited to take part in focus groups to assess the acceptability of the intervention. Discussion This project adopts a theory-based approach to the development of a new intervention designed to target the close connections between young people’s emotions and their interpersonal relationships. By embedding the intervention within a school setting and using a cluster-randomised design, we aim to develop and test a feasible, scalable intervention to prevent the onset of psychopathology in adolescence. Trial registration ISRCTN88585916. Trial registration date: 20/04/2023.
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Adolescence,Mental health,Wellbeing,Transdiagnostic,Preventative,Indicated,Emotion,Social relationships,Interpersonal
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要点】:本研究介绍了一种新的预防性干预措施ReSET,旨在通过情感处理和社会交往技能训练,预防青少年心理疾病的发作,采用跨诊断方法,针对情绪处理和社会机制,这些机制与多种心理疾病的发作和维持有关。

方法】:研究采用学校年级水平的集群随机分配设计,将540名12至14岁的青少年随机分配至接受干预组或被动对照组,干预包括每周一次的8周课程,以及两次个别辅导。

实验】:主要结果指标为干预前后的心理病理症状和精神健康情况,以及1年后的跟踪评估。次要结果包括情感处理的任务型评估、基于同伴提名的社会网络数据以及对社会关系的主观评价。实验使用的数据集未在摘要中明确提及,但将邀请部分参与者和利益相关者参与焦点小组,以评估干预措施的接受度。该试验已在ISRCTN注册,注册日期为2023年4月20日。