REThink for Mental Health of the Youths in Romania

Primary outcomes

1. Bullying

   Time frame: baseline assessment, one week before starting the intervention

   Bullying and Cyberbullying Scale for Adolescents will be used to measure bullying. The scale is composed of 26 items, the minimum score is 26 and the maximum 130. Higher scores represent higher levels of bullying

2. Mental Health

   Time frame: baseline assessment, one week before starting the intervention

   Depression, Anxiety, and Stress Scale is used for mental healh. For this scale, lower scores represent lower levels of anxiety, depression and stress, the minimum score is 0 and maximum score is 63.

3. Mental Health Stigma

   Time frame: baseline assessment, one week before starting the intervention

   The Stigma Scale measures mental health stigma. Lower scores represent an improvement. The minimum score is 9, and the maximum is 45.

4. Stress

   Time frame: baseline assessment, one week before starting the intervention

   MoodWheel instrumentis used to measure stress. The scale is composed of 32 items representing emotions which are divided into four subscales: positive functional emotions, positive dysfunctional emotions, negative functional and negative dysfunctional emotions. Scores at each subscale represent higher levels of that category of emotion.The minimum score is 0 and the maximum is 160

5. Self-compassion

   Time frame: baseline assessment, one week before starting the intervention

   The Self-Compassion Scale Short Form is used to measure self-compassion. The scale has two dimensions, namely Self-Care, where higher scores represent higher levels of self-care, and Self-Disparagement, where lower scores represent an improvement.The minim score is 12 and the maximum is 60.

6. Compassion

   Time frame: baseline assessment, one week before starting the intervention

   Compassion Scale for children is a valid and reliable measurement tool that will be able to determine the level of compassion of children between the ages of 10 to 18-year-olds.The minimum score is 9, and maximum is 54.

7. Emotion regulation

   Time frame: baseline assessment, one week before starting the intervention

   The in-game assessment for each REThink intervention. This assessment system is the trial version of the game with sections for each level and very good psychometric properties. For this system, higher scores represent higher levels of various emotion-regulation abilities.

8. Trauma Screening

   Time frame: baseline assessment, one week before starting the intervention

   Childhood Trauma Screener is used to measure past traumatic experiences .The scale is composed of 5 items each representing a type of trauma or abuse. Higher scores represent higher frequency of abuse and/or trauma. The minimum score is and the maximum score is 5 and the maximum 25.

9. Changes in bullying

   Time frame: post-test assessment, one week after finishing the intervention

   Bullying and Cyberbullying Scale for Adolescents will be used to measure bullying. The scale is composed of 26 items, the minimum score is 26 and the maximum 130. Higher scores represent higher levels of bullying

10. Changes in mental health

    Time frame: post-test assessment, one week after finishing the intervention

    Depression, Anxiety, and Stress Scale is used for mental healh. For this scale, lower scores represent lower levels of anxiety, depression and stress, the minimum score is 0 and maximum score is 63.

11. Changes in mental health stigma

    Time frame: post-test assessment, one week after finishing the intervention

    The Stigma Scale measures mental health stigma. Lower scores represent an improvement. The minimum score is 9, and the maximum is 45.

12. Changes in stress

    Time frame: post-test assessment, one week after finishing the intervention

    MoodWheel instrumentis used to measure stress. The scale is composed of 32 items representing emotions which are divided into four subscales: positive functional emotions, positive dysfunctional emotions, negative functional and negative dysfunctional emotions. Scores at each subscale represent higher levels of that category of emotion.The minimum score is 0 and the maximum is 160

13. Changes in self-compassion

    Time frame: post-test assessment, one week after finishing the intervention

    The Self-Compassion Scale Short Form is used to measure self-compassion. The scale has two dimensions, namely Self-Care, where higher scores represent higher levels of self-care, and Self-Disparagement, where lower scores represent an improvement.The minim score is 12 and the maximum is 60.

14. Changes in compassion

    Time frame: post-test assessment, one week after finishing the intervention

    Compassion Scale for children is a valid and reliable measurement tool that will be able to determine the level of compassion of children between the ages of 10 to 18-year-olds.The minimum score is 9, and maximum is 54.

15. Changes in emotion regulation

    Time frame: post-test assessment, one week after finishing the intervention

    The in-game assessment for each REThink intervention. This assessment system is the trial version of the game with sections for each level and very good psychometric properties. For this system, higher scores represent higher levels of various emotion-regulation abilities.