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Completed

NCT Number: NCT02756507

Transdiagnostic REBT Prevention Program for Adolescents

Anxiety and depressive disorders are common in adolescents, however they are often unrecognized. Rational emotive behavioral therapy (REBT), a form of cognitive behavioral therapy (CBT) is efficient for children and adolescents. School settings are appropriate environments to deliver such interventions for vulnerable youths. Given youth's access and predilection to use technology, a video-based prevention program was developed. The present study aims to investigate the efficacy of a transdiagnostic REBT prevention program for internalizing symptoms in adolescents, implemented in a school setting.

Classes from different Romanian public schools will be randomized in either intervention or wait list group.

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Key information

Conditions

Social Anxiety Anxiety Disorders Behavior Behavioral Symptoms Depression Generalized Anxiety Disorder Major Depression Mild Mental Disorders Panic Disorder Phobia, Specific Specific Phobia

Age range

12 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Babes-Bolyai University

Cluj-Napoca, 400015, Romania

About this study

The prevention program will be group-based, delivered in 6 sessions, over 3 weeks.

Each of the six modules aimed a different component: Psychoeducation, Relaxation, Relationship between cognitive distortions/irrational beliefs and emotions, Cognitive restructuring, Exposure/ behavioral activation and problem solving, Maintenance of gainings. Despite specific activities, for each session a video cartoon on that subject will be viewed and discussed. Homework would be given at every session.

REBT prevention programs delivered in school settings represent ecological modalities to target vulnerable groups. Technology components added to traditional programs may lead to greater motivation and satisfaction with treatment.

Adolescents will complete assessments at four time-points: T1 (baseline), T2 (post-intervention), T3 (3 months follow-up) and T4 (12 months follow-up).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Preadolescents and adolescents will have ages between 12 and 17 years old;
  • Are attending middle school or high-school;
  • Adolescents have sufficient understanding of the Romanian language in order to complete assessments at all time points and to participate in the prevention program;
  • Their parents have sufficient understanding of the Romanian language in order to sign the informed consent;
  • Parents will sign the informed consent and adolescents will provide informed assent.

Exclusion criteria

  • Age below 14 or above 17 years;
  • No signed informed consent from parents;
  • Adolescents will score high on suicidal ideation according to (1 item on the Depression subscale from Beck Youth Inventories);
  • Not Romanian-speaking in order to understand the content of the prevention program and to complete the assessments.

Treatment and study plan

video-based transdiagnostic REBT

Behavioral

The video-based transdiagnostic REBT consists of 6 sessions delivered in a group format.

Wait list

Behavioral

Delayed intervention

Primary outcomes

  1. The Multidimensional Anxiety Scale for Children (MASC; March, Parker, Sullivan, Stallings, & Conners, 1997)

    Time frame: Change from baseline anxiety symptoms at 3 weeks post-intervention, 3 months follow up, 12 months follow-up

    anxiety symptoms

  2. Beck Depression Inventory for Youth subscale from the Beck Youth Inventories-Second edition for children and adolescents (Beck, 2005)

    Time frame: Change from baseline depressive symptoms at 3 weeks post-intervention, 3 months follow up, 12 months follow-up

    depressive symptoms

Secondary outcomes

  1. The Children's Automatic Thoughts Scale - Negative/Positive (CATS-N/P) (Hogendoorn et al., 2010)

    Time frame: Change from baseline maladaptive cognitions at 3 weeks post-intervention, 3 month follow up, 12 months follow-up

    maladaptive cognitions

  2. The Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997)

    Time frame: Change from baseline comorbid problems at 3 weeks post-intervention, 3 months follow up, 12 months follow-up

    comorbid problems

  3. The Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents, The Revised Version - adolescent version (Kiddo-KINDL) (Ravens-Sieberer et al., 2001)

    Time frame: Change from baseline quality of life at 3 weeks post-intervention, 3 months follow up, 12 months follow-up

    quality of life

  4. The Credibility/ Expectancy Questionnaire (Devilly & Borkovec, 2000)

    Time frame: pre-intervention

    Treatment expectancies

  5. The Client Satisfaction Scale (Vigerland et al., 2016)

    Time frame: post-intervention

    Satisfaction with the intervention

Sponsors and collaborators

Lead sponsor

Babes-Bolyai University

Other

Registry information

Official study title

The Efficacy of a Video-based Transdiagnostic REBT Universal Prevention Program Delivered in a School Context for Internalizing Problems in Adolescents

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Apr 29, 2016
Registry last updated
Feb 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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