Promotion of Mental Health in Adolescents: A School-Based Preventive Version of the Unified Protocol (UP-A Kind)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age11-18
SponsorUniversity of Coimbra

About this trial

The goal of this clinical trial is to assess the efficacy of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders for Adolescents (UP-A; Ehrenreich-May et al., 2018) as a universal school-based preventive intervention (UP-A Kind) in adolescents aged 11-18. This intervention aims to prevent emotional symptoms and improve adolescents' mental well-being in school setting, assessing changes in transdiagnostic processes. Researchers will compare an experimental group and a control group. Participants will participate in eight weekly sessions and will be assessed at 4 time points (pre- and post-treatment and 3-, 6- and 12-month follow-up). Control group participants will receive no intervention and will be assessed at the same time points.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Frequent 7º, 8º or 9º grade

Providing written informed assent (the adolescent and the legal tutor)

Being able to understand, write and read Portuguese

Disqualifiers

No exclusion criteria because of being a universal prevention study

Trial design

Design model

Parallel

Treatments tested in this trial

  • UP-A, a cognitive-behavioral structured group intervention, was adapted as a universal preventive intervention to be delivered in school settings (UP-A Kind).

    Behavioral

    The UP-A Kind is a school-based universal prevention intervention that aims to promote adaptive emotion regulations strategies, enhance mental well-being and prevent emotional disorders with the following contents: motivating to take care of mental well-being, psychoeducation about emotions, awareness of physical sensations, cognitive lexibility, behavioral experiences, recognizing warning signs, and promoting a compassionate attitude towards the self and others.

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: Experimental GroupExperimental treatment 1 intervention
Group B: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Socio-Demographic Information Questionnaire

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months
2

Mental Health Continuum-Short Form (Keyes et al., 2008)

The scale was used to measure Positive Mental Health.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months
3

Kidscreen-10 (Portuguese version: Matos et al., 2012)

The scale was used to measure quality of life.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months
4

Overall Depression Severity and Impairment Scale (ODSIS) (Bentley, Gallagher, Carl, Barlow, 2014)

ODSIS was used to measure Depression and was translate and adapt to Portuguese for this study.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months

Secondary outcomes

1

Social Emotional Abilities Survey (UNICEF, 2023)

The scale was adapted and translated to Portuguese for this study.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months
2

The Multidimensional Emotional Disorder Inventory (MEDI) (Rosellini & Brown, 2019)

The scale was used to measure transdiagnostic dimensions of Emotional disorders.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months
3

Difficulties in Emotion Regulation Scale Short Form (DERS-SF) (Portuguese version: Moreira et al., 2020)

The scale was used to measure emotion regulation difficulties.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months
4

Emotional Avoidance Strategy Inventory for Adolescents (EASI-A) (Kennedy & Ehrenreich-May, 2016)

This measure is an adaptation of an adult measure of emotional avoidance (Fairholme, Ehrenreich-May, Ellard, Boisseau, Farchione, Barlow, 2008) and was adapted and translated to Portuguese for this study.

Time frame
Baseline, Week 8, Follow-Up 3 Months, Follow-Up 6 Months and Follow-Up 12 Months

Other outcomes

Sponsors and contacts

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University of Coimbra

Lead sponsor

EPIS Association - Entrepreneurs for Social Inclusion

Collaborator

Z Zurich Foundation

Collaborator

Foundation for Science and Technology, Portugal

Collaborator