About this trial
There is a critical gap in access to mental health promotion, prevention and support among youth worldwide, especially in low and middle-income countries like Vietnam. The Y-PRIME Study aims to respond to this gap by co-designing with Vietnamese youth a mobile app that delivers life skills and self-management skills intervention to promote mental well-being in grade 10 Vietnamese students. Working with the Vietnam Youth Advisory Council (V-YAC) to adapt and co-design the intervention and app ensure that the intervention will be culturally appropriate and relevant to Vietnamese youth. The goal of the current phase is to test this intervention with grade 10 students across three provinces (Hanoi, Thai Binh, and Hung Yen) to assess:
1. Whether the app helps to improve mental well-being and resilience among youth in Vietnam and helps to reduce factors that might increase the risk of poor mental well-being, like stress related to school and other pressures 2. Whether the app can be delivered in Vietnamese schools 3. Whether Vietnamese youth and school staff think the app is appropriate and appealing for youth in order to scale-up the model across the country
The control group (meaning they do not have access to the app-based intervention) will complete the outcome survey at baseline, 6 months, and 12 months. After 12 months, they will gain access to the intervention app (at the same time as the experimental group) but no more data will be collected. The intervention group will use the app at their own pace for 1 year while completing the same survey at baseline, 6 months, and 12 months marks. Afterwards, students and school health staff will be invited to a focus group discussion to talk about their experience using the app.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Enrolled in grade 10 of participating secondary schools
Have access to a smartphone
Provided informed assent to participate
Parent of participant provided informed consent for their child to participate
Disqualifiers
Not in grade 10
Not enrolled in participating secondary schools
Not have access to a smartphone
Not provided assent
Trial design
Parallel
Treatments tested in this trial
Intervention app
BehavioralThe app-based intervention, co-designed with the V-YAC, aims to introduce life skills and self-management skills to promote general mental well-being and resilience among Vietnamese youth. With this app, youth users will have a fun and safe space to learn and practice six life skills areas (Problem-solving, Social Media and Well-being, Communication and Interpersonal Skills, Realistic Thinking, Coping with Emotions and Stress, and Goal Setting). Lessons (in the form of short texts) and activities (ex. multiple choice activities, blank worksheets, reflection questions) were adapted from evidence-based interventions developed in other contexts to be culturally appropriate to the Vietnamese youth context. Youth users are free to explore the app at their own pace. Gamification features will also allow youth users to collect points in the app for completing each lesson, activity, or challenge.
Treatment groups
Trial outcomes
Primary outcomes
Warwick Edinburg Mental Wellbeing Scale (WEMWBS)
The Warwick Edinburg Mental Wellbeing Scale (WEMWBS), a 14-item scale that uses positively worded statements to assess feeling and functioning aspects of mental well-being in the general population. Each item is rated on a 5-point Likert scale (1 = none of the time and 5 = all of the time). Higher sum scores indicate higher positive mental wellbeing.
Secondary outcomes
Positive Childhood Experience (PCE)
The PCE score included 7 items adapted from the Child and Youth Resilience Measure. Each item is rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Higher sum scores indicate higher PCE.
Depression Anxiety and Stress Scale - Youth version (DASS -Y)
The DASS-Y youth version of the DASS-21 is designed to measure general psychological distress and the negative emotional states of depression, anxiety and stress in youth (aged 7 - 18). Each of the 21 items is rated on a 4-point scale (1 = not true to 4 = very true). Higher sum scores indicate higher severity of symptoms.
Brief Inventory of Thriving (BIT)
The BIT is a 10-item self-report questionnaire that measures positive functioning and well-being. Each item is rated on a 5-point scale (1 = strongly disagree to 5 = strongly agree). Higher sum scores indicate higher psychological well-being.
Connor-Davidson Resilience Scale - VN
The Connor-Davidson Resilience Scale is a 10-item scale that measures resilience or the ability to bounce back from challenges. Each item is rated on a 5-point scale (0 = not true at all to 4 = true nearly all the time). Higher sum scores indicate higher levels of resilience.
Sponsors and contacts
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University of British Columbia
Lead sponsor
St. Francis Xavier University
Collaborator
Institute of Population, Health and Development, Vietnam
Collaborator
Simon Fraser University
Collaborator
University of Melbourne
Collaborator