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Preliminary evaluation of a school-based resilience-promoting intervention in a high-risk population: Application of an exploratory two-cohort treatment/control design

机译:对高风险人群中以学校为基础的适应力促进干预措施的初步评估:探索性两人群治疗/控制设计的应用

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摘要

Applying innovative methodology, we explored the efficacy of SPARK Resilience Programme––a new universal school-based resilience-promoting programme––regarding effects on depression symptoms and resilience in a high risk population in England. Quantitative and qualitative methods were combined in an exploratory two cohort treatment/control design with one cohort serving as the control group (single assessment) and a subsequent cohort as the treatment group (assessed before and immediately after treatment as well as 6 and 12 months after treatment ended), involving a total of 438 11–13 year old girls, According to analyses, depression symptoms were significantly lower directly after treatment and at 6 months but no longer at 12 months. Resilience scores, on the other hand, were significantly higher in the treatment cohort compared to the year-ahead control cohort at post-treatment and both follow-up assessments. Qualitative results demonstrated beneficial teacher experience overall. The current study provides first evidence for the efficacy of SPARK Resilience Programme. Furthermore, the applied two cohort treatment/control mixed methods design proved helpful for the preliminary testing of a school-based universal intervention programme efficacy in an authentic setting.
机译:我们采用创新的方法,探索了SPARK弹性计划(一项新的以学校为基础的普遍性弹性计划)的有效性,该计划针对英格兰高风险人群对抑郁症状和弹性的影响。定量和定性方法在探索性两个队列治疗/对照设计中进行了组合,其中一个队列作为对照组(单项评估),随后的队列作为治疗组(在治疗之前和之后以及在治疗后6和12个月进行评估)治疗结束),共涉及438名11-13岁女孩。根据分析,抑郁症状在治疗后和治疗6个月后明显降低,但在治疗12个月后不再明显。另一方面,在治疗后和随访评估中,治疗组的抗逆性评分均比一年前的对照组高得多。定性结果表明总体上有益的教师经验。当前的研究为SPARK弹性计划的有效性提供了第一个证据。此外,应用的两种队列治疗/控制混合方法设计被证明有助于在真实环境中对基于学校的全民干预计划功效进行初步测试。

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