Efficacy of a self-applied online program to promote resilience and coping skills in university students in four Spanish-speaking countries: study protocol for a randomized controlled trial.


Journal

BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559

Informations de publication

Date de publication:
05 04 2020
Historique:
received: 15 09 2019
accepted: 06 03 2020
entrez: 7 4 2020
pubmed: 7 4 2020
medline: 11 11 2020
Statut: epublish

Résumé

There is evidence of a high prevalence of depression and anxiety in university students. Therefore, college time is a key period where prevention of mental disorders through interventions that promote resilience and mental health can be relevant. Currently, there are interventions available, but these are insufficient for those who need them. Online interventions are tools that can facilitate global accessibility and are easy for young people to use. CORE (Cultivating Our Resilience) is a self-administered online program, based on Ryff's psychological well-being model, to promote resilience and coping skills in university students at risk of developing symptoms of depression or anxiety. The objective is to evaluate the effectiveness of this intervention protocol in comparison with an active control condition targeting healthy lifestyle, and a waiting list control condition. The study will be conducted in four populations of Spanish-speaking university students (Spain, Argentina, Colombia, and Mexico). The study design is a randomized controlled trial (RCT). At least 324 university students will be randomly assigned to three conditions: 1) CORE, a 6-week training program to improve resilience; 2) HLP, a 6-week training to promote a healthy lifestyle; and 3) WL, waiting list control condition. The primary outcome measure will be the Connor-Davidson resilience scale. Additionally, measures of anxiety, depression, quality of life and socio-demographic variables (age, sex, incomes, marital status, among others) will be collected. Participants will be evaluated at pre-treatment, after each module, 6 weeks after allocation, and at 3-month follow-up. Intention-to-treat and per-protocol analyses will be performed. The results of this study will contribute to research on Internet-administered interventions and the implementation of a protocol that includes a series of components designed to improve resilience and coping skills, increase psychological well-being, and prevent depression and anxiety disorders in Spanish-speaking university students. In addition, avenues will be opened up for new research on the effectiveness of these interventions focused on the prevention and promotion of mental health in Spanish-speaking countries. Registered at ClinicalTrials.gov NCT03903978 on April 2, 2019.

Sections du résumé

BACKGROUND
There is evidence of a high prevalence of depression and anxiety in university students. Therefore, college time is a key period where prevention of mental disorders through interventions that promote resilience and mental health can be relevant. Currently, there are interventions available, but these are insufficient for those who need them. Online interventions are tools that can facilitate global accessibility and are easy for young people to use. CORE (Cultivating Our Resilience) is a self-administered online program, based on Ryff's psychological well-being model, to promote resilience and coping skills in university students at risk of developing symptoms of depression or anxiety. The objective is to evaluate the effectiveness of this intervention protocol in comparison with an active control condition targeting healthy lifestyle, and a waiting list control condition. The study will be conducted in four populations of Spanish-speaking university students (Spain, Argentina, Colombia, and Mexico).
METHODS
The study design is a randomized controlled trial (RCT). At least 324 university students will be randomly assigned to three conditions: 1) CORE, a 6-week training program to improve resilience; 2) HLP, a 6-week training to promote a healthy lifestyle; and 3) WL, waiting list control condition. The primary outcome measure will be the Connor-Davidson resilience scale. Additionally, measures of anxiety, depression, quality of life and socio-demographic variables (age, sex, incomes, marital status, among others) will be collected. Participants will be evaluated at pre-treatment, after each module, 6 weeks after allocation, and at 3-month follow-up. Intention-to-treat and per-protocol analyses will be performed.
DISCUSSION
The results of this study will contribute to research on Internet-administered interventions and the implementation of a protocol that includes a series of components designed to improve resilience and coping skills, increase psychological well-being, and prevent depression and anxiety disorders in Spanish-speaking university students. In addition, avenues will be opened up for new research on the effectiveness of these interventions focused on the prevention and promotion of mental health in Spanish-speaking countries.
TRIAL REGISTRATION
Registered at ClinicalTrials.gov NCT03903978 on April 2, 2019.

Identifiants

pubmed: 32248795
doi: 10.1186/s12888-020-02536-w
pii: 10.1186/s12888-020-02536-w
pmc: PMC7133009
doi:

Banques de données

ClinicalTrials.gov
['NCT03903978']

Types de publication

Clinical Trial Protocol Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

148

Références

World Psychiatry. 2007 Oct;6(3):168-76
pubmed: 18188442
Clin Psychol Psychother. 2011 May-Jun;18(3):250-5
pubmed: 21584907
PLoS One. 2014 Jul 16;9(7):e100674
pubmed: 25029507
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
PLoS One. 2015 Mar 18;10(3):e0119895
pubmed: 25786025
Stat Med. 2007 Aug 30;26(19):3639-60
pubmed: 17394132
Arch Gen Psychiatry. 2004 Mar;61(3):310-7
pubmed: 14993119
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
J Affect Disord. 2016 Jun;197:134-46
pubmed: 26991368
Lancet. 2013 Nov 9;382(9904):1575-86
pubmed: 23993280
Res Nurs Health. 2008 Dec;31(6):576-85
pubmed: 18449942
BMJ Open. 2016 Nov 9;6(11):e012300
pubmed: 28186934
Psychother Psychosom. 2014;83(1):10-28
pubmed: 24281296
BMC Psychiatry. 2019 Feb 11;19(1):66
pubmed: 30744610
J Psychiatr Res. 2013 Mar;47(3):391-400
pubmed: 23260171
Ann Behav Med. 2009 Aug;38(1):4-17
pubmed: 19787305
BMC Public Health. 2009 Nov 23;9:427
pubmed: 19930615
Behav Res Ther. 2014 Dec;63:139-46
pubmed: 25461789
Psychother Psychosom. 1996;65(1):14-23
pubmed: 8838692
Clin Psychol Psychother. 2011 Jul-Aug;18(4):314-21
pubmed: 20806419
Psychol Med. 2016 Oct;46(14):2955-2970
pubmed: 27484622
Behav Res Ther. 2013 Feb;51(2):106-12
pubmed: 23262118
Dialogues Clin Neurosci. 2009;11(1):7-20
pubmed: 19432384
J Am Coll Health. 2008 Jan-Feb;56(4):445-53
pubmed: 18316290
Biol Psychiatry. 2002 Sep 15;52(6):610-30
pubmed: 12361671
Eval Program Plann. 1983;6(3-4):401-13
pubmed: 10267267
J Consult Clin Psychol. 2007 Feb;75(1):9-19
pubmed: 17295559
J Am Acad Child Adolesc Psychiatry. 2011 Mar;50(3):252-61
pubmed: 21334565
Med J Aust. 2010 Jun 7;192(S11):S53-6
pubmed: 20528711
J Fam Psychol. 2010 Dec;24(6):791-4
pubmed: 21171780
Int J Psychiatry Med. 2012;43(2):129-51
pubmed: 22849036
BMC Med. 2010 Mar 24;8:18
pubmed: 20334633
J Pers Soc Psychol. 1988 Jun;54(6):1063-70
pubmed: 3397865
Psicothema. 2006 Aug;18(3):572-7
pubmed: 17296089
PLoS One. 2014 Oct 27;9(10):e111420
pubmed: 25347713
J Med Internet Res. 2016 Aug 26;18(8):e231
pubmed: 27565118
Glob Ment Health (Camb). 2015 Jul 14;2:e12
pubmed: 28596860
J Adolesc. 2017 Jun;57:74-89
pubmed: 28384523
Annu Rev Clin Psychol. 2011;7:169-201
pubmed: 21443447
Occup Med (Lond). 2011 May;61(3):209-11
pubmed: 21525074
J Health Soc Behav. 1983 Dec;24(4):385-96
pubmed: 6668417
J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86
pubmed: 11132119
J Clin Psychol. 2009 Sep;65(9):891-905
pubmed: 19455611
Front Psychiatry. 2017 Jan 30;8:10
pubmed: 28194117
Internet Interv. 2018 Mar 22;16:43-51
pubmed: 30775264
Psychol Assess. 2014 Sep;26(3):815-830
pubmed: 24708078
Health Technol Assess. 2006 Sep;10(33):iii, xi-xiv, 1-168
pubmed: 16959169
BMC Psychiatry. 2014 Aug 14;14:227
pubmed: 25266031
BMJ Open. 2018 Jun 14;8(6):e017858
pubmed: 29903782
Internet Interv. 2019 Jan 14;15:76-86
pubmed: 30740313
Psicothema. 2013;25(2):245-51
pubmed: 23628541
J Consult Clin Psychol. 2017 Jan;85(1):45-57
pubmed: 28045287
J Med Internet Res. 2006 Sep 29;8(3):e23
pubmed: 17032639
J Affect Disord. 2019 Jun 1;252:9-18
pubmed: 30953927
PLoS One. 2010 Oct 13;5(10):e13196
pubmed: 20967242
Nutr Hosp. 2015 May 01;31(5):1910-9
pubmed: 25929358
Aust J Rural Health. 2007 Apr;15(2):81-7
pubmed: 17441815
Gen Hosp Psychiatry. 2007 Sep-Oct;29(5):388-95
pubmed: 17888804
Perspect Psychol Sci. 2011 Jan;6(1):21-37
pubmed: 26162113
JMIR Ment Health. 2016 Aug 17;3(3):e38
pubmed: 27535468
Cogn Behav Ther. 2011;40(4):251-66
pubmed: 22060248
Cognit Ther Res. 2008 Aug 1;32(4):507-525
pubmed: 20360998
Clin Psychol Rev. 2012 Jun;32(4):280-91
pubmed: 22466509
Int J Epidemiol. 2014 Apr;43(2):318-29
pubmed: 24760873
Transcult Psychiatry. 2015 Apr;52(2):174-97
pubmed: 25534401
Arch Gen Psychiatry. 2005 Jun;62(6):593-602
pubmed: 15939837
Med Care. 2008 Mar;46(3):266-74
pubmed: 18388841
Psychol Med. 2014 Apr;44(6):1131-46
pubmed: 23866176
Eval Program Plann. 1982;5(3):233-7
pubmed: 10259963
J Am Coll Health. 2001 Sep;50(2):67-72
pubmed: 11590985
Behav Res Ther. 2013 Jul;51(7):344-51
pubmed: 23639300
J Med Internet Res. 2017 Feb 17;19(2):e32
pubmed: 28213341
Soc Psychiatry Psychiatr Epidemiol. 2008 Aug;43(8):667-72
pubmed: 18398558
BMC Psychiatry. 2018 Feb 27;18(1):53
pubmed: 29482586
BMC Psychiatry. 2017 Apr 20;17(1):145
pubmed: 28424068
J Psychiatr Res. 2018 Dec;107:1-10
pubmed: 30300732
PLoS One. 2018 Nov 1;13(11):e0206516
pubmed: 30383797
Arch Gen Psychiatry. 2002 Mar;59(3):225-31
pubmed: 11879160
Child Dev. 2000 May-Jun;71(3):543-62
pubmed: 10953923
Behav Res Ther. 2016 Mar;78:30-42
pubmed: 26848517
Depress Anxiety. 2016 May;33(5):400-14
pubmed: 26682536
J Adolesc. 2010 Jun;33(3):429-38
pubmed: 19647310
Depress Anxiety. 2006;23(4):245-9
pubmed: 16688739
Health Qual Life Outcomes. 2010 Jan 20;8:8
pubmed: 20089179
Nutr Hosp. 2013 Mar-Apr;28(2):447-55
pubmed: 23822697
J Clin Epidemiol. 2003 Sep;56(9):833-42
pubmed: 14505767
Depress Anxiety. 2003;18(2):76-82
pubmed: 12964174
BMC Psychiatry. 2015 May 07;15:106
pubmed: 25948287
Br J Psychiatry Suppl. 2013 Jan;54:s18-23
pubmed: 23288496
Eval Program Plann. 1979;2(3):197-207
pubmed: 10245370
Behav Ther. 2016 Nov;47(6):993-1014
pubmed: 27993346
J Med Internet Res. 2010 Dec 17;12(5):e60
pubmed: 21169162
Clin Psychol Rev. 2010 Jul;30(5):479-95
pubmed: 20395025
Trauma Violence Abuse. 2013 Jul;14(3):195-208
pubmed: 23649831
Annu Rev Public Health. 2005;26:399-419
pubmed: 15760295
J Ment Health Policy Econ. 2005 Sep;8(3):145-51
pubmed: 16278502
Nutr Hosp. 2014 Nov 15;31(2):975-9
pubmed: 25617589
Health Qual Life Outcomes. 2018 Apr 23;16(1):72
pubmed: 29688854
Psychol Med. 2007 Mar;37(3):319-28
pubmed: 17112400

Auteurs

Araceli Palma-Gómez (A)

Universitat Jaume I, Castellón, Spain.

Rocío Herrero (R)

CIBER of Physiopathology of Obesity and Nutrition (CB06/03) Instituto Salud Carlos III, Madrid, Spain. rherrero@uji.es.
Universidad de Valencia, Av. Blasco Ibañez, 21, 46021, Valencia, Spain. rherrero@uji.es.

Rosa Baños (R)

CIBER of Physiopathology of Obesity and Nutrition (CB06/03) Instituto Salud Carlos III, Madrid, Spain.
Universidad de Valencia, Av. Blasco Ibañez, 21, 46021, Valencia, Spain.

Azucena García-Palacios (A)

Universitat Jaume I, Castellón, Spain.
CIBER of Physiopathology of Obesity and Nutrition (CB06/03) Instituto Salud Carlos III, Madrid, Spain.

Claudia Castañeiras (C)

Universidad Nacional de Mar del Plata, Mar del Plata, Argentina.

Gabriela Lidia Fernandez (GL)

Universidad de Buenos Aires, Buenos Aires, Argentina.

Dario Martín Llull (DM)

Universidad Nacional de Mar del Plata, Mar del Plata, Argentina.

Lorena Cudris Torres (LC)

Universidad Popular del Cesar, Valledupar, Colombia.

Libia Alvis Barranco (LA)

Universidad Popular del Cesar, Valledupar, Colombia.

Leonardo Cárdenas-Gómez (L)

Universidad Politécnica de Tecámac, Tecámac de Felipe Villanueva, Mexico.

Cristina Botella (C)

Universitat Jaume I, Castellón, Spain.
CIBER of Physiopathology of Obesity and Nutrition (CB06/03) Instituto Salud Carlos III, Madrid, Spain.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH