NCT03274934

Brief Summary

The aim of this randomized control trial is to examine effectiveness of individually tailored web- and mobile-based Acceptance- and Commitment Therapy interventions to promote adolescents' well-being and life-control and subsequently support their successful transition from basic education to upper secondary education. Our additional aim is to examine to what extent the effectiveness of the intervention varies according to intervention intensity and according to risk for school failure. The five-week structured intervention is delivered using the novel web-and mobile-based program Youth COMPASS following the principles of the Acceptance and Commitment Therapy (ACT). The Internet context is assumed to be particularly motivating for youth who enjoy spending time online using different social media. Internet-based interventions have several advantages; they can include more information and treatment components than traditionally delivered treatments and that intervention programs are accessible at any time and at any place. Another unique aspect of the Youth COMPASS is the fact that it is individually-tailored. Each participant have an individually assigned online coach who provides support and encouragement, reminds about Youth COMPASS, sends individualized feedback, and recommends different exercises. The study hypothetizes that the Youth COMPASS is more effective than school counseling as usual. More specifically, the Youth COMPASS is expected to be more effective when it is combined with face-to-face support than when support and feedback are provided only via the Internet. Also, the Youth COMPASS with no face-to-face support (online only) is expected to be more effective than receiving only regular school counseling. Finally, the Youth COMPASS is expected to be more effective for students at risk for school failure than for students without risk for school failure, especially when at risk-adolescents receive more intensive support (i.e., both online and face-to-face support).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
249

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2017

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 1, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 7, 2017

Completed
14 days until next milestone

Study Start

First participant enrolled

September 21, 2017

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 15, 2017

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2019

Completed
Last Updated

April 2, 2020

Status Verified

April 1, 2020

Enrollment Period

3 months

First QC Date

September 1, 2017

Last Update Submit

April 1, 2020

Conditions

Keywords

AdolescentsWeb- and mobile-based interventionAcceptance and Commitment therapyPsychological well-beingCareer preparationLifecontrolSuccessful educational transitionsLearning difficultiesPsychological flexibility and mindfulness skills

Outcome Measures

Primary Outcomes (8)

  • Life satisfaction (Diener et al., 1985)

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Self-esteem (Rosenberg, 1965),

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Depressive symptoms (Salokangas et al., 1995)

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Stress (Elo et al., 2003)

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Difficulties and Strenghts questionnaire (SDQ, Goodman et al. 1997) measuring emotional symptoms, hyperactivity, conduct problems and prosociality

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Well-being in school (World Health Organization)

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Career choice preparedness (Koivisto et al., 2011)

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Educational expectations

    Study has five timepoints when same questionnaires are administered to assess possible changes in the outcome measures.

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

Secondary Outcomes (10)

  • Psychological flexibility (Greco et al., 2008)

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Mindfulness skills (Ciarrochi et al., 2011)

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Identity formation (DIDS; Luyckx et al., 2008; see also Marttinen et al., 2016)

    Change from baseline at 2, 6, 12 and 18 months after the intervention

  • Truancy

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • School grades

    Four years from the baseline.

  • +5 more secondary outcomes

Other Outcomes (12)

  • Achievement strategies (Nurmi et al., 1995)

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Academic buoyancy (Martin & Marsh, 2008)

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • Recovery from school work (see also Winwood et al., 2005)

    Change from baseline at 2, 6, 12 and 18 months after the intervention.

  • +9 more other outcomes

Study Arms (3)

Face-to-face and online support group

EXPERIMENTAL

Behavioral: Structured web- and mobile-based intervention with Youth COMPASS program to support adolescents' well-being, career preparation and life-control and subsequently support successful transition to upper secondary education. The Youth COMPASS is the five-week online program according to principles of Acceptance and Commitment Therapy aiming to enhance adolescents' psychological flexibility by guiding adolescents in exploring their values and setting goals and changing behaviors according to their goals (week 1), and learning acceptance defusion and mindfulness skills (weeks 2-3) and integrating these skills into their personal life (weeks 4-5). The participants in this condition receive weekly online support and feedback from their individually assigned coach. In addition, they meet their coach twice in the face-to-face meetings. The aim of the meetings is to increase adolescents' internal motivation and thereby participation in the program.

Behavioral: Experimental: face-to-face and online support group:

Only online support group

EXPERIMENTAL

Behavioral: web- and mobile-based intervention with Youth COMPASS program to support adolescents' well-being, career preparation and life-control and subsequently support successful transition to upper secondary education. The Youth COMPASS is a five-week online program according to principles of Acceptance and Commitment Therapy aiming to enhance adolescents' psychological flexibility by guiding adolescents in exploring their values and setting goals and changing behaviors according to their goals (week 1), and learning acceptance defusion and mindfulness skills (weeks 2-3) and integrating these skills into their personal life (weeks 4-5). The participants in this condition receive weekly online support and feedback from their individually assigned coach.

Behavioral: Experimental: only online support group:

Control group

EXPERIMENTAL

Behavioral: No intervention, school counseling as usual

Behavioral: Control

Interventions

5-week intervention according to Acceptance and Commitment Therapy principles with the web-and mobile-based Youth COMPASS program, face-to-face support (2 meetings) and weekly online mobile support and feedback from the individually assigned coach (one third of the participants is randomly assigned to this group)

Face-to-face and online support group

5-week intervention according to ACT principles with the web-and mobile-based Youth COMPASS program, no face-to-face support, weekly mobile online support and feedback from the individually assigned coach (one third of the participants is randomly assigned to this group)

Only online support group
ControlBEHAVIORAL

Control group, no intervention, school counseling as usual. (one third of the participants is randomly assigned to this group)

Control group

Eligibility Criteria

Age14 Years - 16 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Adolescents (n = 120) who have risk for school failure (learning difficulties or low grade point average without learning difficulties)
  • Randomly chosen adolescents (n=120) from the same classrooms who have no risk for school failure

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Psychology, University of Jyväskylä

Jyväskylä, 40014, Finland

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal SatisfactionBehavior

Study Officials

  • Noona Kiuru, PhD

    Department of Psychology, University of Jyväskylä, Finland

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: Treatment, Parallel assessment, Randomized, Efficacy study
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 1, 2017

First Posted

September 7, 2017

Study Start

September 21, 2017

Primary Completion

December 15, 2017

Study Completion

December 31, 2019

Last Updated

April 2, 2020

Record last verified: 2020-04

Data Sharing

IPD Sharing
Will share

Other researchers are encouraged to use the data; however, it requires a research plan and the permission of the research team. Also, at least one of the team members, who know the data well, should be a co-author in all the articles that are written from the data. After 10 years of the data collection, those parts of the data that are not too sensitive (e.g., part of the questionnaire data), will be prepared in collaboration with a Finnish Social Science data Archive in a format that is easily accessible for other researchers. However, using data requires a research plan and the permission of the research team. Also, at least one of the team members, who know the data well, should be a co-author in all the articles that are written from the data.

Locations