NCT06445777

Brief Summary

The goal of this clinical trial is to test the effectiveness of a mental health prevention and promotion programme delivered to children (ages 8 to 13) living in under-resourced communities in South Africa. The main question it aims to answer is: Does the programme increase resilience and improve psychological well-being? Participants will be asked to attend the programme twice a week after school for a period of six weeks and complete a series of questionnaires. Researchers will compare children who attended the programme to those who did not to see if the programme resulted in better social/emotional functioning and resilience.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 31, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 6, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

August 19, 2024

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 10, 2024

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2025

Completed
Last Updated

October 15, 2024

Status Verified

October 1, 2024

Enrollment Period

4 months

First QC Date

May 31, 2024

Last Update Submit

October 11, 2024

Conditions

Keywords

Emotional ResilienceMental Health PreventionSouth AfricaUniversal Mental Health Promotion

Outcome Measures

Primary Outcomes (1)

  • Mean change from baseline in resilience scores using the Child and Youth Resilience Measure

    Higher scores on the Child and Youth Resilience Measure indicate greater resilience. The minimum score is 17 and the maximum score is 51. A t-test will be used to determine whether the control versus intervention group had significantly different mean scores on the Child and Youth Resilience measure after the intervention relative to the baseline assessment.

    At baseline and in 6 weeks

Study Arms (2)

Intervention Group

EXPERIMENTAL

Behavioural/ psychosocial intervention (i.e., mental health prevention and promotion programme) to boost emotional awareness, confidence, coping skills, and resilience.

Behavioral: Mental Health Prevention and Promotion

Control Group

NO INTERVENTION

Participants in the control group will receive the intervention at a later stage.

Interventions

The Inner Lion Programme is made up of 12 interactive workshops which are based on four key pillars: building confidence by identifying strengths and personal qualities; improving emotional intelligence and self-awareness; establishing adaptive coping strategies and channels of support; and boosting resilience. Professionally created by Child Psychologist Stijn de Leeuw together with an advisory team of psychologists from the Netherlands and South Africa, the programme follows a carefully structured and curated prevention and promotion mental health curriculum with games, crafting activities, psycho-educational stories, dance, movement, and breathing exercises. Workshops are led by local role models (a male-female duo) with lived experience trained to be mental health coaches.

Also known as: Inner Lion Programme
Intervention Group

Eligibility Criteria

Age8 Years - 13 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Between 8 and 13 years old
  • Fluent in Xhosa and/or English
  • Lives in one of the following communities in Cape Town, South Africa: Khayelitsha, Langa, or Mfuleni

You may not qualify if:

  • Younger than 8 years old or older than 13 years old
  • Do not have a strong understanding of the language of instruction (i.e., Xhosa/English)
  • Lives in an area outside of Khayelitsha, Langa, or Mfuleni

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Neighbourgood

Cape Town, Western Cape, South Africa

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal SatisfactionBehavior

Study Officials

  • Susan Malcolm-Smith

    University of Cape Town

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
The researchers involved in data collection after the intervention will be masked.
Purpose
PREVENTION
Intervention Model
CROSSOVER
Model Details: Children will be randomly assigned to either the control or intervention group after the baseline assessment. Participants in the control group will receive the intervention at a later stage.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 31, 2024

First Posted

June 6, 2024

Study Start

August 19, 2024

Primary Completion

December 10, 2024

Study Completion

March 31, 2025

Last Updated

October 15, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will share

Data obtained through this study may be provided to qualified researchers with an academic interest in the effectiveness of universal mental health interventions for children and adolescents. To protect personal information, all data shared will be coded.

Shared Documents
STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
Time Frame
Data requests can be submitted starting 9 months after article publication and the data will be made accessible for up to 24 months. Extensions will be considered on a case-by-case basis.
Access Criteria
Access to trial IPD can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). For more information or to submit a request, please contact caitlin@littlelionschildcoaching.com

Locations