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School-based early intervention for anxiety and depression in older adolescents: A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”)

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School-based early intervention for anxiety and depression in older adolescents : A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”). / Brown, June S.L.; Blackshaw, Emily; Stahl, Daniel; Fennelly, Lisa; McKeague, Lynn; Sclare, Irene; Michelson, Daniel.

In: Journal of Adolescence, Vol. 71, 07.02.2019, p. 150-161.

Research output: Contribution to journalArticle

Harvard

Brown, JSL, Blackshaw, E, Stahl, D, Fennelly, L, McKeague, L, Sclare, I & Michelson, D 2019, 'School-based early intervention for anxiety and depression in older adolescents: A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”)', Journal of Adolescence, vol. 71, pp. 150-161. https://doi.org/10.1016/j.adolescence.2018.11.009

APA

Brown, J. S. L., Blackshaw, E., Stahl, D., Fennelly, L., McKeague, L., Sclare, I., & Michelson, D. (2019). School-based early intervention for anxiety and depression in older adolescents: A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”). Journal of Adolescence, 71, 150-161. https://doi.org/10.1016/j.adolescence.2018.11.009

Vancouver

Brown JSL, Blackshaw E, Stahl D, Fennelly L, McKeague L, Sclare I et al. School-based early intervention for anxiety and depression in older adolescents: A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”). Journal of Adolescence. 2019 Feb 7;71:150-161. https://doi.org/10.1016/j.adolescence.2018.11.009

Author

Brown, June S.L. ; Blackshaw, Emily ; Stahl, Daniel ; Fennelly, Lisa ; McKeague, Lynn ; Sclare, Irene ; Michelson, Daniel. / School-based early intervention for anxiety and depression in older adolescents : A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”). In: Journal of Adolescence. 2019 ; Vol. 71. pp. 150-161.

Bibtex Download

@article{fb25d5e0a87640b6811f5223f7021783,
title = "School-based early intervention for anxiety and depression in older adolescents: A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”)",
abstract = "Introduction: Schools may provide a convenient intervention setting for young people with mental health problems generally, as well as for those who are unwilling or unable to access traditional clinic-based mental health services. However, few studies focus on older adolescents, or those from ethnic minority groups. This study aims to assess the feasibility of a brief school-based psychological intervention for self-referred adolescents aged 16–19 years. Methods: A two-arm cluster randomised controlled trial was conducted in 10 inner-city schools with block randomisation of schools. The intervention comprised a one-day CBT Stress management programme with telephone follow-up (DISCOVER) delivered by 3 psychology (2 clinical and 1 assistant) staff. The control was a waitlist condition. Primary outcomes were depression (Mood and Feelings Questionnaire; MFQ) and anxiety (Revised Child Anxiety and Depression Scale; RCADS-anxiety subscale). Data were analysed descriptively and quantitatively to assess feasibility. Results: 155 students were enrolled and 142 (91.6{\%}) followed up after 3 months. Participants were predominantly female (81{\%}) and the mean age was 17.3 years, with equal numbers enrolled from Year 12 and Year 13. Over half (55{\%}) of students were from ethnic minority groups. Intraclass correlations were low. Variance estimates were calculated to estimate the sample size for a full RCT. Preliminary outcomes were encouraging, with reductions in depression (d = 0.27 CI-0.49 to −0.04, p = 0.021) and anxiety (d = 0.25, CI-0.46 to −0.04, p = 0.018) at follow-up. Conclusions: Results support the feasibility of a school-based, self-referral intervention with older adolescents in a definitive future full-scale trial (Trial no. ISRCTN88636606).",
keywords = "Adolescence, Anxiety, Depression, Open-access, Schools, Self-referral",
author = "Brown, {June S.L.} and Emily Blackshaw and Daniel Stahl and Lisa Fennelly and Lynn McKeague and Irene Sclare and Daniel Michelson",
year = "2019",
month = "2",
day = "7",
doi = "10.1016/j.adolescence.2018.11.009",
language = "English",
volume = "71",
pages = "150--161",
journal = "Journal of Adolescence",
issn = "0140-1971",
publisher = "Elsevier",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - School-based early intervention for anxiety and depression in older adolescents

T2 - A feasibility randomised controlled trial of a self-referral stress management workshop programme (“DISCOVER”)

AU - Brown, June S.L.

AU - Blackshaw, Emily

AU - Stahl, Daniel

AU - Fennelly, Lisa

AU - McKeague, Lynn

AU - Sclare, Irene

AU - Michelson, Daniel

PY - 2019/2/7

Y1 - 2019/2/7

N2 - Introduction: Schools may provide a convenient intervention setting for young people with mental health problems generally, as well as for those who are unwilling or unable to access traditional clinic-based mental health services. However, few studies focus on older adolescents, or those from ethnic minority groups. This study aims to assess the feasibility of a brief school-based psychological intervention for self-referred adolescents aged 16–19 years. Methods: A two-arm cluster randomised controlled trial was conducted in 10 inner-city schools with block randomisation of schools. The intervention comprised a one-day CBT Stress management programme with telephone follow-up (DISCOVER) delivered by 3 psychology (2 clinical and 1 assistant) staff. The control was a waitlist condition. Primary outcomes were depression (Mood and Feelings Questionnaire; MFQ) and anxiety (Revised Child Anxiety and Depression Scale; RCADS-anxiety subscale). Data were analysed descriptively and quantitatively to assess feasibility. Results: 155 students were enrolled and 142 (91.6%) followed up after 3 months. Participants were predominantly female (81%) and the mean age was 17.3 years, with equal numbers enrolled from Year 12 and Year 13. Over half (55%) of students were from ethnic minority groups. Intraclass correlations were low. Variance estimates were calculated to estimate the sample size for a full RCT. Preliminary outcomes were encouraging, with reductions in depression (d = 0.27 CI-0.49 to −0.04, p = 0.021) and anxiety (d = 0.25, CI-0.46 to −0.04, p = 0.018) at follow-up. Conclusions: Results support the feasibility of a school-based, self-referral intervention with older adolescents in a definitive future full-scale trial (Trial no. ISRCTN88636606).

AB - Introduction: Schools may provide a convenient intervention setting for young people with mental health problems generally, as well as for those who are unwilling or unable to access traditional clinic-based mental health services. However, few studies focus on older adolescents, or those from ethnic minority groups. This study aims to assess the feasibility of a brief school-based psychological intervention for self-referred adolescents aged 16–19 years. Methods: A two-arm cluster randomised controlled trial was conducted in 10 inner-city schools with block randomisation of schools. The intervention comprised a one-day CBT Stress management programme with telephone follow-up (DISCOVER) delivered by 3 psychology (2 clinical and 1 assistant) staff. The control was a waitlist condition. Primary outcomes were depression (Mood and Feelings Questionnaire; MFQ) and anxiety (Revised Child Anxiety and Depression Scale; RCADS-anxiety subscale). Data were analysed descriptively and quantitatively to assess feasibility. Results: 155 students were enrolled and 142 (91.6%) followed up after 3 months. Participants were predominantly female (81%) and the mean age was 17.3 years, with equal numbers enrolled from Year 12 and Year 13. Over half (55%) of students were from ethnic minority groups. Intraclass correlations were low. Variance estimates were calculated to estimate the sample size for a full RCT. Preliminary outcomes were encouraging, with reductions in depression (d = 0.27 CI-0.49 to −0.04, p = 0.021) and anxiety (d = 0.25, CI-0.46 to −0.04, p = 0.018) at follow-up. Conclusions: Results support the feasibility of a school-based, self-referral intervention with older adolescents in a definitive future full-scale trial (Trial no. ISRCTN88636606).

KW - Adolescence

KW - Anxiety

KW - Depression

KW - Open-access

KW - Schools

KW - Self-referral

UR - http://www.scopus.com/inward/record.url?scp=85061056125&partnerID=8YFLogxK

U2 - 10.1016/j.adolescence.2018.11.009

DO - 10.1016/j.adolescence.2018.11.009

M3 - Article

C2 - 30738219

AN - SCOPUS:85061056125

VL - 71

SP - 150

EP - 161

JO - Journal of Adolescence

JF - Journal of Adolescence

SN - 0140-1971

ER -

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