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Promoting emotional health among children

An early intervention for mental health problems among children: Comparisons, Openess, Peers and Esteem

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000940279
Enrollment
636
Registered
2009-11-03
Start date
2009-04-30
Completion date
2009-08-30
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of the current study is to implement the early intervention program, COPE (Comparisons, Openness, Peers and Esteem), designed to build resilience and improve factors related to mental health problems among primary school children. It focuses on children aged between 8 and 10 years, as this is a crucial time to implement early intervention strategies to enhance children’s abilities to cope with psychosocial stressors and foster the development of positive mental health and well-being. This is also the age when children begin to frequently use social comparisons and are most vulnerable to the negative impact of these comparisons. Social comparisons are frequently used by children to learn about their own abilities and individual differences. As these social comparisons are an integral component of children’s social and emotional development, they can not be eliminated. However, for many children, an over reliance on social comparisons can lead to maladaptive coping skills, negative thought processes, pessimistic attributions, low self-esteem, and other negative beliefs about the self; all of which are known to be factors that heighten the risk of developing mental health problems. We have developed and trialled our program, COPE, which will build children’s resilience and equip children with strategies to identify, appraise and modify the use of social comparisons in ways that strengthen their self-esteem and other self-concepts, and thus reduce the risk of developing mental health problems. COPE specifically targets the use of social comparisons in four domains that are particularly salient and important for fostering the well-being of children. These include physical appearance, relationships with peers, physical activity and sport, and school achievement. For the current project we will conduct a more extensive evaluation of the COPE program, with a particular focus on how it improves the mental health of 8 to 10 year old girls and boys. It is expected that children who participate in the COPE program will demonstrate increased positive affect, lower levels of negative affect, lower depressive and anxiety symptoms, higher levels of resiliency, and more positive self-concepts than a wait-list control group. The effectiveness of COPE will be evaluated at the completion of the program and also at five follow-up periods: 1-month, 6-months, 12-months, 18-months and 24-months post-intervention.

Interventions

The quasi-experimental intervention is designed to build resilience and equip children with the skills and strategies to use social comparisons in a positive and balanced way. The intervention will involve training children to appreciate individual differences and identify strengths in themselves and others. Children will also receive training in cognitive and behavioural strategies to lessen the impact of any negative comparisons, challenge negative beliefs about the self, and ensure they do no

The quasi-experimental intervention is designed to build resilience and equip children with the skills and strategies to use social comparisons in a positive and balanced way. The intervention will involve training children to appreciate individual differences and identify strengths in themselves and others. Children will also receive training in cognitive and behavioural strategies to lessen the impact of any negative comparisons, challenge negative beliefs about the self, and ensure they do not rely solely on the use of social comparisons to develop their self-esteem. The intervention will be adminstered to children in groups of 20 to 25 by a trained facilitator. There will be one hour weekly session for a total of 8 weeks.

Sponsors

Australian Rotary Health Research Fund
Lead SponsorCharities/Societies/Foundations

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
8 Years to 11 Years
Healthy volunteers
Yes

Inclusion criteria

All children from participating schools in grade 3 and 4 who have parental consent

Exclusion criteria

Only children who do not have parental consent

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026