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A school-based evaluation of Therapeutic Storytelling Intervention (TSI) to promote young people's mental health and wellbeing

A school-based cluster-randomised controlled trial to determine the effectiveness of Therapeutic Storytelling Intervention (TSI) in promoting young people's mental health and wellbeing

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12618000282280
Enrollment
436
Registered
2018-02-23
Start date
2018-02-20
Completion date
2018-02-23
Last updated
2019-07-15

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 proposed trial will evaluate a school-based mental health intervention, Therapeutic Storytelling Intervention (TSI), to determine its effectiveness in improving mental health outcomes among children in South Auckland. TSI is based on the book ‘Gem of the First Water’ and aims to teach children important life skills. The strength of TSI, over more traditional psychotherapeutic approaches, is its ability to engage children through the power of story-telling. Through the storytelling, children learn consequences of poor impulse control, make connections between their feelings and behaviours, and learn how to deal with grief, and relationships and self-control. TSI has been used extensively in South Auckland and internationally for over 20 years but has not been previously rigorously evaluated. This trial will randomly select classrooms from participating South Auckland in intermedaite schools and evaluate mental health and wellbeing outcomes over a nine-month period compared to control classrooms.

Interventions

Therapeutic storytelling intervention (TSI) is an innovative form of psychotherapy developed by Ron Phillips in 1989 based on his book “Gem of First Water” (Phillips, 1989). “Gem of First Water” is the story of a boy on a journey of discovery and adventure in a mythical land called ‘confusion’. Along the way the hero is faced with challenges and dilemmas that reflect the common adolescent struggles, such as poor impulse control, making connections between decisions and feeling, working through g

Therapeutic storytelling intervention (TSI) is an innovative form of psychotherapy developed by Ron Phillips in 1989 based on his book “Gem of First Water” (Phillips, 1989). “Gem of First Water” is the story of a boy on a journey of discovery and adventure in a mythical land called ‘confusion’. Along the way the hero is faced with challenges and dilemmas that reflect the common adolescent struggles, such as poor impulse control, making connections between decisions and feeling, working through grief, drug and alcohol use and peer and parent relationship issues. TSI has now been developed as a class room intervention for young people and is currently being delivered in schools in South Auckland. The intervention involves 12 weekly sessions of TSI delivered to each selected class by a counsellor. Students will receive the book, a student workbook and the teacher will receive a talking book to allow for students to catchup any sessions they may have missed. The duration of TSI is approximately 30 minutes plus 30 minutes of discussion and workbook exercises. Week 1 - Introduction to the story, introduces elements of thoughts, feelings and behaviours, the golden rule. Week 2 - Discusses being stuck and change. Related these to thoughts, feelings and behaviours Week 3 - Mastering anger Week 4 - Honesty and forgiveness Week 5 - Self care and empathy for others, Mind triage Week 6 - Golden rule of relationships, Insight and knowing self. Week 7 - Courage, Deep decisions, Lessons in life. Week 8 - Relationship between decisions and feelings. Habit rule for managing life Week 9 - How bad choices evolve Week 10 - Model for facing fears Week 11 - Understanding who you are, Identity and who you are. Week 12 - Model of identity, Coming home. The workbooks contain a variety of exercises that gets students to reflect on aspects of the story and how relates to their lives. The workbook is divided in to chapters that relate to the chapters of the story. These exercises are designed to reinforce messages during the class sessions and some independent exercises for students that can be completed outside of the 12 weekly sessions. Teachers will receive a 2 hour training session before the intervention. Teachers are not expected to deliver the intervention themselves, but to support key messages in classes outside of the intervention sessions. Teachers will receive a copy of the story, workbook, and a summary of key messages and models delivered in the intervention sessions. Fidelity will be assessed by student attendance and completion of workbooks by a research assistant. Any issues will be identified through discussions and feedback from teachers and resolved in collaboration with the school and researchers.

Sponsors

University of Auckland
Lead SponsorUniversity

Study design

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

Eligibility

Sex/Gender
All
Age
10 Years to 13 Years
Healthy volunteers
Yes

Inclusion criteria

All students in classes in year 7 and year 8 from participating intermediate schools.

Exclusion criteria

Streamed classes (these are classes for high achieving students) due to system differences from other classes.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026