None listed
Conditions
Brief summary
As child abuse cases are reported throughout the world, their impact on a person's life is pervasive. Adverse childhood experience was first coined and introduced by Dr. Felitti in 1998; it was defined as a series of traumatic events such as abuses, neglect, and household dysfunction. Adverse childhood experiences are associated with obesity, cancer, difficulties with self-regulation, and emotion regulation. In addition, there are various implications on mental health as well as physical health. Hence, this study adapts and modifies a resilience fostering intervention among individuals with adverse childhood experiences in Malaysia. This intervention study will be designed based on Ungar’s model and modified accordingly to the Malaysian context by using a Biopsychosocial-ecological model. Seven steps framework will be used for the adaptation process. In addition, biomarker testing of stress via saliva will be administered to track and evaluate the effect of the intervention. The intervention will be conducted in both Malay and English languages. This will be a mixed design study. Focus group discussions and a randomized controlled trial intervention study will be included. A mixed-design ANOVA will be applied to compare the mean scores of the intervention group and control group. Study hypothesis H1: There are significantly increased scores for mental health and resilience between pretreatment and post-treatment of an individual with adverse childhood experiences who were in the intervention group and the control group H2: There are significantly lower scores of stresses and physical health between pre-treatment and post-treatment of an individual with adverse childhood experiences who were in the intervention group and the control group
Interventions
Current studies will modify and implement a resilience-building intervention based on an R2 resilience program. The R2 Resilience program is designed with the principles of implementation science (Ryeroft-Malone et al.,2013). The multisystem aspect of the intervention allows it to focus on multiple systems for the individual’s change process and adaptation process around life circumstances. It emphasizes the surrounding environments to the individual. It is a curriculum-based approach grouping t
Current studies will modify and implement a resilience-building intervention based on an R2 resilience program. The R2 Resilience program is designed with the principles of implementation science (Ryeroft-Malone et al.,2013). The multisystem aspect of the intervention allows it to focus on multiple systems for the individual’s change process and adaptation process around life circumstances. It emphasizes the surrounding environments to the individual. It is a curriculum-based approach grouping together all the well-researched factors (Ungar,2020). Then, the factors and aspects are modified and implemented into the resilience-building intervention accordingly. It will focus on skills such as collaborative helping, making resources available, exploring barriers to change, building bridges to new services and support, identifying meaningful resources, keeping solutions complex, finding allies, asking whether coping strategies are adaptive or maladaptive, exploring the client's level of motivation of change and engage in advocacy. The intervention will be carried out in Malay or English. It aims to encompass both languages and will be provided according to the native language of the participants. Therapists will be trained to follow the protocol and the manual. At the end of the session, a recap will be conducted. Dynamic assessment will be used to track the learning progress. Participants will use journaling as a method to practice the skills. In addition, progress and practice will be discussed at the beginning of each session. Only two formal assessments will be conducted throughout the studies: pre and post-measurement. The intervention will be conducted via physical session. The helper will be recruited to carry out the intervention and collect data. The current study will be designed with six sessions, each session 120 minutes. The sessions are 120 minutes per session and will be held weekly. The session will be conducted in a group of 5. Participants will be asked to journal their thought and process after the session. A discussion will be carried out at the beginning of every session to recap what has been learned. A session attendance checklist will be applied to monitor the session.
Sponsors
Dr. Mahadir Ahmad
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
Participant inclusion criteria 1. Aged 18 to 30 years old 2. Scores more than four on the Adverse Childhood Experiences International Questionnaire (ACE-IQ)
Exclusion criteria
1. Individuals receiving psychological treatment or Intervention 2. Participants who demonstrate any severe psychopathology or psychiatric illness that requires a psychopharmacological approach 3. Participants who received Intervention or therapy consistently in the past
Outcome results
None listed