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Building Resilience in Children. The CUES-Ed research project: a comparison of the CUES-Ed resilience-building digital programme for primary school children compared to the usual school curriculum

A cluster randomised, 16-week, parallel-group multicentre trial to compare the effectiveness of a digital school-based cognitive behavioural resilience/wellbeing-building intervention (CUES for schools) targeting emotional and behavioural problems in vulnerable year 4 primary school children in whole classes, compared to the usual school curriculum

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN11445338
Enrollment
2200
Registered
2022-09-12
Start date
2022-09-19
Completion date
Unknown
Last updated
2024-10-15

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

Conditions

Wellbeing/resilience in primary school children Mental and Behavioural Disorders

Interventions

The study comprises a cluster randomised controlled trial comparing the CUES for schools digital programme to a waitlist control group. The design is a parallel-group cluster randomised controlled tri

Sponsors

King's College London
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Schools: Local Authority run primary schools with Year 4 and Year 5 cohorts in England 2. Children: attending the school in Year 4 (aged 8-9 years)

Exclusion criteria

Exclusion criteria: Does not meet the inclusion criteria

Design outcomes

Primary

MeasureTime frame
Children's emotional/behavioural problems are measured using the Me & My Feelings questionnaire (M&MF) total scale at 0, 8, and 16 weeks. The between-group difference of vulnerable children at 16 weeks is the primary outcome. This measure comprises 16 items, each rated 0 (best) to 2 (worst), with total scores ranging from 0 – 32. The total score is made up from two subscales – emotional difficulties (M&MF-E, 10 items) and behavioral difficulties (M&MF-B, 6 items) – with children meeting the criterion for being vulnerable based on M&MF-E >9 and/or M&MF-B >5. The measure is designed specifically for use in schools to evaluate public health initiatives, and has been widely used with children of this age group.

Secondary

MeasureTime frame
Vulnerable sub-population: 1. Children's emotional problems are measured using the M&MF-E 10 item subscale (M&MF items 1-10) at 0, 8, and 16 weeks. Scores range from 0-20, with lower scores indicating more positive outcomes (clinical cut-off >9) 2. Children's behavioural problems are measured using the M&MF-B 6 item subscale (M&MF items 11-16) at 0, 8, and16 weeks. Scores range from 0-12, with lower scores indicating more positive outcomes (clinical cut-off >5) 3. Children's overall wellbeing is measured using the Children's Outcome Rating Scale (CORS) four-item total scale at 0 and 16 weeks. This scale is designed to measure wellbeing and distress, with each item rated 0 (worst) to 10 (best) with scores below 32 considered to represent clinical levels of distress/poor wellbeing. 4. Children's day-to-day wellbeing is measured using a seven-item wellbeing rating scale completed as part of a Child Workbook, at 0 and 16 weeks. Each item is rated from 0 (worst) to 10 (best), with total scores ranging from 0-70. Items have been designed as a means to assess the learning from the CUES programme. The items have been completed by large numbers of children during in-service delivery of CUES, and the feasibility pilot. 5. Children's cognitive vulnerability is measured using an eight-item cognitive rating scale completed as part of a Child Workbook at 0 and 16 weeks. Each item is rated from 0-1, with one item rated from 0-2. Total scores range from 0-9. As with child workbook wellbeing rating scores, this outcome is designed to assess learning from the CUES programme. Whole school population: In addition to the measures above, outcomes for the whole school population will be assessed using the following: 1. Class behaviour is measured using two teacher-completed ratings at 0 and 16 weeks. Teachers estimate the proportion of the class displaying positive behaviours, rated as the total number of students within the class who ‘often’ or ‘sometimes’ display these behaviours.

Countries

England, United Kingdom

Contacts

Public ContactSuzanne Jolley
suzanne.jolley@kcl.ac.uk+44 (0)2078485028

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 9, 2026