Mental health problems Mental and Behavioural Disorders
Conditions
Interventions
SELFIE intervention
In this hybrid effectiveness-implementation study, a parallel-group, assessor- and analyst-blind, multi-country RCT will be conducted, in which participants will be randomly alloc
Sponsors
Central Institute of Mental Health
Eligibility
Sex/Gender
All
Age
14 Years to 25 Years
Inclusion criteria
Inclusion criteria: 1. Aged 14-25 years 2. Presence of clinically meaningful psychological distress opera-tionalized as a score of >10 on the CORE-10 or a GSI score > 0.52 on the SCL-90-R 3. Exposure to childhood adversity, broadly defined (physical, sex-ual or emotional abuse, emotional or physical neglect, peer bullying or parental conflict operationalized (Reininghaus et al. 2024)) 4. Self-esteem below average measured with the Rosenberg Self-Esteem Scale (RSES; (Schmitt and Allik 2005)) 5. Willingness to participate 6. Ability to give informed consent, and for minors: parental consent
Exclusion criteria
Exclusion criteria: 1. Insufficient command of the principal country language: English, Estonian, German, Italian, Spanish or Dutch, 2. Mental health symptoms are due to an organic cause, 3. Meeting criteria for a clinical diagnosis of intellectual disability (ICD-10 F70-F79) or with a disorder of psychological development (ICD-10 F80-89) that are sufficiently severe to impair a person's ability to provide informed consent 4. Inability to use a smartphone 5. Individuals with acute risk to themselves or others.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| General psychopathology at 6-month follow-up assessed by the revised Symptom Checklist (SCL-90-R; Derogatis (1977)). A total score will be calculated. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcomes will be assessed based on self-rated measures (to establish Effectiveness) at 3-month (t1), 6-month (t2), and 12-month follow-up (t3): 1. Well-being assessed with the Mylife tracker (Kwan et al., 2018) and the WEMWEBS (Tennant et al., 2007) 2. Self-esteem assessed with the Rosenberg Self-Esteem Scale (RSES; Schmitt and Allik, 2005) and the Self-Esteem Rating Scale (SERS; Lecomte et al., 2006) 3. Resilience assessed by the CD-RISC (Connor and Davidson, 2003) 4. Social functioning assessed with the WSAS (Jassi et al., 2020) 5. Quality of life assessed with the WHOQOL-BREF (Kwan and Rickwood, 2015; WHOQOL Group, 1998) 6. Psychological distress assessed with CORE-10 (Barkham et al., 2013) 7. Depression assessed by PHQ-9 (Kroenke et al., 2001) 8. Anxiety assessed using the GAD-7 (Spitzer et al., 2006) 9. Service attachment measured with the Service Attachment Questionnaire (SAQ; Goodwin et al., 2003) 10. User-led and co-created outcome measures developed by young people Secondary outcomes to assess Reach, Adoption, Implementation, and Maintenance: 11. Reach assessed by the number of individuals consenting to, participating in, and dropping out during the intervention period at 3-month follow-up 12. Adoption assessed using a checklist for usage of key components of the SELFIE intervention at 3-month follow-up 13. Implementation assessed by the extent to which SELFIE components are delivered as intended, using a checklist at 3-month follow-up 14. Maintenance assessed by the intended continuation of using the EMI components of SELFIE at 6-month and 12-month follow-up | — |
Countries
England, Estonia, Germany, Italy, Netherlands, Spain, United Kingdom
Contacts
Public ContactAnita Schick
Outcome results
None listed