1
|
Tran TD, Nguyen H, Shochet I, Nguyen N, La N, Wurfl A, Orr J, Nguyen H, Stocker R, Fisher J. School-based universal mental health promotion intervention for adolescents in Vietnam: Two-arm, parallel, controlled trial. Glob Ment Health (Camb) 2023; 10:e69. [PMID: 38024797 PMCID: PMC10643236 DOI: 10.1017/gmh.2023.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 08/25/2023] [Accepted: 10/12/2023] [Indexed: 12/01/2023] Open
Abstract
The aim of this study was to evaluate the effects of Happy House, a universal school-based programme, in reducing adolescents' depressive symptoms and improving their mental well-being, coping self-efficacy and school connectedness. This was a school-based, two-arm parallel controlled trial. Depressive symptoms were measured using the Centre for Epidemiologic Studies Depression Scale. Data were collected at recruitment, and at 2 weeks and 6 months post-intervention. Mixed-effect models were conducted to estimate the effects of the intervention on the outcomes. A total of 1,084 students were recruited. At 2 weeks post-intervention, the effect size on depressive symptoms was 0.11 (p = 0.011) and the odds of having clinically significant depressive symptoms were lower in the intervention compared to the control (0.56, p = 0.027). Both of these were no longer significant at 6 months post-intervention. Psychological well-being mean scores in the intervention were significantly higher than in the control at 2 weeks post-intervention (effect size 0.13). Coping self-efficacy mean scores were significantly higher in the intervention group at both 2-week and 6-month post-intervention (effect sizes from 0.17 to 0.26). Data support the potential of Happy House to reduce the prevalence of adolescent mental health problems and to promote positive mental health in the school context in Vietnam.
Collapse
Affiliation(s)
- Thach Duc Tran
- Global and Women’s Health, Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Huong Nguyen
- Department of Health Promotion, Hanoi University of Public Health, Hanoi, Vietnam
| | - Ian Shochet
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD, Australia
| | - Nga Nguyen
- Department of Health Promotion, Hanoi University of Public Health, Hanoi, Vietnam
| | - Nga La
- Department of Health Promotion, Hanoi University of Public Health, Hanoi, Vietnam
| | - Astrid Wurfl
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD, Australia
| | - Jayne Orr
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD, Australia
| | - Hau Nguyen
- Global and Women’s Health, Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Ruby Stocker
- Global and Women’s Health, Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Jane Fisher
- Global and Women’s Health, Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| |
Collapse
|
2
|
Tran T, Nguyen H, Shochet I, Nguyen N, La N, Wurfl A, Orr J, Nguyen H, Stocker R, Fisher J. Coping Self-Efficacy and Thoughts of Self-Harm Among Adolescents in Vietnam: A Longitudinal Study. Arch Suicide Res 2023:1-13. [PMID: 37837377 DOI: 10.1080/13811118.2023.2265444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/16/2023]
Abstract
We aimed to determine the effect of coping self-efficacy on thoughts of self-harm among adolescents attending high school in Hanoi, Vietnam. Longitudinal data were collected using the Center for Epidemiologic Studies Depression Scale Revised and the Coping Self-Efficacy Scale among 552 Year 10 students. The prevalence of thoughts of death and/or self-injury on at least 1 day in the past week was 16.9% at baseline and 14.5% at 8-month follow-up. When baseline coping self-efficacy was greater by one standard deviation, the odds of having thoughts of self-harm at follow-up were reduced by 42%. Our findings suggest that school-based programs that aim to strengthen coping strategies may be useful in preventing self-harm among adolescents.
Collapse
|
3
|
Tran T, La N, Nguyen H, Shochet I, Nguyen N, Wurfl A, Orr J, Nguyen H, Stocker R, Fisher J. Validation of the coping self-efficacy scale: Vietnamese version for adolescents. BMC Psychol 2022; 10:59. [PMID: 35264255 PMCID: PMC8905823 DOI: 10.1186/s40359-022-00770-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 03/02/2022] [Indexed: 11/17/2022] Open
Abstract
Background This study aimed to examine the construct validity of the Coping Self-Efficacy Scale-Vietnamese Version (CSES-V) among Vietnamese adolescents.
Methods This study selected Grade 10 students from eight schools in Hanoi using a multiple-stage sampling method. Multiple aspects of the construct validity were examined including: factorial structure (evaluated using exploratory factor analysis); internal consistency (tested using Cronbach’s alpha coefficient); measurement invariance between male and female participants and longitudinal measurement invariance (tested by employing multiple group confirmatory factor analysis) and external aspect (tested using Pearson’s correlation coefficients between CSES-V and the Depression Anxiety and Stress Subscales of Depression (DASS21-D), Anxiety (DASS21-A), and Stress (DASS21-S) and a measure of mental well-being, Mental Health Continuum Short Form (MHC-SF)). Results A total of 1082 adolescents (aged 14–16 years) was included in this study. Data supported a three-factor structure (comprising 24 items) that explained 97.6% of the total variance of the CSES-V. Cronbach’s alpha coefficients of all three factors were acceptable. All levels of measurement invariance between male and female participants and longitudinal measurement invariance were well-supported. The three factors of the CSES-V were positively correlated with MHC-SF and were negatively correlated with the DASS21 subscales at a low or moderate level, supporting the external aspect of the construct validity. Conclusions CSES-V is recommended to assess coping self-efficacy among Vietnamese adolescents who are attending school. Supplementary Information The online version contains supplementary material available at 10.1186/s40359-022-00770-3.
Collapse
Affiliation(s)
- Thach Tran
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Level 4 - 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
| | - Nga La
- Hanoi University of Public Health, Hanoi, Vietnam
| | - Huong Nguyen
- Hanoi University of Public Health, Hanoi, Vietnam
| | - Ian Shochet
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
| | - Nga Nguyen
- Hanoi University of Public Health, Hanoi, Vietnam
| | - Astrid Wurfl
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
| | - Jayne Orr
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
| | - Hau Nguyen
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Level 4 - 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Ruby Stocker
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Level 4 - 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| | - Jane Fisher
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Level 4 - 553 St Kilda Road, Melbourne, VIC, 3004, Australia
| |
Collapse
|
4
|
Tran T, Nguyen HT, Shochet I, Wurfl A, Orr J, Nguyen N, La N, Nguyen H, Stocker R, Nguyen T, Le M, Fisher J. School-based, two-arm, parallel, controlled trial of a culturally adapted resilience intervention to improve adolescent mental health in Vietnam: study protocol. BMJ Open 2020; 10:e039343. [PMID: 33067293 PMCID: PMC7574926 DOI: 10.1136/bmjopen-2020-039343] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION The Resourceful Adolescent Program (RAP) is an evidence-based resilience intervention for adolescents. Operating in a strength-focused paradigm, the programme uses an integration of cognitive behavioural therapy and interpersonal psychotherapy to improve coping skills and build resilience. This study aims to establish whether a culturally and linguistically adapted intervention informed by RAP principles is effective in increasing resilience, enhancing coping skills and preventing symptoms of depression and anxiety. METHODS AND ANALYSIS We will translate, back-translate and culturally adapt the RAP for adolescents and training materials for facilitators, and the adapted intervention will be called Happy House. A two-arm parallel controlled trial will be conducted in eight high schools in the north of Vietnam. In each of the selected schools, all students from four randomly selected grade 10 classes (an estimation of about 1204 students) will be invited to participate. The control group will receive the usual curriculum. The intervention group will receive six weekly 90 min school-based group sessions of Happy House in addition to the usual curriculum. The primary outcome, depressive symptoms, will be measured using a locally validated version of the Centre for Epidemiologic Studies Depression Scale Revised. Secondary outcomes are mental well-being, coping self-efficacy, school connectedness, anger management and health risk behaviours. Data will be collected at recruitment, and at two weeks and six months post intervention. Mixed-effect logistic regression for the main outcome and mixed-effect linear and logistic regression models for the secondary outcomes will be conducted to estimate the effects of the intervention on the outcomes. ETHICS AND DISSEMINATION This trial has been approved by Monash University Human Research Ethics Committee (No. 21455) and the Institutional Review Board of the Hanoi School of Public Health (488/2019/YTCC-HD3). Dissemination of findings will include peer-reviewed publications, international and national conferences, seminar and media presentations, national policy briefings in Vietnam, local language reports and lay language summaries for participants. TRIAL REGISTRATION NUMBERS Registered with the Australian New Zealand Clinical Trials Registry, registration number: ACTRN12620000088943 (3/2/2020).WHO Universal Trial Number: U1111-1246-4079.
Collapse
Affiliation(s)
- Thach Tran
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Huong Thanh Nguyen
- Department of Health Education, Faculty of Social Science, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam
| | - Ian Shochet
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Astrid Wurfl
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Jayne Orr
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Nga Nguyen
- Department of Health Education, Faculty of Social Science, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam
| | - Nga La
- Department of Health Education, Faculty of Social Science, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam
| | - Hau Nguyen
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Ruby Stocker
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Trang Nguyen
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Minh Le
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Jane Fisher
- Global and Women's Health, Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| |
Collapse
|
5
|
Foster K, Shochet I, Wurfl A, Roche M, Maybery D, Shakespeare-Finch J, Furness T. On PAR: A feasibility study of the Promoting Adult Resilience programme with mental health nurses. Int J Ment Health Nurs 2018; 27:1470-1480. [PMID: 29488298 DOI: 10.1111/inm.12447] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/23/2018] [Indexed: 01/07/2023]
Abstract
Mental health settings are recognized as complex, unpredictable environments, and challenging interpersonal situations are common for nurses in acute adult mental health services. Occupational stressors include verbal aggression and physical assault and are correlated with poor physical and mental health outcomes for nurses. There is a clear need for proactive approaches that address the negative impacts of stressors on the mental health nursing workforce. Resilience interventions are a preventive approach to strengthening skills for addressing workplace stress, improving health and well-being, and preventing adverse outcomes associated with occupational stressors. The aim of this study was to evaluate the feasibility of a workplace resilience education programme for nurses in high-acuity adult mental health settings. The outcomes were measured using a single-group pretest post-test design with follow-up at 3 months postintervention. The feasibility and acceptability of the programme were identified with descriptors of mental health, well-being, resilience, facilitator fidelity checklists, and participant satisfaction questionnaires. The programme was found to be feasible for nurses working in high-acuity inpatient settings. There were significant changes to mental health, well-being, and workplace resilience. The programme was delivered with fidelity by facilitators and accepted with high levels of satisfaction by participants. The study findings indicated that nurses can benefit from resilience education that equips them with cognitive, emotion regulation, and relational skills, in conjunction with available external supports and resources, to address workplace challenges. There is a need for comprehensive organizational approaches that include individual, work unit, and organizational-level strategies to support staff well-being.
Collapse
Affiliation(s)
- Kim Foster
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.,NorthWestern Mental Health, Melbourne Health, Melbourne, Victoria, Australia
| | - Ian Shochet
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Astrid Wurfl
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Michael Roche
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.,Northern Sydney Local Health District Mental Health Drug and Alcohol Services, Sydney, New South Wales, Australia
| | - Darryl Maybery
- Department of Rural Health, Monash University, Moe, Victoria, Australia
| | - Jane Shakespeare-Finch
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Trentham Furness
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.,NorthWestern Mental Health, Melbourne Health, Melbourne, Victoria, Australia
| |
Collapse
|
6
|
Shochet IM, Shakespeare-Finch J, Craig C, Roos C, Wurfl A, Hoge R, Young RM, Brough P. The development and implementation of the Promoting Resilient Officers (PRO) Program. ACTA ACUST UNITED AC 2011. [DOI: 10.1177/1534765611429080] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|