The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety

Background: Anxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders and frequently co-occur. While programs for the prevention and reduction of symptoms associated with (i) substance use and (ii) mental health disorders exist, resea...

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Main Authors: Teesson, M., Newton, N., Slade, T., Chapman, C., Allsop, Steve, Hides, L., McBride, Nyanda, Mewton, L., Tonks, Z., Birrell, L., Brownhill, L., Andrews, G.
Format: Journal Article
Published: BioMed Central Ltd 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/38231
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author Teesson, M.
Newton, N.
Slade, T.
Chapman, C.
Allsop, Steve
Hides, L.
McBride, Nyanda
Mewton, L.
Tonks, Z.
Birrell, L.
Brownhill, L.
Andrews, G.
author_facet Teesson, M.
Newton, N.
Slade, T.
Chapman, C.
Allsop, Steve
Hides, L.
McBride, Nyanda
Mewton, L.
Tonks, Z.
Birrell, L.
Brownhill, L.
Andrews, G.
author_sort Teesson, M.
building Curtin Institutional Repository
collection Online Access
description Background: Anxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders and frequently co-occur. While programs for the prevention and reduction of symptoms associated with (i) substance use and (ii) mental health disorders exist, research is yet to determine if a combined approach is more effective. This paper describes the study protocol of a cluster randomised controlled trial to evaluate the effectiveness of the CLIMATE Schools Combined intervention, a universal approach to preventing substance use and mental health problems among adolescents. Methods/design: Participants will consist of approximately 8400 students aged 13 to 14-years-old from 84 secondary schools in New South Wales, Western Australia and Queensland, Australia. The schools will be cluster randomised to one of four groups; (i) CLIMATE Schools Combined intervention; (ii) CLIMATE Schools - Substance Use; (iii) CLIMATE Schools - Mental Health, or (iv) Control (Health and Physical Education as usual). The primary outcomes of the trial will be the uptake and harmful use of alcohol and other drugs, mental health symptomatology and anxiety, depression and substance use knowledge. Secondary outcomes include substance use related harms, self-efficacy to resist peer pressure, general disability, and truancy. The link between personality and substance use will also be examined.Discussion: Compared to students who receive the universal CLIMATE Schools - Substance Use, or CLIMATE Schools - Mental Health or the Control condition (who received usual Health and Physical Education), we expect students who receive the CLIMATE Schools Combined intervention to show greater delays to the initiation of substance use, reductions in substance use and mental health symptoms, and increased substance use and mental health knowledge.
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spelling curtin-20.500.11937-382312017-09-13T14:14:27Z The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety Teesson, M. Newton, N. Slade, T. Chapman, C. Allsop, Steve Hides, L. McBride, Nyanda Mewton, L. Tonks, Z. Birrell, L. Brownhill, L. Andrews, G. Prevention Depression Anxiety Randomised controlled trial Universal Mental health Substance use School Internet Background: Anxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders and frequently co-occur. While programs for the prevention and reduction of symptoms associated with (i) substance use and (ii) mental health disorders exist, research is yet to determine if a combined approach is more effective. This paper describes the study protocol of a cluster randomised controlled trial to evaluate the effectiveness of the CLIMATE Schools Combined intervention, a universal approach to preventing substance use and mental health problems among adolescents. Methods/design: Participants will consist of approximately 8400 students aged 13 to 14-years-old from 84 secondary schools in New South Wales, Western Australia and Queensland, Australia. The schools will be cluster randomised to one of four groups; (i) CLIMATE Schools Combined intervention; (ii) CLIMATE Schools - Substance Use; (iii) CLIMATE Schools - Mental Health, or (iv) Control (Health and Physical Education as usual). The primary outcomes of the trial will be the uptake and harmful use of alcohol and other drugs, mental health symptomatology and anxiety, depression and substance use knowledge. Secondary outcomes include substance use related harms, self-efficacy to resist peer pressure, general disability, and truancy. The link between personality and substance use will also be examined.Discussion: Compared to students who receive the universal CLIMATE Schools - Substance Use, or CLIMATE Schools - Mental Health or the Control condition (who received usual Health and Physical Education), we expect students who receive the CLIMATE Schools Combined intervention to show greater delays to the initiation of substance use, reductions in substance use and mental health symptoms, and increased substance use and mental health knowledge. 2014 Journal Article http://hdl.handle.net/20.500.11937/38231 10.1186/1471-244X-14-32 BioMed Central Ltd fulltext
spellingShingle Prevention
Depression
Anxiety
Randomised controlled trial
Universal
Mental health
Substance use
School
Internet
Teesson, M.
Newton, N.
Slade, T.
Chapman, C.
Allsop, Steve
Hides, L.
McBride, Nyanda
Mewton, L.
Tonks, Z.
Birrell, L.
Brownhill, L.
Andrews, G.
The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
title The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
title_full The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
title_fullStr The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
title_full_unstemmed The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
title_short The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
title_sort climate schools combined study: a cluster randomised controlled trial of a universal internet-based prevention program for youth substance misuse, depression and anxiety
topic Prevention
Depression
Anxiety
Randomised controlled trial
Universal
Mental health
Substance use
School
Internet
url http://hdl.handle.net/20.500.11937/38231