Mental Health Wellness 1 Clinical Trial
Official title:
Evaluation of the Healthy Relationships Plus Program for Youth
Adolescent risk behaviours, such as violence and substance use, are prevalent public health
concerns in Canada. Further, these behaviours often co-occur, and are associated with poor
mental health. However, the majority of prevention programs focus on preventing single issues
and do not consider mental health, and also neglect the importance of relationships when
promoting positive youth development. To address this gap, the Centre for Addiction and
Mental Health (CAMH) Centre for Prevention Science designed the Fourth R Healthy
Relationships Plus Program, a small group program focused on the promotion of positive mental
health and the reduction of violence and substance use, via the development of improved
communication, interpersonal and help-seeking skills. The purpose of this study is to
evaluate the Fourth R Healthy Relationships Plus program using both outcome (randomized
controlled trial design with follow-up at pre-test, post-test, and 4, 8 and 12 months) and
process evaluation tools.
The primary study hypothesis is that participation in the Fourth R Healthy Relationships Plus
program will be associated with positive growth in treatment participants' psychological
well-being from pre-test to 12-month follow-up, as compared to control participants. In
secondary analyses, the study will explore if treatment participants report less substance
use, peer violence, bullying and dating violence at 12-month follow-up than control
participants. Since certain person-level (e.g., sex, personality, executive functioning) and
program-level (e.g., implementation quality) variables may moderate treatment-outcome
relationships, these associations will also be explored. The final hypothesis is that
treatment participants will report better attitudes, knowledge and assertive communication at
post-test compared to control participants, and that these improvements will mediate the
association between program participation and 12-month outcomes.
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