Recalling and Anticipating Specific Positive Events to Boost Resilience in Adolescents

Resilience Clinical Trial

— RASPERA  

Official title:

Recalling and Anticipating Specific Positive Events to Boost Resilience in Adolescents

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05757180
• Other study ID #: G049019N
• Status: Completed
• Phase: N/A
• Start date: October 21, 2022
• Est. completion date: May 13, 2023

Study information

• Verified date: July 2023
• Source: KU Leuven
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Many young people are experiencing stress-related mental health problems, with some recent studies suggesting this number is increasing. Especially now, in the context of the COVID-19 pandemic, there is a significant increase in depression and anxiety in adolescents. An important way to help address this challenge is not so much to focus on trying to repair what makes young people vulnerable but to focus on building resilience. Resilience refers to the ability to successfully deal with stressful experiences. Recent research shows that being able to vividly remember and imagine positive events can buffer the negative consequences of stress, and makes a convincing case that training adolescents in recalling and anticipating positive events would promote resilience and thereby improve their mental wellbeing. And this is exactly what the current project sets out to do for the very first time. Adolescents will receive a playful group-training in school to make them better at recalling and anticipating positive events, which is expected to help them to bounce back more swiftly from challenging or otherwise stressful life events. The investigators predict that youngsters who follow our Positive Event Training will experience more positive emotions, will show improved resilience and report better mental wellbeing. The investigators will also develop a free online training protocol for teachers so that schools can provide this resilience program on their own, without the need of external professional trainers.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 191
• Est. completion date: May 13, 2023
• Est. primary completion date: May 13, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 12 Years to 16 Years

Eligibility

Inclusion Criteria:

• All adolescents of the selected classes of the participating schools (12-16 years; 1st and 2nd grade of secondary school) who want to take part in the study and give informed consent (own informed consent and active parental informed consent) will be allowed to take part in the study.
• To minimize the risk of too much heterogeneity in our final sample, for instance due to context factors related to the type of education, the investigators will first recruit classes of adolescents that follow general secondary education. Future studies (after PET has been properly evaluated in this study) should also be conducted in samples of adolescents following other types of secondary education. Exclusion Criteria: -

Related Conditions & MeSH terms

• Mental Wellbeing
• Resilience

Intervention

Behavioral:
• Positive Events Training (PET)
PET is a group-based training program combining Memory Specificity Training (MEST; Raes, 2007) and Future Event Specificity Training (FEST; Dutch version of Hallford et al. (2020): Changing the Future: An initial test of Future Specificity Training). It comprises four sessions of 50 minutes each. The training is delivered in a standardized manner, using the Positive Event Training Manual developed for this study (content adapted from our MEST and FEST manuals). Following brief psychoeducation on the rationale, participants practice generating detailed specific memories and future events using neutral and positive cue-words. Participants are maximally supported and challenged by the trainer and by the other group-members to generate very specific and highly detailed memories and future events using mental imagery and drawing upon visual, olfactory, auditory and emotional elements of the events, including both contextual and sensory-perceptual details.
• CREAtive writing Training (CREAT)
CREAT follows the exact same format and length as the PET training (i.e., delivered by a trainer in group over 4 x 50-minute sessions, including homework exercises). Following brief psychoeducation on the (bogus*) rationale behind PET, participants complete a series of creative writing exercises using funny and thought-provoking writing prompts. Just as in PET, participants are maximally supported and challenged by the trainer and by the other group-members, in this case to generate completions that are as creative and funny as possible. The investigators used CREAT successfully before in an online format as a bogus control training for a memory specificity training. (*) The investigators tell participants that these creative writing exercises have been found to be beneficial for mental wellbeing, as creative writing exercises cultivate creativity and stimulate participants' imagination skills.

Locations

Country	Name	City	State
Belgium	Pius X - instituut	Antwerpen
Belgium	Sint Lambertuscollege	Bilzen	Limburg
Belgium	GO! Next sportschool Hasselt	Hasselt	Limburg
Belgium	Scholen Kindsheid Jesu	Hasselt	Limburg
Belgium	KOBOS Secundaire Scholen	Kapelle-op-den-Bos	Vlaams-Brabant

Sponsors (2)

Lead Sponsor	Collaborator
Prof. dr. Filip Raes	Research Foundation Flanders

Country where clinical trial is conducted

Belgium, 

References & Publications (34)

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Hallford DJ, Barry TJ, Austin DW, Raes F, Takano K, Klein B. Impairments in episodic future thinking for positive events and anticipatory pleasure in major depression. J Affect Disord. 2020 Jan 1;260:536-543. doi: 10.1016/j.jad.2019.09.039. Epub 2019 Sep 9. — View Citation

Hallford DJ, Carmichael AM, Austin DW, Takano K, Raes F, Fuller-Tyszkiewicz M. A study protocol for a randomised trial of adjunct computerised memory specificity training (c-MeST) for major depression in youth: targeting cognitive mechanisms to enhance usual care outcomes in mental health settings. Trials. 2020 Jan 14;21(1):85. doi: 10.1186/s13063-019-4036-6. — View Citation

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Hallford DJ, Yeow JJE, Fountas G, Herrick CA, Raes F, D'Argembeau A. Changing the future: An initial test of Future Specificity Training (FeST). Behav Res Ther. 2020 Aug;131:103638. doi: 10.1016/j.brat.2020.103638. Epub 2020 May 7. — View Citation

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Nelis S, Bastin M, Raes F, Bijttebier P. When Do Good Things Lift You Up? Dampening, Enhancing, and Uplifts in Relation To Depressive and Anhedonic Symptoms in Early Adolescence. J Youth Adolesc. 2018 Aug;47(8):1712-1730. doi: 10.1007/s10964-018-0880-z. Epub 2018 Jun 20. — View Citation

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* Note: There are 34 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in episodic future thinking specificity (manipulation check)	Episodic Future Thinking Test (EFT-T; Hallford et al., 2019) to assess episodic future thinking specificity. - Generated events will be coded as 0 or 1 (specific vs. non-specific) by the involved researchers.	One week before the intervention, one week after the intervention and two months after the intervention
Other	Change in positive memory specificity (manipulation check)	Autobiographical Memory Test (AMT, Raes et al., 2099) to assess positive memory specificity. - Generated memories will be coded as specific vs. non-specific (1 vs. 0) by the involved researchers.	One week before the intervention, one week after the intervention and two months after the intervention
Other	Change in Pleasure	Two single-item ratings of the anticipated/anticipatory (future) or remembered/felt pleasure (past) associated with the events participants recall/generate on the AMT and EFT-T. - 1 (not at all applicable) to 9 (strongly applicable) response rating scale presented by each generated event.	One week before the intervention, one week after the intervention and two months after the intervention
Other	Change in Detail and mental imagery	Two single-item ratings of level of detail and mental imagery associated with the events participants recall/generate on the AMT and EFT-T respectively. - 1 (not at all applicable) to 9 (strongly applicable) response rating scale presented by each generated event.	One week before the intervention, one week after the intervention and two months after the intervention
Other	Change in Perceived control and likelihood	Two single-item ratings of perceived control and perceived likelihood of occurrence associated with the events participants generate on the EFT-test (no parallel items for the AMT). - 1 (not at all applicable) to 9 (strongly applicable) response rating scale presented by each generated event.	One week before the intervention, one week after the intervention and two months after the intervention
Other	Change in Positive feelings	Two additional single-items ratings of anticipated/anticipatory (future) or remembered/felt positive feelings in general (past) associated with the events participants recall/generate on the AMT and EFT-T. - 1 (not at all applicable) to 9 (strongly applicable) response rating scale presented by each generated event.	One week before the intervention, one week after the intervention and two months after the intervention
Primary	Change in Resilience	Connor-Davidson Resilience Scale (CD-RISC, short version) to assess resilience - This scale consists of 10 items (e.g., "Dealing with stress makes me stronger.") that are rated on a 5-point Likert scale going from 1 (not at all) to 5 (very often), with higher scores indicating higher resilience.	1 week before the intervention, 1 week after the intervention and 2 months after the intervention.
Primary	Change in Mental wellbeing	Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS; Stewart-Brown et al., 2009) to assess mental wellbeing - The SWEMWBS consists of seven statements (e.g., "I felt relaxed.") about thoughts and feelings that are scored on a 5-point Likert scale ranging from 1 (never) to 5 (always). Higher scores reflect higher mental wellbeing.	One week before the intervention, one week after the intervention and two months after the intervention; The SWEMWBS consists of seven statements (e.g., "I felt relaxed.") about thoughts and feelings that are scored on a 5-point Likert scale ranging from
Secondary	Change in Positive affect	Positive Affect subscale of the Positive and Negative Affect Schedule Scales (PANAS; Watson et al., 1988) to assess positive affect - The Positive Affect subscale of the PANAS consists of 10 items (words) that describe positive feelings (e.g., "excited"). Items are rated on a 5-point Likert scale going from 1 (very slightly or not at all) to 5 (extremely), where with higher scores reflecting higher positive affect.	One week before the intervention, one week after the intervention and two months after the intervention
Secondary	Change in Positive affect regulation	Dampening and Savoring subscale of the Responses to Positive Affect scale, child version (RPA-C; Bijttebier et al., 2012) to assess positive affect regulation - The RPA-C consists of items reflecting both dampening items (e.g., "When you felt happy, how often did you think: "I don't deserve this"?") and savoring items responses (e.g., "When you felt happy, how often did you notice that you felt full of energy?"). All 17 items are rated on a 4-point Likert scale ranging from 1 (not at all) to 4 (very often).	One week before the intervention, one week after the intervention and two months after the intervention
Secondary	Change in Anhedonia	Leuven Anhedonia Self-report Scale (LASS, 2nd version; Nelis, Bastin, Raes, & Bijttebier 2018) to assess symptoms of anhedonia - The 12All 12 items (e.g., "There were few things I looked forward to.") are rated on a 5-point Likert scale going from 1 (completely untrue) to 5 (completely true) with higher scores reflecting higher levels of anhedonia.	One week before the intervention, one week after the intervention and two months after the intervention
Secondary	Change in Dampening	Leuven Exeter Dampening Scale - General (LEDS, unpublished) to assess dampening.- The LEDS-G consists of 13 items (e.g., "I can only be happy if others are too.") that are rated on a 5-point Likert scale. Compared to the RPA dampening subscale, the LEDS-G aims to cover a larger variety of dampening appraisal styles.	One week before the intervention, one week after the intervention and two months after the intervention
Secondary	Change in Savoring	Savouring Items for the Four-Factor Model of the Abridged Ways Of Savoring Checklist in Response to Everyday Events (Original scale Bryant and Vernoff, 2007; Four-Factor Model Chadwick, 2012) to assess savoring. - Items (e.g., "I looked for other people to share it with.") are rated on a 7-point Likert scale going from 1 (totally disagree) to 7 (totally agree), with higher scores reflecting higher levels of savoring.	One week before the intervention, one week after the intervention and two months after the intervention
Secondary	Change in Depressive symptoms and stress	Depression, Anxiety, and Stress Scale (DASS-21; Lovibond & Lovibond, 1995) to assess basic mental health to control for baseline differences in the training groups, and to explore the generalised effect of PET on levels of depressive symptoms and stress at post-intervention and at follow-up. - The DASS-21 consists of 21 items (e.g., "I felt like my life had no meaning.") that are rated on a 4-point Likert scale going from 0 (never) to 3 (almost always).	One week before the intervention, one week after the intervention and two months after the intervention