Adolescent - Emotional Problem Clinical Trial
Official title:
Influencing Adolescent Girls With Internalizing Problems With Creative Dance Twice Weekly. A Randomised, Controlled Study
The aim of this study is to evaluate if creative dance twice weekly can influence girls
wellbeing. The focus lies on girls 13-18 years old that suffer from repeatedly psychosomatic
problems and/or stress.
Specific objectives are
- To assess the effect of the dance intervention in reducing psychosomatic problems (such
as pain in the head, neck, shoulder or stomach), stress and depression
- Determine which factors are important for continuing dancing and keeping up new habits
- A cost-effectiveness analyse of the health outcome.
Geographical area: Örebro County (population 276,000)
The school nurses asked girls aged 13-18 years old, who searched for psychosomatic problems,
if they wished to participate in the dance project. Recruitment of girls where also carried
out in information about the project at parent meetings and in school classrooms. 143 girls
completed the base-line questionnaire, 138 met the inclusion criteria and were included.
Randomization was carried out to intervention and control group.
The quantitative data collection is carried out with a questionnaire. Participants in the
dance intervention and the control group will response to this questionnaire at 7 times
during the study, at start and every six months over a total period of 3 years.
Girls who are found to be at risk of having severe depression (> 34 points) in the
depression scale CES-DC met with an experienced licensed psychologist. This was to explore
if there was a need for extended support and help and the girl's parents and Child and
Adolescent Psychiatric Care was contacted in most cases and if there was a risk for suicide.
The results from the depression scale at base - line (CES-DC) showed that 81% of the girls
in the study had depressive symptoms and 29% had high levels of depressive symptoms.
The qualitative interviews were performed in order to explore the girls experience of the
dance lessons and to assess if and/or how dance intervention has affected her self-esteem in
any way. These interviews were conducted on a strategic sample of 20 girls who participated
in the dance intervention.
The dance intervention took place in a gym in Örebro twice weekly for a period of 1 year
under the guidance of two dance class teachers (one at a time). The duration of the class
was 75 minutes and the dance training was always carried out to popular and suitable music.
The dance choreography was adjusted to the level of the participants' skills in order to
make them feel successful in their exercise. During the intervention year, the theme of
dance styles varied from hip hop, jazz, aerobic dance and contemporary dance. African dance,
to the music of African drums, was used in the warm up section. The dance class always ended
with a 10-min-relaxation training. The dance intervention had a strong focus on emphasizing
the participants' resources and creates a feeling of affinity. The dance teachers encouraged
them to listen to signals from the body, reducing focus on the performance and "become part
of the movement".
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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