Effectiveness and cost-effectiveness of humanistic counselling in schools for young people with emotional distress (ETHOS): study protocol for a randomised controlled trial.
Effectiveness and cost-effectiveness of humanistic counselling in schools for young people with emotional distress (ETHOS): study protocol for a randomised controlled trial.
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DOI：
10.1186/s13063-018-2538-2
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发表时间：
2018-03-09
期刊：
影响因子：
2.5
通讯作者：
Street C
中科院分区：
文献类型：
--
作者：
Stafford MR;Cooper M;Barkham M;Beecham J;Bower P;Cromarty K;Fugard AJB;Jackson C;Pearce P;Ryder R;Street C
英国十分之一的儿童被确认患有可诊断的心理健康障碍。以学校为基础的人文辅导(SBHC)可以帮助年轻人识别、解决和克服心理困扰。来自四个试点试验的数据表明，SBHC可能在临床上有效。然而，需要一个完全有效的随机对照试验(RCT)来对其有效性进行强有力的测试，评估其成本效益，并确定变化的过程。学校人本辅导的有效性和成本效益试验是一项双臂平行分组随机对照试验，比较了学校环境下SBHC和照常牧民护理(PCAU)的临床和成本效益。年轻人的资格标准包括年龄在13岁至16岁之间，并经历中度至重度的精神痛苦。参与者被随机接受SBHC或PCAU。SBHC在他们的学校每周提供多达10次的单独课程，由一名合格的、经验丰富的顾问进行授课，该顾问还接受过使用临床实践手册的培训。对SBHC模型的遵守由审核员小组和临床监督进行评估。PCAU由学校原有的支持学生情绪健康和幸福的系统组成。主要结果是使用青年常规评估的临床结果(YP-CORE)衡量的心理痛苦和使用客户服务收据清单(CSRI)评估的费用。次要结果包括心理困难、抑郁程度、焦虑和自尊、幸福感、学校参与度、教育结果和个人目标的实现。与参与者、家长和学校工作人员的定性访谈将寻求确定SBHC的变化机制。管理这些措施的研究人员对分配视而不见。这项试验需要306名参与者(每组153名)，具有90%的能力来检测标准化平均差(SMD)为0.5。将进行意向治疗分析。这项随机对照试验有能力发现临床上有意义的差异，并将为青少年心理健康提供的证据基础做出重大贡献。它将对所有利益攸关方产生影响，包括政策制定者、儿童福利法定咨询机构、校长、儿童和青年从业者、儿童福利和育儿组织以及年轻人。对照试验国际标准随机对照试验编号(ISRCTN)注册，ID：ISRCTN10460622。注册日期为2016年5月11日。本文的在线版本(10.1186/s13063-0182538-2)包含补充材料，可供授权用户使用。
One in ten children in Britain have been identified as experiencing a diagnosable mental health disorder. School-based humanistic counselling (SBHC) may help young people identify, address, and overcome psychological distress. Data from four pilot trials suggest that SBHC may be clinically effective. However, a fully powered randomised controlled trial (RCT) is needed to provide a robust test of its effectiveness, to assess its cost-effectiveness, and to determine the process of change. The Effectiveness and Cost-effectiveness Trial of Humanistic Counselling in Schools (ETHOS) is a two-arm, parallel-group RCT comparing the clinical and cost-effectiveness of SBHC with Pastoral Care as Usual (PCAU) in school settings. Eligibility criteria for young people include being between 13 and 16 years of age and experiencing moderate to severe levels of emotional distress. Participants are randomised to receive either SBHC or PCAU. SBHC is delivered in up to 10 weekly, individual sessions in their school with a qualified, experienced counsellor who has also received training using a clinical practice manual. Adherence to the SBHC model is assessed by a sub-team of auditors and in clinical supervision. PCAU consists of the schools’ pre-existing systems for supporting the emotional health and well-being of students. The primary outcomes are psychological distress measured using the Young Person’s Clinical Outcomes in Routine Evaluation (YP-CORE) and costs evaluated using the Client Service Receipt Inventory (CSRI). Secondary outcomes include psychological difficulties, levels of depression, anxiety and self-esteem, well-being, school engagement, educational outcomes and achievement of personal goals. Qualitative interviews with participants, parents and school staff will look to identify the mechanisms of change in SBHC. Researchers administering the measures are blind to allocation. The trial requires n = 306 participants (n = 153 in each group), with 90% power to detect a standardised mean difference (SMD) of 0.5. An intention-to-treat analysis will be undertaken. This RCT is powered to detect clinically meaningful differences, and will make a major contribution to the evidence base for mental health provision for adolescents. It will have implications for all stakeholders, including policy-makers, statutory advisory bodies for child welfare, head teachers, children and young people practitioners, child welfare and parenting organisations, and young people. Controlled Trials International Standard Randomised Controlled Trial Number (ISRCTN) Registry, ID: ISRCTN10460622. Registered on 11 May 2016. The online version of this article (10.1186/s13063-018-2538-2) contains supplementary material, which is available to authorized users.
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影响因子：
5.6
作者：
Cooper M;Rowland N;McArthur K;Pattison S;Cromarty K;Richards K
通讯作者：
Richards K
影响因子：
3.6
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DOI：
10.1111/j.1469-7610.2004.00387.x
发表时间：
2005-08-01
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作者：
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通讯作者：
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DOI：
10.1097/00004583-200111000-00015
发表时间：
2001-11-01
影响因子：
13.3
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通讯作者：
Goodman, R
影响因子：
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作者：
Cooper, Mick;Stewart, Dave;Bunting, Lisa
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