TY - JOUR
T1 - Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls
T2 - a cluster randomized controlled trial
AU - Vuijk, Patricia
AU - Bul, Kim
AU - Buil, Marieke
AU - Rauws, Marloes
AU - Curie, Keshia
AU - Amesz, Charlotte
AU - Weerheijm, Ron
AU - Riper, Heleen
N1 - Funding Information: This trial is supported by the Nationaal Regieorgaan Onderwijsonderzoek (40.5.19630.059/7940), SIA KIEM (SVB/KIEM/K.20.01.036), and Citylab010 (21.06.00091). The funders had no role in the study design; collection, management, analysis and interpretation of data, writing of the protocol paper, or the decision to submit the paper for publication. The do not have ultimate authority over any of these activities. Publisher Copyright: © 2024, The Author(s).
PY - 2024/1/12
Y1 - 2024/1/12
N2 - Background: A growing body of literature indicates that adolescent girls who talk with close friends about interpersonal problems or worries in an excessive, speculative way, and with an intense focus on distress (i.e., co-rumination) are at heightened risk for developing internalizing symptoms and disorders as well as reduced friendship quality. However, to date, there are no prevention programs available that target high levels of co-rumination between adolescent girls. As such, we developed the blended school-based mindfulness prevention program Happy Friends, Positive Minds (HFPM) that targets co-rumination at the dyadic level, i.e., between two close female friends. The aim of this trial is to evaluate the effectiveness of HFPM to reduce co-rumination and internalizing problems and to enhance wellbeing and social-emotional behavior in Dutch adolescent girls. Methods: A cluster Randomized Controlled Trial (cRCT) will be conducted to evaluate HFPM effectiveness. We will recruit 160 female friendship dyads (n = 320 girls) aged 13 to 15 years who will be characterized by high levels of self-reported co-rumination. The cRCT has two arms: (1) an intervention condition in which 160 girls (80 friendship dyads) will receive the 14-week HFPM program in two consecutive cohorts (cohort 1 in academic year 2023/2024 and cohort 2 in academic year 2024/2025, and (2) a control condition in which 160 girls (80 dyads) will receive care-as-usual (CAU) in two consecutive cohorts (cohort 1 in academic year 2023/2024 and cohort 2 in academic year 2024/2025). Data will be collected at baseline (T0), during the program (T1;T2; T3), immediately after the program (T4), and at 1-year follow-up (T5). Participant-level self-reported risk for (early onset) depression and anxiety, self-reported and observed co-rumination, self- and friend-reported friendship quality, self-reported positive and negative affect, self-reported interpersonal responses to positive affect, and self-reported anhedonia symptoms will be the outcome variables. Discussion: This study will provide insights into the short-term and long-term effects of the HFPM program on girls’ internalizing problems, wellbeing, and social-emotional behavior. Trial registration: International Standard Randomized Controlled Trials, identifier: ISRCTN54246670. Registered on 27 February 2023.
AB - Background: A growing body of literature indicates that adolescent girls who talk with close friends about interpersonal problems or worries in an excessive, speculative way, and with an intense focus on distress (i.e., co-rumination) are at heightened risk for developing internalizing symptoms and disorders as well as reduced friendship quality. However, to date, there are no prevention programs available that target high levels of co-rumination between adolescent girls. As such, we developed the blended school-based mindfulness prevention program Happy Friends, Positive Minds (HFPM) that targets co-rumination at the dyadic level, i.e., between two close female friends. The aim of this trial is to evaluate the effectiveness of HFPM to reduce co-rumination and internalizing problems and to enhance wellbeing and social-emotional behavior in Dutch adolescent girls. Methods: A cluster Randomized Controlled Trial (cRCT) will be conducted to evaluate HFPM effectiveness. We will recruit 160 female friendship dyads (n = 320 girls) aged 13 to 15 years who will be characterized by high levels of self-reported co-rumination. The cRCT has two arms: (1) an intervention condition in which 160 girls (80 friendship dyads) will receive the 14-week HFPM program in two consecutive cohorts (cohort 1 in academic year 2023/2024 and cohort 2 in academic year 2024/2025, and (2) a control condition in which 160 girls (80 dyads) will receive care-as-usual (CAU) in two consecutive cohorts (cohort 1 in academic year 2023/2024 and cohort 2 in academic year 2024/2025). Data will be collected at baseline (T0), during the program (T1;T2; T3), immediately after the program (T4), and at 1-year follow-up (T5). Participant-level self-reported risk for (early onset) depression and anxiety, self-reported and observed co-rumination, self- and friend-reported friendship quality, self-reported positive and negative affect, self-reported interpersonal responses to positive affect, and self-reported anhedonia symptoms will be the outcome variables. Discussion: This study will provide insights into the short-term and long-term effects of the HFPM program on girls’ internalizing problems, wellbeing, and social-emotional behavior. Trial registration: International Standard Randomized Controlled Trials, identifier: ISRCTN54246670. Registered on 27 February 2023.
KW - Adolescence
KW - Cluster Randomized Controlled Ttrial
KW - Co-rumination
KW - Girls
KW - Internalizing problems
KW - Mindfulness
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=85182101346&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85182101346&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s13063-023-07885-x
DO - https://doi.org/10.1186/s13063-023-07885-x
M3 - Article
C2 - 38212820
SN - 1745-6215
VL - 25
SP - 1
EP - 16
JO - Trials
JF - Trials
IS - 1
M1 - 40
ER -