Effectiveness of the school‐based internet intervention StresSOS for the prevention of mental health problems in young people: a randomized controlled trial as part of the ProHEAD consortium.
Background: Given the high prevalence of mental illnesses in adolescents, there is an urgent need for effective prevention strategies. The aim of this study was to evaluate the school‐based internet intervention StresSOS for the universal prevention of mental illnesses in youth. Methods: A two‐arm,...
| Publicado en: | Journal of Child Psychology & Psychiatry Vol. 67; no. 8; pp. 1393 - 1404 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Aug2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195154937&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195154937 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00219630 JYY jtl: Journal of Child Psychology & Psychiatry issn: 00219630 maglogo: Y pubinfo: dt: Aug2026 vid: 67 iid: 8 pid: 480 pub: Wiley-Blackwell artinfo: ui: 195154937 10.1111/jcpp.70145 ppf: 1393 ppct: 11 formats: tig: atl: Effectiveness of the school‐based internet intervention StresSOS for the prevention of mental health problems in young people: a randomized controlled trial as part of the ProHEAD consortium. aug: au: Lehner, Laya Gillé, Vera Moessner, Markus Baldofski, Sabrina Bauer, Stephanie Becker, Katja Diestelkamp, Silke Hiery, Alisa Kaess, Michael Koenig, Julian Lustig, Sophia Rummel‐Kluge, Christine Thomasius, Rainer Eschenbeck, Heike affil: Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany Institute of Psychology, Heidelberg University, Heidelberg, Germany German Center for Mental Health (DZPG), Partner Site Mannheim/Heidelberg/Ulm, Mannheim/Heidelberg/Ulm, Germany Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Marburg and Philipps‐University Marburg, Marburg, Germany Center for Mind, Brain and Behavior (CMBB), Philipps‐University Marburg and Justus Liebig University Giessen, Marburg, Germany University Hospital Hamburg‐Eppendorf, German Center for Addiction Research in Childhood and Adolescence, Hamburg, Germany Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany Department of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany su: Germany Mental illness prevention Health literacy Self-evaluation Fear Mental health Medical care Internet Randomized controlled trials School mental health services Pathological psychology Social classes Adolescence Research funding Stress management Body mass index Statistical hypothesis testing Statistical sampling Questionnaires Fisher exact test Logistic regression analysis Descriptive statistics Chi-squared test Longitudinal method Odds ratio Research Confidence intervals Data analysis software Weight gain sug: subj: Mental illness prevention Health literacy Self-evaluation Fear Mental health Medical care Internet Randomized controlled trials School mental health services Pathological psychology Social classes Adolescence Germany Internet Publishing and Broadcasting and Web Search Portals Wired Telecommunications Carriers Offices of Mental Health Practitioners (except Physicians) Marketing Research and Public Opinion Polling Research funding Stress management Body mass index Statistical hypothesis testing Statistical sampling Questionnaires Fisher exact test Logistic regression analysis Descriptive statistics Chi-squared test Longitudinal method Odds ratio Research Confidence intervals Data analysis software Weight gain keyword: adolescents internet intervention mental health mental illness Online prevention young people adolescents internet intervention mental health mental illness Online prevention young people ab: Background: Given the high prevalence of mental illnesses in adolescents, there is an urgent need for effective prevention strategies. The aim of this study was to evaluate the school‐based internet intervention StresSOS for the universal prevention of mental illnesses in youth. Methods: A two‐arm, randomized controlled trial was conducted. Participants were recruited from schools across five regions of Germany. Young people between the ages of 12 and 25 years without mental health problems were invited to the trial and randomly assigned to StresSOS or to the attention placebo control condition, stratified by sex. Participants in both conditions received eight web‐based sessions with information and exercises and weekly e‐mail teasers about program content and a monitoring survey. StresSOS comprised content on life skills, particularly stress management and mental health literacy, and the control condition content comprised healthy nutrition. The primary outcome was self‐reported mental health status at a 12‐month follow‐up. Intention‐to‐treat analyses were calculated. The trial was preregistered with the German Register of Clinical Trials (DRKS00014693, see https://drks.de/search/en/trial/DRKS00014693). Results: A total of 5,268 eligible students were invited to participate, 2,327 (44%) activated their account and were randomized to StresSOS (n = 1,154) or to the control condition (n = 1,173). Due to COVID‐19‐related school closures, 1,209 were lost to follow‐up, and data from 1,118 students were analyzed (535 in StresSOS and 583 in the control group). Participation in StresSOS led to significantly reduced incidences of emerging mental health problems at the 12‐month follow‐up (controls: n = 162 [28%] 'with problems'; StresSOS: n = 113 [21%] 'with problems'; OR 0.70, 95% CI [0.52, 0.92], p =.01). Conclusions: StresSOS was effective in universally preventing the onset of mental health problems, with a small effect. Internet interventions have the potential to contribute to a reduction of the disease burden in young people. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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