The CLIMATE schools combined study: a cluster randomised controlled trial of a universal internet-based prevention program for youth substance misuse, depression and anxiety

Teesson, Maree, Newton, Nicola C., Slade, Tim, Chapman, Cath, Allsop, Steve, Hides, Leanne, McBride, Nyanda, Mewton, Louise, Tonks, Zoe, Birrell, Louise, Brownhill, Louise and Andrews, Gavin (2014) The CLIMATE schools combined study: a cluster randomised controlled trial of a universal internet-based prevention program for youth substance misuse, depression and anxiety. BMC Psychiatry, 14 1: . doi:10.1186/1471-244X-14-32


Author Teesson, Maree
Newton, Nicola C.
Slade, Tim
Chapman, Cath
Allsop, Steve
Hides, Leanne
McBride, Nyanda
Mewton, Louise
Tonks, Zoe
Birrell, Louise
Brownhill, Louise
Andrews, Gavin
Title The CLIMATE schools combined study: a cluster randomised controlled trial of a universal internet-based prevention program for youth substance misuse, depression and anxiety
Journal name BMC Psychiatry   Check publisher's open access policy
ISSN 1471-244X
Publication date 2014-02-05
Sub-type Article (original research)
DOI 10.1186/1471-244X-14-32
Open Access Status DOI
Volume 14
Issue 1
Total pages 10
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
Background: Anxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders and frequently co-occur. While programs for the prevention and reduction of symptoms associated with (i) substance use and (ii) mental health disorders exist, research is yet to determine if a combined approach is more effective. This paper describes the study protocol of a cluster randomised controlled trial to evaluate the effectiveness of the CLIMATE Schools Combined intervention, a universal approach to preventing substance use and mental health problems among adolescents.

Methods/design: Participants will consist of approximately 8400 students aged 13 to 14-years-old from 84 secondary schools in New South Wales, Western Australia and Queensland, Australia. The schools will be cluster randomised to one of four groups; (i) CLIMATE Schools Combined intervention; (ii) CLIMATE Schools - Substance Use; (iii) CLIMATE Schools - Mental Health, or (iv) Control (Health and Physical Education as usual).The primary outcomes of the trial will be the uptake and harmful use of alcohol and other drugs, mental health symptomatology and anxiety, depression and substance use knowledge. Secondary outcomes include substance use related harms, self-efficacy to resist peer pressure, general disability, and truancy. The link between personality and substance use will also be examined.

Discussion: Compared to students who receive the universal CLIMATE Schools - Substance Use, or CLIMATE Schools - Mental Health or the Control condition (who received usual Health and Physical Education), we expect students who receive the CLIMATE Schools Combined intervention to show greater delays to the initiation of substance use, reductions in substance use and mental health symptoms, and increased substance use and mental health knowledge.

Trial registration: This trial is registered with the Australian and New Zealand Clinical Trials registry, ACTRN12613000723785.
Keyword Anxiety
Depression
Internet
Mental health
Prevention
Randomised controlled trial
School
Substance use
Universal
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Psychology Publications
 
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