Can a resilience intervention (Bounce Back) improve children's mental health?
| ISRCTN | ISRCTN11162672 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN11162672 |
- Submission date
- 19/03/2020
- Registration date
- 20/03/2020
- Last edited
- 04/01/2021
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
The rates of mental health problems in children and young people (CYP) are estimated to be much higher than previously thought, with two in five CYP reporting increased symptomatology. Poor mental health has been connected to poor developmental outcomes, such as lower academic achievement, poor peer and school relationships, and lower well-being. Cost-effective and feasible interventions are thus urgently needed for the improvement of mental health outcomes and promotion of wellbeing in CYP. Schools are considered an ideal setting for the monitoring and promotion of mental health, given how much time CYP spend in these. The current study thus aims to assess the effectiveness of the Bounce Back (BB), a group-based intervention program delivered in schools. BB aims to improve pupil understanding of resilience and wellbeing, provide practical skills to make positive behaviour changes, support pupils to build their confidence and friendships. These outcomes are hoped to support a positive transition to secondary school.
Who can participate?
Young people in Years 5 or 6 attending primary schools in Newham that implement the BB intervention reporting at least one indicator of emerging mental health difficulty (a mild or moderate emotional, behavioural, attention, or relationship difficulty).
What does the study involve?
Primary schools in Newham are randomly allocated into one of two groups:
1. Participate in Bounce Back (BB) during the 2019 Autumn term
2. Be part of a waitlist comparison group who will participate in BB in 2020 Spring-Summer term
The Bounce Back programme is delivered for one hour per week for 10 weeks.
What are the possible benefits and risks of participating?
There are no known risks/disadvantages of completing the intervention. There are no guaranteed benefits, however, most people find taking part in research projects rewarding, as it may help to improve services for young people, and to find out about things that may benefit other people in the future.
Where is the study run from?
London Borough of Newham Children’s Health and HeadStart Newham CYPS (UK)
When is the study starting and how long is it expected to run for?
May 2019 to October 2020
Who is funding the study?
National Lottery Community Fund (UK)
Who is the main contact?
Prof Neil Humphrey (scientific)
neil.humphrey@manchester.ac.uk
Laurie Poole
Laurie.Poole@newham.gov.uk
Contact information
Scientific
University of Manchester
Manchester Institute of Education
Ellen Wilkinson Building
Oxford Road
Manchester
M13 9PL
United Kingdom
 ORCID ID |
0000-0002-8148-9500 |
|---|---|
| Phone | +44 (0)161 275 3404 |
| neil.humphrey@manchester.ac.uk |
Public
3rd Floor East Wing Newham Dockside
1000 Dockside Road
London
E16 2QU
United Kingdom
| Phone | +44 (0)20 3373 0545 |
|---|---|
| Laurie.Poole@newham.gov.uk |
Study information
| Study design | Waitlist cluster randomized controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Cluster randomised trial |
| Study setting(s) | School |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Bounce Back: Randomized trial of a brief, school-based group intervention for children with emergent mental health difficulties |
| Study objectives | The principal questions of the current study are: RQ1. What is the impact of BounceBack Newham intervention on participants’ self-reported emotional (Me and My Feelings) scores? RQ2. What is the impact of BounceBack Newham intervention on participants’ self-reported behavioural (Me and My Feelings) scores? RQ3. What is the impact of BounceBack Newham intervention on participants’ self-reported self-esteem (SRS-Self-esteem) scores? RQ4. What is the impact of BounceBack Newham intervention on participants’ self-reported problem solving skills (SRS-Problem-solving) scores? RQ5. Is the impact of BounceBack Newham intervention on the above outcomes moderated by attendance rates? RQ6. Is the impact of BounceBack Newham intervention on the above outcomes sustained over time? |
| Ethics approval(s) | Approved 28/05/2019, UCL Research Ethics Committee (Office of the Vice-Provost (Research) University College London, Taviton St, London, WC1E 6BT, UK; +44 (0)20 7679 8717; ethics@ucl.ac.uk), ref: 6299/004 |
| Health condition(s) or problem(s) studied | Child mental health |
| Intervention | A sample of 24 primary schools in Newham are randomly allocated into one of two groups: 1. Participate in Bounce Back (BB) during the 2019 Autumn term 2. Be part of a waitlist comparison group who will participate in BB in 2020 Spring-Summer term Randomization took place at the school level and was balanced on year group (5 vs. 6). Dose: Weekly 1-hour facilitated group activities Duration: One school term (10 weeks) How it is administered: Young people work as a group, which is facilitated by a Youth Practitioner, to identify and learn about 10 different life areas and how these link to maintaining wellbeing and emotional resilience. Using an action learning approach, “plan, do, review”, each participant sets a personal behaviour change challenge each week and rates their progress towards achieving it. Participants are provided with a workbook to guide their learning. |
| Intervention type | Behavioural |
| Primary outcome measure | Emotional symptoms, measured using the Me and My Feelings at baseline and 10-weeks |
| Secondary outcome measures | At baseline and 10-weeks: 1. Behavioral problems measured using the Me and My Feelings tool 2. Self-esteem measured using the Student Resilience Survey 3. Problem-solving skills measured using the Student-Resilience Survey |
| Overall study start date | 24/01/2019 |
| Completion date | 31/10/2020 |
Eligibility
| Participant type(s) | Other |
|---|---|
| Age group | Child |
| Sex | Both |
| Target number of participants | 25 schools (390 children) |
| Total final enrolment | 326 |
| Key inclusion criteria | 1. Attending primary schools in Newham that implement the BB intervention 2. In Years 5 or 6 3. Reporting at least one indicator of emerging mental health difficulty (a mild or moderate emotional, behavioural, attention, or relationship difficulty) as assessed by the professional recommending or themself 4. Following receipt of recommendation, 1:1 screening between young person and youth practitioner to determine level of difficultly and willingness to take part in BB |
| Key exclusion criteria | 1. Returned a parental opt-out 2. Currently under the care of CAMHS |
| Date of first enrolment | 01/05/2019 |
| Date of final enrolment | 31/05/2019 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
1000 Dockside Road
London
E16 2QU
United Kingdom
Sponsor information
Charity
The Kantor Centre of Excellence
4-8 Rodney Street
London
N1 9JH
United Kingdom
| Phone | +44 (0)20 7794 2313 |
|---|---|
| jessica.deighton@annafreud.org | |
| Website | http://www.annafreud.org/ |
"ROR" |
https://ror.org/0497xq319 |
Funders
Funder type
Charity
Private sector organisation / Other non-profit organizations
- Alternative name(s)
- Big Lottery Fund
- Location
- United Kingdom
Results and Publications
| Intention to publish date | 31/05/2020 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Data sharing statement to be made available at a later date |
| Publication and dissemination plan | Planned publication in a peer-reviewed journal. |
| IPD sharing plan | The current data sharing plans for this study are unknown and will be available at a later date. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 08/08/2020 | 11/08/2020 | Yes | No |
Editorial Notes
04/01/2021: Contact details updated.
18/12/2020: Internal review.
11/08/2020: Publication reference and total final enrolment number added.
20/03/2020: Trial’s existence confirmed by UCL.
