Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial

Abstract 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 sympt...

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Main Authors: Patricia Vuijk, Kim Bul, Marieke Buil, Marloes Rauws, Keshia Curie, Charlotte Amesz, Ron Weerheijm, Heleen Riper
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-023-07885-x
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author Patricia Vuijk
Kim Bul
Marieke Buil
Marloes Rauws
Keshia Curie
Charlotte Amesz
Ron Weerheijm
Heleen Riper
author_facet Patricia Vuijk
Kim Bul
Marieke Buil
Marloes Rauws
Keshia Curie
Charlotte Amesz
Ron Weerheijm
Heleen Riper
author_sort Patricia Vuijk
collection DOAJ
description Abstract 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.
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spelling doaj.art-d3dc015c654d479197fe22387bf57d672024-01-14T12:35:17ZengBMCTrials1745-62152024-01-0125112610.1186/s13063-023-07885-xEffectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trialPatricia Vuijk0Kim Bul1Marieke Buil2Marloes Rauws3Keshia Curie4Charlotte Amesz5Ron Weerheijm6Heleen Riper7Research Centre Innovations in Care, Rotterdam University of Applied SciencesInstitute for Health and Wellbeing, Centre for Intelligent Healthcare, Coventry UniversityDepartment of Clinical, Neuro- and Developmental Psychology, section Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands, Vrije Universiteit AmsterdamResearch Centre Urban Talent, Rotterdam University of Applied SciencesResearch Centre Urban Talent, Rotterdam University of Applied SciencesResearch Centre Urban Talent, Rotterdam University of Applied SciencesResearch Centre Innovations in Care, Rotterdam University of Applied SciencesDepartment of Clinical, Neuro- and Developmental Psychology, Section Clinical Psychology, Vrije Universiteit AmsterdamAbstract 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.https://doi.org/10.1186/s13063-023-07885-xAdolescenceGirlsCo-ruminationInternalizing problemsPreventionMindfulness
spellingShingle Patricia Vuijk
Kim Bul
Marieke Buil
Marloes Rauws
Keshia Curie
Charlotte Amesz
Ron Weerheijm
Heleen Riper
Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial
Trials
Adolescence
Girls
Co-rumination
Internalizing problems
Prevention
Mindfulness
title Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial
title_full Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial
title_fullStr Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial
title_full_unstemmed Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial
title_short Effectiveness of a blended school-based mindfulness program for the prevention of co-rumination and internalizing problems in Dutch secondary school girls: a cluster randomized controlled trial
title_sort effectiveness of a blended school based mindfulness program for the prevention of co rumination and internalizing problems in dutch secondary school girls a cluster randomized controlled trial
topic Adolescence
Girls
Co-rumination
Internalizing problems
Prevention
Mindfulness
url https://doi.org/10.1186/s13063-023-07885-x
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