"What matters to you?" : A randomized controlled effectiveness trial, Using Systematic Idiographic Assessment as an intervention to Increase Adolescents' perceived control of their mental health

Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved..

INTRODUCTION: Over the last decades, many Western countries have seen an increase in mental health difficulties in the adolescent population. Among Norwegian adolescents, internalizing symptoms are most prevalent, and 10%-38% of adolescents seek out primary health care services for mental health problems. This study examined whether an idiographic measure designed for adolescents called Assert, which uses variables individually selected by the adolescents, could improve user involvement, locus of control, mental health, and quality of life.

METHODS: This study conducted a randomized controlled effectiveness trial using Assert in primary healthcare. A community sample of 150 Norwegian adolescents aged 12-23 years (M = 16.2; SD = 2.2) were randomized to the Assert or control group. Of the participants 27 (18%) were male. The adolescents and 52 counsellors from primary healthcare services responded to online questionnaires. Of the counselors, 92.8% were female and trained in the use of systematic idiographic assessment.

RESULTS: Adolescents who used Assert scored significantly lower on external LoC, attributing less of their mental health improvement to chance, fate, or luck. However, the intervention showed no effect on the symptoms of mental health, QoL, or user involvement.

CONCLUSIONS: Using Assert in primary healthcare may enhance adolescents' sense of being able to influence their life circumstances and mental health by allowing them more control of their treatment. However, this approach might not be successful in reducing symptoms.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:78

Enthalten in:

Journal of adolescence - 78(2020) vom: 02. Jan., Seite 53-61

Sprache:

Englisch

Beteiligte Personen:

Tollefsen, Thomas Kristian [VerfasserIn]
Neumer, Simon-Peter [VerfasserIn]
Berg-Nielsen, Turid Suzanne [VerfasserIn]

Links:

Volltext

Themen:

Adolescent
Autonomy
Journal Article
Locus of control
Primary healthcare
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
User involvement

Anmerkungen:

Date Completed 12.11.2020

Date Revised 12.11.2020

published: Print-Electronic

ClinicalTrials.gov: NCT03014596

Citation Status MEDLINE

doi:

10.1016/j.adolescence.2019.11.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM304361836