Low Level of Well-being in Young People With Physical-Mental Multimorbidity: A Population-Based Study

Thomsen, Ena Lindhart; Boisen, Kirsten A; Andersen, Anette; Jørgensen, Sanne Ellegaard; Teilmann, Grete; Michelsen, Susan Ishøy

doi:10.1016/j.jadohealth.2023.05.014

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…Longitudinal studies indicate that more than four out of ten individuals (Healy et al, 2022) will exhibit at least one of the most frequent mental disorders at some point during their adolescent years (Patton et al, 2014). In addition, the prevalence of mental disorders in adolescence has been estimated to be 10% (Healy et al, 2022, for Ireland; UNICEF, 2022, worldwide), and even 30% (Bianchi et al, 2017, for the Italian population; Thomsen et al, 2023 for the Danish population; Silva et al, 2020, at the international level). Moreover, young people are even more likely to exhibit subclinical symptoms and signi cant psychological distress (Balázs et al, 2013;Cénat et al, 2014;Lapshina et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Effects of three prophylactic interventions on French middle-schoolers' mental health: protocol for a randomized controlled trial

Vaillant-Coindard,

Briet,

Lespiau

et al. 2024

Preprint

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Adolescence is a strategic developmental stage in terms of preventing later difficulties and ensuring good mental health. Prophylactic interventions, which are conducted before the onset, prolongation, or worsening of difficulties, and aim to prevent or reduce symptoms or to promote wellbeing, therefore appear particularly appropriate for adolescents. However, existing prophylactic interventions conducted with adolescents have several weaknesses, including sparse theoretical frameworks, ambivalent evidence of their efficacy, and implementation and dissemination difficulties. In addition, no data are currently available on the effectiveness of such interventions in France. To fill this gap, a four-arm randomized controlled trial will be performed to assess the effectiveness of three prophylactic interventions targeting reactive, proactive and interpersonal adaptation in fourth-grade middle-school students, together with participants’ experience and perception of the interventions. Based on existing knowledge about adolescents, their learning mechanisms, and field constraints, these three interventions have been designed to promote their learning and receptiveness to interventions. Compared with baseline (i.e., before the intervention), we expect to observe a significant decrease in the level of distress (anxiety and depressive symptoms, functional impairment, and psychosocial difficulties) and a significant increase in the level of wellbeing after the intervention, across the three intervention groups, but not in the control group. In addition, we expect to observe post-intervention improvements in the processes targeted by the reactive adaptation intervention (operationalized as coping strategy use and flexibility), those targeted by the proactive adaptation intervention (operationalized as the tendency to engage in committed actions and general self-efficacy), and those targeted by the interpersonal adaptation intervention (operationalized as assertiveness in interactions), but only in the corresponding groups, with no change in any of these processes in the control group. The results of this research will not only enrich our knowledge of the processes involved in adolescents’ distress and wellbeing, but also provide clues as to the best targets for intervention. Moreover, the material for these interventions will be freely available in French on request to the corresponding author, providing access to innovative and fully assessed interventions aimed at promoting adolescents’ mental health in France. This clinical trial is currently being registered under no. 2023-A01973-42 on https://ansm.sante.fr/. This is the first version of the protocol.

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Section: Introductionmentioning

confidence: 99%

Effects of three prophylactic interventions on French middle-schoolers' mental health: protocol for a randomized controlled trial

Vaillant-Coindard,

Briet,

Lespiau

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Longitudinal studies indicate that more than four out of ten individuals [ 94 ] will exhibit at least one of the most frequent mental disorders at some point during their adolescent years [ 167 ]. In addition, the prevalence of mental disorders in adolescence has been estimated to be 10% ([ 94 ] for Ireland; [ 215 ] worldwide), and even 30% ([ 20 ] for the Italian population; [ 210 ] for the Danish population; [ 60 ] at the international level). Moreover, young people are even more likely to exhibit subclinical symptoms and significant psychological distress [ 11 , 43 , 124 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of three prophylactic interventions on French middle-schoolers’ mental health: protocol for a randomized controlled trial

Vaillant-Coindard,

Briet,

Lespiau

et al. 2024

BMC Psychol

View full text Add to dashboard Cite

Adolescence is a strategic developmental stage in terms of preventing later difficulties and ensuring good mental health. Prophylactic interventions, which are conducted before the onset, prolongation, or worsening of difficulties, and aim to prevent or reduce symptoms or to promote wellbeing, therefore appear particularly appropriate for adolescents. However, existing prophylactic interventions conducted with adolescents have several weaknesses, including sparse theoretical frameworks, ambivalent evidence of their efficacy, and implementation and dissemination difficulties. In addition, no data are currently available on the effectiveness of such interventions in France. To fill this gap, a four-arm randomized controlled trial will be performed to assess the effectiveness of three prophylactic interventions targeting reactive, proactive and interpersonal adaptation in fourth-grade middle-school students, together with participants’ experience and perception of the interventions. Based on existing knowledge about adolescents, their learning mechanisms, and field constraints, these three interventions have been designed to promote their learning and receptiveness to interventions. Compared with baseline (i.e., before the intervention), we expect to observe a significant decrease in the level of distress (anxiety and depressive symptoms, functional impairment, and psychosocial difficulties) and a significant increase in the level of wellbeing after the intervention, across the three intervention groups, but not in the control group. In addition, we expect to observe post-intervention improvements in the processes targeted by the reactive adaptation intervention (operationalized as coping strategy use and flexibility), those targeted by the proactive adaptation intervention (operationalized as the tendency to engage in committed actions and general self-efficacy), and those targeted by the interpersonal adaptation intervention (operationalized as assertiveness in interactions), but only in the corresponding groups, with no change in any of these processes in the control group. The results of this research will not only enrich our knowledge of the processes involved in adolescents’ distress and wellbeing, but also provide clues as to the best targets for intervention. Moreover, the material for these interventions will be freely available in French on request to the corresponding author, providing access to innovative and fully assessed interventions aimed at promoting adolescents’ mental health in France.This clinical trial is currently being registered under no. 2023-A01973-42 on https://ansm.sante.fr/. This is the first version of the protocol.

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“…It is estimated that up to 40% of adolescents live with some kind of chronic conditions (Centers for Disease Control and Prevention, 2022;Thomsen et al, 2023). It is, therefore, not unusual to meet adolescents in the healthcare system, which is usually divided into specialties and organized in paediatric and adult settings.…”

Section: Introductionmentioning

confidence: 99%

Nurses' and physicians' perspectives on implementation barriers and facilitators in a transfer program for parents of adolescents with chronic illness

Thomsen,

Koppelhus,

Boisen

et al. 2024

Journal of Advanced Nursing

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AimTo identify barriers and facilitators impacting the implementation of a comprehensive transfer program aimed at parents of adolescents with chronic illness in clinical practice.DesignA real‐time, qualitative process evaluation.MethodsIndividual interviews were conducted with 10 nurses and seven physicians from paediatric and adult outpatient clinics: Nephrology, hepatology, neurology, and rheumatology. Data were analysed through the lens of normalization process theory.ResultsThemes were framed within the theory's four components. (1) Coherence: Healthcare professionals' views on their core tasks and on the parents' role influenced their perception of the program. (2) Cognitive participation: A named key worker, autonomy, and collaboration impacted healthcare professionals' involvement in the program. (3) Collective action: Department prioritization and understanding of the program's aim were key factors in its successful delivery. (4) Reflective monitoring: Participants experienced that the program helped parents during transfer but questioned if the program was needed by all families.ConclusionWe identified three barriers: Healthcare professionals' lack of understanding of the parental role during transfer, top‐down decisions among nurses, and physicians' uncertainty about their role in joint consultations. Facilitators: Healthcare professionals' understanding of the program's purpose and expected effect, the nurses' significant role as named keyworkers, and good collaboration across paediatric and adult departments.Implications for the Profession and/or Patient CareImplementation strategies should be developed before implementing a transfer program in clinical practice.Impact Implementing a parental transfer program in clinical practice can be challenging. Therefore, for successful implementation, it is crucial to identify barriers and facilitators. Barriers and facilitators exist at the personal, professional, and organizational levels, and it is important to understand them. The results of this qualitative study could support the implementation of transfer programs in other settings. Reporting MethodConsolidated criteria for reporting qualitative studies (COREQ).Patient or Public ContributionNo patient or public contribution.What does this paper contribute to the wider global clinical community? Nurses' and physicians' experiences of ownership of the transfer program is essential for successful implementation. Clinics should appoint a named keyworker, preferably a nurse, as the driving force during the implementation of a transfer program. Nurses and physicians should receive training about the purpose, justification, and expected effect of a transfer program before implementation.

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Low Level of Well-being in Young People With Physical-Mental Multimorbidity: A Population-Based Study

Cited by 5 publications

References 38 publications

Effects of three prophylactic interventions on French middle-schoolers' mental health: protocol for a randomized controlled trial

Effects of three prophylactic interventions on French middle-schoolers' mental health: protocol for a randomized controlled trial

Effects of three prophylactic interventions on French middle-schoolers’ mental health: protocol for a randomized controlled trial

Nurses' and physicians' perspectives on implementation barriers and facilitators in a transfer program for parents of adolescents with chronic illness

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