Study protocol for a school-based single group pragmatic trial to promote resilience in youth: Building Resilience for Healthy Kids

Lee, Joey A.; Heberlein, Erin; Pyle, Emily; Caughlan, Thomas; Rahaman, Darvi; Sabin, Margaret; Kaar, Jill L.

doi:10.1016/j.conctc.2021.100721

Cited by 5 publications

(7 citation statements)

References 42 publications

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“…Health coaching programs have only recently begun focusing on resilience as a target behavior/skill and a key outcome of interest. Significant increases in youth resilience were reported in a single group intervention study where sixth graders participated in 1:1 health coaching sessions focused on resilience (up to 6 appointments over eight weeks) [ 54 ]. This work provides preliminary support for health coaching as a viable strategy to improve resilience in youth [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

“…Significant increases in youth resilience were reported in a single group intervention study where sixth graders participated in 1:1 health coaching sessions focused on resilience (up to 6 appointments over eight weeks) [ 54 ]. This work provides preliminary support for health coaching as a viable strategy to improve resilience in youth [ 54 ]. It is unclear if adults enrolled in health coaching would experience similar improvements in resilience.…”

Section: Discussionmentioning

confidence: 99%

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Development and Rasch Analysis of the 18-Item Health Resilience Profile (HRP)

et al. 2023

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Existing resilience measures have psychometric shortcomings, and there is no current gold-standard resilience measure. Previous work indicates adults enrolled in a health coaching program may benefit from a resilience measure that is tailored and contextualized to this sample. This two-part study aimed to develop and evaluate a resilience instrument focused on health behavior change in adults in a health coaching program. Two studies were conducted to (1) create a resilience instrument (Health Resilience Profile; HRP) specific to adults attempting health behavior change (n = 427; female = 83.8%; age = 44.5 ± 11.9 years) and to (2) optimize the instrument performance using Rasch analysis (n = 493; female = 62.1%; age = 49.8 ± 12.5 years). Study 1 identified two issues: (1) four unacceptable misfit items and (2) inappropriate rating scale functioning. Study 2 evaluated an improved instrument based on the outcome of study 1 resulting in one more misfit item, and unidimensionality was supported. The new four-category rating scale functioned well. The item-person map indicated that item difficulty distribution was well matched to participants’ resilience level, and items were free from measurement error. Finally, items did not show differential item functioning across age, sex, alcohol use, and obesity status). The 18-item HRP is optimized for adults in a health coaching program.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development and Rasch Analysis of the 18-Item Health Resilience Profile (HRP)

et al. 2023

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“…Full program details have been previously published. 18,19 In brief, each student was allocated a set time to meet with their health coach once a week for 15 minutes during the school day. During the sessions, health coaches worked with each student to recognize their own abilities and resources and assisted the students with setting goals to improve resilience in areas of the student’s choice.…”

Section: Methodsmentioning

confidence: 99%

“…Additional details about the health coach training protocol are provided in Lee et al (2020, 2021). 18,19…”

Section: Methodsmentioning

confidence: 99%

Sleep Moderates Improvements in Mental Health Outcomes in Youth: Building Resilience for Healthy Kids

et al. 2022

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Purpose: To examine the role of sleep in a school-based resiliency intervention. Design: Single group feasibility study. Setting: Urban middle school Subjects: Sixth grade students Intervention: A total of 285, 11-12-year-old students (70% White, 18% Hispanic, 55% female) participated in the six-week 1:1 Healthy Kids intervention. Youth (n=248) completed electronic surveys at pre-post the 6-week study assessing mental health parameters and self-reported bed and wake time. Measures: Students were categorized as having insufficient sleep opportunity if they reported time in bed of <9 hours per night. Analysis: General linear models examined differences between groups for each mental health parameters pre-post study. Results: A third of participants (28%) were classified as having insufficient sleep opportunity. Youth with insufficient sleep were more often Hispanic (27% vs 16%; p<0.001) and were more often classified with both mild to severe depression and anxiety symptoms (55% vs 35%; p=0.004). The health coaching intervention was found to have a significant improvement on overall resilience and self-efficacy only among students who reported sufficient sleep, while no significant intervention effect was found for those students who reported insufficient sleep. Conclusions: Our findings suggest that youth with poor sleep health may not benefit from school-based resiliency interventions.

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“…Building Resilience for Healthy Kids (Healthy Kids) is a single group, school-based intervention (Lee et al, 2020(Lee et al, , 2021. Healthy Kids was delivered within an urban middle school from January-March 2020.…”

Section: Methodsmentioning

confidence: 99%

The Impact of a Universal Mental Health Intervention on Youth with Elevated Negative Affectivity: Building Resilience for Healthy Kids

Sabin

Bowen

Heberlein

et al. 2021

Contemp School Psychol

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Objective In response to the rise in mental health needs among youth, a school-based resilience intervention was implemented for sixth graders at an urban middle school. The goal of this analysis is to examine improvements in key mental health parameters among students who endorsed negative affectivity at baseline. Method A total of 285 11–12-year-olds (72% white, 18% Hispanic, 55% female) participated in a single-arm, non-randomized 6-week 1:1 school-based coaching intervention, Healthy Kids. Youth completed validated surveys at baseline and 6-week follow-up assessing depression/anxiety symptoms, bullying, self-efficacy, academic pressure, grit, and resilience. Participants were determined to have elevated negative affectivity if they reported mild-to-severe symptoms for both depression and anxiety symptoms. General linear models examined differences between groups for each mental health parameter, as well as change in outcomes from baseline to follow-up. Results A third of participants (38%) at baseline endorsed negative affectivity. Youth who endorsed negative affectivity were more often female (71% vs 29%; p < 0.001) and identified as victims of cyberbullying (25% vs 8%; p < 0.001). Youth with baseline negative affectivity scored lower for self-efficacy (total 70.5 vs 86.8; p < 0.0001). Baseline negative affectivity was a significant moderator for change in mental health parameters. Post-intervention, those who endorsed baseline negative affectivity, medium effect sizes were observed for self-efficacy ( g = 0.6; 95%CI 0.3, 0.9; p < 0.001) and anxiety symptoms ( g = − 0.70; 95%CI − 1.0, − 0.4; p < 0.001). Among all youth, there were significant medium intervention effects in resilience ( g = 0.5; 95%CI 0.3, 0.7; p < 0.001) and self-efficacy ( g = 0.7; 95%CI 0.4, 0.9; p < 0.001). Conclusions A universal resiliency program may improve self-efficacy and symptoms of anxiety among youth experiencing negative affectivity, while improving resilience and self-efficacy among all youth. Our findings suggest a universal school-based coaching program benefits all youth, while also specifically targeting the needs of youth with negative affectivity who are most at risk for mental health concerns.

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Study protocol for a school-based single group pragmatic trial to promote resilience in youth: Building Resilience for Healthy Kids

Cited by 5 publications

References 42 publications

Development and Rasch Analysis of the 18-Item Health Resilience Profile (HRP)

Development and Rasch Analysis of the 18-Item Health Resilience Profile (HRP)

Sleep Moderates Improvements in Mental Health Outcomes in Youth: Building Resilience for Healthy Kids

The Impact of a Universal Mental Health Intervention on Youth with Elevated Negative Affectivity: Building Resilience for Healthy Kids

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