Inside the Clockwork of the ECHO Factorial Trial: A Conceptual Model With Proposed Mediators for Prevention of Emotional Problems in Children

Frontiers in Psychology

article

Jo Magne Ingul¹  Joshua Patras²  Linda M. Collins³  Philip C. Kendall⁴  Simon Peter Neumer⁵  Kristin Martinsen⁶  Frode Adolfsen²  Anne Mari Sund¹  Kristin Ytreland¹  Elisabeth Valmyr Bania¹  Carina Lisøy⁶  Lene-Mari Potulski Rasmussen²  Ida Mari Haug² 

[1] Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology;Faculty of Health Sciences, Regional Centre for Child and Youth Mental Health and Child Welfare North, UiT The Arctic University of Norway;Department of Social and Behavioral Sciences, College of Global Public Health, New York University, United States;Department of Psychology, Temple University, United States;Center for Child and Adolescent Mental Health;Department of Psychology, Faculty of Social Sciences, University of Oslo;St Olav's University Hospital

关键词: child emotional problems;    prevention;    cognitive behavior therapy;    evidence-based interventions;    emotion;    optimization;    factorial design;    mediators;   

DOI  :  10.3389/fpsyg.2021.703224

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Having interventions that are not only evidence-based and effective but also cost-effective and efficient is important for the prevention and treatment of child and adolescent emotional problems. A randomized clinical trial (RCT) tests the total interventions effect but does not address specific components of the intervention. In this article the hypothesis and a conceptual model of the ECHO study are presented and discussed. The ECHO intervention consists of three different components each containing two levels of intervention. By using a cluster randomized factorial design, children aged 8–12 at 40 schools across Norway will be randomized to eight different experimental conditions investigating the optimal balance between effect, cost-effectiveness, and efficiency. The article presents the design and the different components being tested and discusses how optimalization can be reached through this innovative design. The article also discusses how interventions can be improved by investigating and understanding the mechanisms of change within psychological interventions. For each of the three components in the study we consider the mediators that could be active within the intervention and how the study investigates such mediation. The results will contribute to a better understanding of how psychological interventions work and how we intend to optimize the EMOTION intervention.

【 授权许可】

CC BY