Culturally-adapted Resourceful Adolescent Program to improve the mental health of adolescents in Vietnam

The Resourceful Adolescent Program for adolescents (RAP-A) is a school-based program designed to promote factors that protect against adolescent depression and other mental health problems. It is a strengths-based program, focussed on developing strengths rather than on the pathology. The intervention for this trial is Happy House, the culturally-adapted RAP-A for adolescents in Vietnam. Happy House will be delivered through six workshop-style sessions, with a focus on the main components of RAP-A: personal strengths, managing stress, cognitive style, problem solving, support networks and interpersonal relationships. The intervention is targeted at Year 10 students at selected schools in Hanoi, Vietnam. It is in addition to the usual school curriculum. The sessions will be delivered by core facilitators: teachers from the selected schools and members of the research team in Vietnam. The RAP authors will provide a training course in English for the research team. Then, the research team will train the core facilitators about the RAP-A principles and how to facilitate the sessions in Vietnamese. Both training courses will run for 2 days, ~8 hours/day, and the training will be conducted roughly 3 weeks before the intervention will begin. Training materials will be designed and developed specifically for this study. The core facilitators will be provided with a Group Leader’s Manual, which has detailed information about how to run each session, as well as all materials and equipment for the sessions (e.g. paper, pens, visual aids, videos, etc.). The Group Leader's Manual is based on the manual developed by the original RAP authors (http://www.rap.qut.edu.au/), but has been adapted for this study and cultural setting. Year 10 classes in Vietnam typically have 35-45 students. In each class, students participating in the intervention will be split into two groups. Thus, the intervention will be run in groups of ~15-20 students. Happy House involves 6 x 90-minute sessions, once a week for six weeks. The sessions are delivered face-to-face by the core facilitators, in classrooms at the selected schools. Participants will receive a Student Workbook to use during the sessions. Similarly to the Group Leader's Manual, the Student Workbook is based on the manual developed by the original RAP authors (http://www.rap.qut.edu.au/), but has been adapted for this study and cultural setting. Between each session, students will be sent text messages, to reinforce key parts of the program. Adherence will be assessed by the core facilitators, who will record the participants’ attendance at each session. Fidelity will be reported by the research team if any changes are made when implementing the protocol.《青少年资源计划》（RAP-A）是为青少年设计的一套基于学校的项目，旨在提升抵御青少年抑郁症及其他心理健康问题的保护因素。该计划以优势为基础，专注于发展个体优势而非病理学。本试验中的干预措施为“快乐之家”，这是一套针对越南青少年的文化适应性RAP-A。快乐之家将通过六次研讨会式的会话进行传授，重点在于RAP-A的主要组成部分：个人优势、压力管理、认知风格、问题解决、支持网络和人际交往。该干预措施针对的是河内选定学校的十年级学生，作为常规学校课程的补充。会话将由核心指导者进行传授，包括来自选定学校的教师和越南研究团队的成员。RAP的作者将为研究团队提供一门英语培训课程。随后，研究团队将培训核心指导者关于RAP-A的原则以及如何在越南语环境中主持会话。这两门培训课程将持续两天，每天约8小时，且培训将在干预措施开始前大约三周进行。培训材料将专门为此项研究设计和开发。核心指导者将获得一份小组领导者手册，其中包含有关如何进行每个会话的详细信息，以及所有会话所需材料和设备（例如纸张、笔、视觉辅助工具、视频等）。小组领导者手册基于原始RAP作者开发的手册（http://www.rap.qut.edu.au/），但已针对本研究和文化背景进行调整。越南的十年级班级通常有35-45名学生。在每个班级中，参与干预的学生将被分成两组。因此，干预措施将以约15-20人的小组进行。快乐之家包含6次90分钟的会话，每周一次，持续六周。会话将由核心指导者面对面在选定学校的教室中进行传授。参与者将获得一份学生工作手册以在会话期间使用。类似于小组领导者手册，学生工作手册也是基于原始RAP作者开发的手册（http://www.rap.qut.edu.au/），但已针对本研究和文化背景进行调整。在每次会话之间，学生将收到短信，以强化项目的关键部分。核心指导者将评估参与者的依从性，记录每个会话的参与者出勤情况。若在实施方案时做出任何更改，研究团队将报告方案的忠实度。