Culturally-adapted Resourceful Adolescent Program to improve the mental health of adolescents in Vietnam
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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.
赋能青少年项目(Resourceful Adolescent Program,RAP-A)是一项基于校园的干预项目,旨在培育可抵御青少年抑郁及其他心理健康问题的保护因子。该项目为优势导向型项目(strengths-based program),聚焦个体优势的培育而非病理问题的矫正。本试验采用的干预方案为“快乐之家(Happy House)”,即针对越南青少年群体进行文化适配后的RAP-A项目。“快乐之家”将通过6场工作坊式课程开展,课程覆盖RAP-A的六大核心模块:个人优势、压力管理、认知模式、问题解决、社会支持网络及人际关系。 本干预方案面向越南河内选定学校的十年级学生,作为常规校园课程的补充内容开展。课程将由核心引导员负责实施,包括选定学校的教师及越南本地研究团队成员。RAP项目原研发团队将为研究团队提供英语授课的培训课程;随后,研究团队将向核心引导员讲解RAP-A的核心原则,以及如何使用越南语开展课程引导。两场培训均为期2天,每日时长约8小时,且将在干预正式开始前约3周进行。培训材料将为本研究专门设计开发,核心引导员将获得一份《小组引导手册》,其中包含每场课程的详细开展指南,以及课程所需的全部物料与设备(如纸张、笔、可视化教具、视频素材等)。该《小组引导手册》以RAP项目原研发团队编制的手册(http://www.rap.qut.edu.au/)为基础,针对本研究及当地文化场景进行了适配调整。 越南的十年级班级通常有35至45名学生,每个参与干预的班级将被分为两个小组,因此干预将以15至20名学生为一组开展。“快乐之家”共包含6场90分钟的课程,每周开展1次,持续6周。所有课程均由核心引导员在选定学校的教室内以线下面对面形式开展,参与者将获得一份学生手册用于课程学习。与《小组引导手册》类似,该学生手册同样以RAP项目原研发团队编制的手册(http://www.rap.qut.edu.au/)为基础,并针对本研究及当地文化场景进行了适配调整。每场课程之间,研究团队将向学生发送短信,以强化项目的核心知识点。 干预依从性将由核心引导员进行评估,他们将记录参与者每场课程的出勤情况。若在试验方案执行过程中进行了任何调整,研究团队将报告干预实施的保真度。




