Fostering resilience and well-being in emerging adults with adverse childhood experiences: study protocol for a randomized controlled trial to evaluate the FACE self-help app

dc.contributor.authorBrodbeck, Jeannette
dc.contributor.authorBötschi, Salome
dc.contributor.authorVetsch, Neela Kim
dc.contributor.authorStallmann, Lina
dc.contributor.authorLöchner, Johanna
dc.contributor.authorBerger, Thomas
dc.contributor.authorSchmidt, Stefanie J.
dc.contributor.authorMarmet, Simon
dc.date.accessioned2024-03-04T09:26:31Z
dc.date.available2024-03-04T09:26:31Z
dc.date.issued2024-02
dc.description.abstractBackground: Adverse childhood experiences (ACE) are linked to an increased risk of psychological disorders and lower psychosocial functioning throughout life. This study aims to evaluate the FACE self-help app, designed to promote resilience and well-being in emerging adults with a history of ACE. The app is based on cognitive- behavioural principles and consists of two thematic components: (1) self- and emotion regulation (SER) and (2) social skills and biases in social information processing (SSIP). Methods: The efficacy of the app will be tested through a single-centre, two-arm randomized controlled trial, comparing an active intervention group against a waiting list control group. The active group is divided into two subgroups, in which the two components are delivered in a different order to investigate differential effects in a crossover design. Up to 250 emerging adults aged 18 to 25 years with a history of ACE from a general population cohort study will be recruited. The primary objective is to test the efficacy of the app in improving resilience (primary outcome) and well-being (co-primary outcome) compared to a waiting list control group and to examine the stability of these effects. The secondary objectives include testing the efficacy of the app in improving the secondary outcomes, i.e., self-efficacy in managing emotions, problem solving, fear of evaluation, social avoidance, and self- esteem; examining the differential effects of the two components; and assessing the effect of the app on real-life data on resilience, affective states, distress in social interactions and coping strategies. Furthermore, the study will investigate potential moderators (e.g. ACE severity) and mediators of intervention outcomes (e.g. self-efficacy in managing emotions). Discussion: The results will provide insights into the efficacy of the self-help intervention as well as mediators and moderators of outcomes. Furthermore, results will extend the existing knowledge by testing the differential effects of the SER and SSIP component on the outcomes. Findings can inform improvements to the FACE app and the development of other interventions for this target group and assess its potential as a scalable, low-threshold intervention to support emerging adults with a history of ACE in their transition to adulthood. Trial registration number: NCT05824182.
dc.identifier.doihttps://doi.org/10.1186/s40359-024-01560-9
dc.identifier.issn2050-7283
dc.identifier.urihttps://irf.fhnw.ch/handle/11654/44491
dc.identifier.urihttps://doi.org/10.26041/fhnw-8241
dc.issue84
dc.language.isoen
dc.publisherBioMed Central
dc.relationFACE - Facing adverse childhood experiences using new technologies, 2021-07-01
dc.relation.ispartofBMC Psychology
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.spatialLondon
dc.subjectAdverse childhood experiences
dc.subjectChild maltreatment
dc.subjectE-health
dc.subjectResilience
dc.subjectEmotion regulation
dc.subjectSocial information processing
dc.subjectEmerging adulthood
dc.subjectRCT
dc.subject.ddc150 - Psychologie
dc.subject.ddc300 - Sozialwissenschaften, Soziologie, Anthropologie
dc.titleFostering resilience and well-being in emerging adults with adverse childhood experiences: study protocol for a randomized controlled trial to evaluate the FACE self-help app
dc.type01A - Beitrag in wissenschaftlicher Zeitschrift
dc.volume12
dspace.entity.typePublication
fhnw.InventedHereYes
fhnw.ReviewTypeAnonymous ex ante peer review of a complete publication
fhnw.affiliation.hochschuleHochschule für Soziale Arbeitde_CH
fhnw.affiliation.institutInstitut Beratung, Coaching und Sozialmanagementde_CH
fhnw.openAccessCategoryGold
fhnw.publicationStatePublished
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