Inside the Clockwork of the ECHO Factorial Trial: A Conceptual Model With Proposed Mediators for Prevention of Emotional Problems in Children
AuthorIngul, Jo Magne
Sund, Anne Mari
Valmyr Bania, Elisabeth
Potulski Rasmussen, Lene-Mari
Haug, Ida Mari
Collins, Linda M.
Kendall, Philip C.
Neumer, Simon Peter
SubjectChild emotional problems
Cognitive behavior therapy
Permanent link to this recordhttp://hdl.handle.net/20.500.12613/7003
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AbstractHaving 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.
CitationIngul JM, Martinsen K, Adolfsen F, Sund AM, Ytreland K, Bania EV, Lisøy C, Rasmussen L-M, Haug IM, Patras J, Collins LM, Kendall PC and Neumer SP (2021) Inside the Clockwork of the ECHO Factorial Trial: A Conceptual Model With Proposed Mediators for Prevention of Emotional Problems in Children. Front. Psychol. 12:703224. doi: 10.3389/fpsyg.2021.703224
Citation to related workFrontiers Media
Has partFrontiers in Psychology, Vol. 12
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