Wirkungsnachweis aus der Literatur
NEU
significant reduction in posttraumatic stress symptoms for participants with initial clinically relevant scores
psychosoziales Befinden
Closer examination of the data in the second step of the analysis revealed a significant interaction between group and time regarding self-reported PTSS (b = − 0.28, F(1, 260) = 8.77, p =.003) and PTSS in caregiver reports (b = − 0.25, F(1, 69) = 5.32, p =.024) indicating a decrease in PTSS over time in the HB group, but not in the LB group. In caregiver reports, only the decrease in PTSS between the pre-intervention and 3-month follow-up assessment in the HB group was found to be significant (d = 0.70). These findings indicate that the intervention could contribute to the reduction of self-reported PTSS symptoms, for those participants with clinically relevant symptoms prior to the intervention.
Beschreibung der Aktivität
Project ANKOMMEN
ANKOMMEN is a manualized group program based on the rationale of life story work for adolescents aged 12 to 17 years living in residential youth welfare institutions. It was developed at the Department for Child and Adolescent Psychiatry/Psychotherapy at University Hospital Ulm in cooperation with 17 residential youth welfare institutions in southern Germany. The intervention follows a structured approach, divided into three consecutive phases. The first sessions focus on imparting knowledge about out-of-home care in Germany, as well as providing guidance on emotion regulation strategies and building confidence. The following sessions focus on facilitating biographical reflection regarding the out-of-home care experiences through guided writing, sharing with the group, and addressing strategies to cope with associated issues. The final sessions are dedicated to reinforcing resources, teaching problem-solving strategies, and nurturing positive future perspectives.
Deutschland
The intervention was conducted between October 2020 and September 2022 and consitsts of eight weekly 90-minute group sessions.
The interventions consits of group sessions with up to eight adolescent participants. In total, 21 intervention groups with 115 adolescents were conducted.
The participants were within the range of 12 to 17 years, the mean age was 14.91 years
teilnehmende Kinder und Jugendliche
Evaluierung der Aktivität
The intervention was evaluated in a single-arm pilot study with questionnaires administered at three time points (pre-intervention, post-intervention, and 3-month follow-up). The primary outcome was self-efficacy (General self-efficacy scale GSE), while secondary outcomes included self-esteem (Rosenberg self-esteem scale RSES), depressive symptoms (Patient health questionnaire 9 PHQ-9), posttraumatic stress symptoms (Child and adolescent trauma screen version 2 CATS-2), and behavioral problems (Achenbach scales YSR & CBCL). Additionally, focus groups with children and adolescents in residential care were conducted in the initial stages of development to gain valuable insights into their specific needs and preferences.
To assess PTSS, the German version of the Child and Adolescent Trauma Screen Version 2 (CATS-2) was used.
The questionnaire consists of an event checklist of 15 potentially traumatic life events. Events with a “yes” response are then further investigated using 20 items
4-point Likert scale ranging from 0 = “never” to 3 = “almost always”
123 adolescents were enrolled in the study, of those 106 participated in the full intervention. The study sample was divided into the high mental burden group (HB group) and the low mental burden group (LB group). The allocation of every participant to the respective group was determined based on their pre-intervention score and on the specific cut-off of each outcome.
October 2020 - September 2022
Großbritannien
Journal-Artikel
Schepp, S., Fegert, J.M., Rassenhofer, M., Regner, S., Witt, A. & Pfeiffer, E. (2024). Evaluation of ANKOMMEN as a group intervention based on life story work for adolescents in residential care in Germany: a single-arm pilot study. Child Adolesc Psychiatry Ment Health 18, 135.
WU-Bibliothekskatalog
WU-Bibliothekskatalog