RecruitingNot ApplicableNCT06343740

First Evaluation of COMET-Y

A Pilot Study: A First Evaluation of a Personalized Training Targeting Low Self-esteem: COMET-Y

Sponsor

Accare

Enrollment

22 participants

Start Date

Aug 1, 2024

Study Type

INTERVENTIONAL

Conditions

Quality of Life Self Esteem

Summary

The goal of this pilot study is to evaluate COMET-Y in 22 adolescents (11-18 years) with various mental health problems and low self-esteem. The main questions is: Does COMET-Y, parallel to care as usual (CAU), improve self-esteem? Before and after the training participants fill in questionnaires to measure self-esteem, mental health problems, resilience, quality of life, emotions and individual goals. Some of the outcomes are measured through diary methods. Youth and therapists will be assessed to evaluate feasibility and acceptability of the COMET-Y training.

Eligibility

Min Age: 11 YearsMax Age: 18 Years

Inclusion Criteria5

sufficient mastery of Dutch to complete the measurements
age between 11 - 18 years
having self-esteem below average (based on a score =<15 on the Rosenberg Self-esteem Scale; RSES)
currently receiving care for a mental disorder, for example (but not limited to) anxiety disorder, depression, eating disorder, attention-deficit/hyperactivity disorder, oppositional defiant disorder, or autism spectrum disorder.
willingness to participate in weekly sessions

Exclusion Criteria1

As intensive treatment can restrain the feasibility of attending the 7 weekly sessions of COMET-Y and engage in homework assignments, participants who need acute care are excluded (e.g. crisis, acute suicidality, or psychotic episode).

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Interventions

BEHAVIORALCOMET-Y

Competitive memory training (COMET) is a transdiagnostic intervention first developed for adults and later adapted to be used in children and adolescents. The adapted version for youth consists of 7 sessions in which participants learn to facilitate activation of functional/positive thoughts instead of relying on dysfunctional/negative thoughts by using positive self-verbalizations, imagery, body posture, and music. In addition, they are challenged to reformulate dysfunctional/negative thoughts into more functional/positive thoughts. As an addition to the original COMET protocol, there is a parent session in which parents receive psycho-education about their influence on self-esteem. Parents learn to be a 'co-therapist' and to support practicing at home and improve generalization.