xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT05979649</url>
    </required_header>
    <id_info>
      <org_study_id>L2023SYSU-HL-010</org_study_id>
      <nct_id>NCT05979649</nct_id>
    </id_info>
    <brief_title>An Internet-Based Intervention With Peer Support for the Mental Health of Youths</brief_title>
    <official_title>The Effectiveness of an Internet-Based Intervention With Peer Support for the Mental Health of Youths: A Randomized Controlled Trial</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>Wei XIA, PhD</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
    </sponsors>
    <source>Sun Yat-sen University</source>
    <oversight_info>
      <has_dmc>Yes</has_dmc>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        The aim of this randomized control trial study is to develop an online intervention project&#xD;
        that specifically targets and addresses mental health issues among youths in the&#xD;
        post-pandemic era, while also assessing its effectiveness. Additionally, this intervention&#xD;
        project has the potential to effectively address other post-traumatic conditions experienced&#xD;
        by youths. Furthermore, our research group will investigate the specific impacts of long-term&#xD;
        interventions on various aspects including changes in mental health status, psychological&#xD;
        resilience, coping strategies, perceived social support, and emotional intelligence among the&#xD;
        participants.&#xD;
      </textblock>
    </brief_summary>
    <detailed_description>
      <textblock>
        Over the past decade, mental health issues have become increasingly prevalent among young&#xD;
        people. Approximately 14% of adolescents aged 10-19 years globally suffer from conditions&#xD;
        like depression and anxiety. This is concerning because adolescence is a critical period for&#xD;
        development, and these mental health problems can have long-term consequences on various&#xD;
        aspects of their lives, including relationships, education, and work.&#xD;
  &#xD;
        The mental health of young people (15-24) is a significant global concern, affecting one in&#xD;
        five individuals within this age group and representing the largest burden of illness.&#xD;
        Moreover, the impact of mental health problems during adolescence can extend into adulthood,&#xD;
        affecting physical and mental well-being and limiting opportunities for a fulfilling life.&#xD;
  &#xD;
        According to the World Health Organization (WHO), mental health and psychosocial well-being&#xD;
        are essential for youth's human potential and rights. However, the COVID-19 pandemic has&#xD;
        exacerbated mental health problems among adolescents, leading to disruptions in critical&#xD;
        mental health services in many countries. Studies have shown that the pandemic has resulted&#xD;
        in increased depression, anxiety, stress, and sleep disorders among young people.&#xD;
        Additionally, the previously mentioned conditions faced by adolescents have worsened to the&#xD;
        point of mental disorders and suicide attempts.&#xD;
  &#xD;
        The impact of the pandemic on youths' mental health has drawn global attention and highlights&#xD;
        the urgency of intervening in their mental well-being. Stressors among young people primarily&#xD;
        come from academics, employment, relationships, appearance, finances, etc. The lack of&#xD;
        effective coping strategies and emotional regulation further exacerbate physical health&#xD;
        symptoms and negative consequences. Unfortunately, a significant number of young people&#xD;
        experiencing mental health problems do not seek professional help, primarily due to denial,&#xD;
        embarrassment, lack of time, and stigma. They often turn to informal resources such as&#xD;
        family, friends, books, or counseling websites, with uncertain effectiveness. Long waiting&#xD;
        lists for psychological services add to the dilemma. Therefore, it is crucial to help youths&#xD;
        overcome these barriers when providing support services.&#xD;
  &#xD;
        Currently, access to cost-effective and accessible mental health services remains challenging&#xD;
        for young people. In addition to counseling and psychiatric services, peer support has&#xD;
        emerged as a novel resource for young people seeking help. Peer support involves social and&#xD;
        emotional support from individuals with similar experiences. Research suggests that peer&#xD;
        support is an accessible, affordable, and easily implemented mental health resource.&#xD;
        Involving peer supporters in mental health services can promote recovery and has positive&#xD;
        effects on depressive symptoms, anxiety, psychological distress, self-esteem, self-efficacy,&#xD;
        and self-management. However, there is a lack of research on the development and&#xD;
        implementation of peer-support based interventions for adolescents with psychological&#xD;
        problems. This study aims to address this gap.&#xD;
  &#xD;
        Given the concerns surrounding psychological problems among young people, this study aims to&#xD;
        design a pragmatic and comprehensive peer support-based intervention. The intervention will&#xD;
        be based on the Youth Stressful Life Event Response Model, which explains how adolescents&#xD;
        respond to stress and how factors like emotional intelligence, social support, and coping&#xD;
        strategies impact their mental health. This online, single-blind, randomized controlled trial&#xD;
        will include both an intervention group and a control group. The control group will receive&#xD;
        motivational articles unrelated to the main monitoring indicators. Participants will be&#xD;
        assessed at baseline, post-intervention, and during follow-up. Through the implementation of&#xD;
        a peer support program, this study aims to investigate the specific effects of long-term&#xD;
        intervention on changes in mental health status, psychological resilience, perceived social&#xD;
        support, and emotional intelligence.&#xD;
      </textblock>
    </detailed_description>
    <overall_status>Not yet recruiting</overall_status>
    <start_date type="Anticipated">September 2023</start_date>
    <completion_date type="Anticipated">February 2024</completion_date>
    <primary_completion_date type="Anticipated">December 2023</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <primary_purpose>Health Services Research</primary_purpose>
      <masking>Double (Participant, Outcomes Assessor)</masking>
    </study_design_info>
    <primary_outcome>
      <measure>The ability to cope with stressful situations</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the scores of various dimensions in the Stressful Situation Coping Scale - Chinese short(CISS-SFC) among youths during the intervention period and follow-up period.This scale is divided into four dimensions: task-oriented coping, emotion-oriented coping, distraction coping, and social diversion coping.Each item consists of four statements (scoredfrom 0 to 3) describing depressive symptoms, with higher scores indicating greater severity. Scores on eachitem are summed to yield a total score on the measure from 0 to 63.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>The level of emotional intelligence</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Wong and Law Emotional Intelligence Scale(WLEIS) scores of youths during the intervention and follow-up periods.This scale includes four sub-scales: appraisal and expression of emotion in oneself, appraisal and recognition of emotion in others, regulation of emotion in oneself, and use of emotion to facilitate performance.The scale score ranges from 16 to 112.The higher the score, the better the emotional intelligence of youths.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>The mental health level of the youths</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Brief Symptom Inventory-53(BSI-53) scores of youths during the intervention and follow-up periods.The minimum score on the scale is 0.The sum of all items' scores reaching 63 and above was considered &quot;BSI-positive&quot; .The lower the score, the milder the psychological problem symptoms of youths.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>The participants' somatization symptoms, anxiety, and depression status</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Brief Symptom Inventory-18(BSI-18) scores of youths during the intervention and follow-up periods.The scale has a minimum score of 0 and a maximum score of 72. The higher the score, the worse the psychological well-being of adolescents.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>The perceived level of social support system for oneself</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Perceived Social Support Scale(PSSS) scores during the intervention and follow-up periods.The scale score ranges from 7 to 84, and the higher the score, the greater the perceived level of social support by the participants.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Subjects' mental toughness Connor-Davidson resilience scale</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Connor-Davidson resilience scale scores during the intervention and follow-up periods.The scale has a minimum score of 0 and a maximum score of 100. The higher the score, the better the psychological resilience of the participants.</description>
    </primary_outcome>
    <secondary_outcome>
      <measure>The extent of negative impact caused by stressful life events.</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Adolescent Self-Rating Life Events Check-List scale(ASLEC) scores of youths during the intervention period and follow-up period.The scores on the scale range from 0 (with the lowest score being 3 for participants meeting the inclusion criteria of this study) to 135. A higher score indicates a greater impact of stressful life events on the participants.</description>
    </secondary_outcome>
    <secondary_outcome>
      <measure>The level of social support received. Social Support Rating Scale</measure>
      <time_frame>Baseline,2 months，4 months</time_frame>
      <description>The change of the Social Support Rating Scale(SSRS) scores during the intervention and follow-up periods.This scale includes objective support, subjective support, and utilization of support.The sum of all scores from the three subscales to obtain aggregate scores for the SSRS. A higher score indicates a higher level of social support.</description>
    </secondary_outcome>
    <number_of_arms>3</number_of_arms>
    <enrollment type="Anticipated">200</enrollment>
    <condition>Mental Health Issue</condition>
    <arm_group>
      <arm_group_label>experimental group</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>Throughout the intervention period, we will deliver weekly customized feeds to youths at a consistent time, covering stressful events, coping strategies, social support, and emotional intelligence, totaling eight deliveries.&#xD;
  After peer interveners (peer mentors) receive counseling credentials, every fifth participant will be randomly paired with a peer intervener. Over the next eight weeks, they will engage in individualized conversations via online video conferences biweekly.The intervention will last eight weeks, with four conversations in total.&#xD;
  After each personalized conversation, the interveners will collaboratively develop behavioral corrective tasks for the following two weeks from the &quot;To Do List,&quot; including at least one task from each category: social support, coping strategies, and emotional intelligence. During the next conversation, the interveners will inquire about the participants' completion status and personal experiences.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>control group</arm_group_label>
      <arm_group_type>Placebo Comparator</arm_group_type>
      <description>Throughout the eight weeks of intervention, articles without professional psychological knowledge will be delivered to the control group participants once a week at a consistent time, totaling eight deliveries in total.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>Peer intervener group</arm_group_label>
      <arm_group_type>Other</arm_group_type>
      <description>Peer interveners will participate in a one-day course conducted by several instructors with backgrounds in psychology and medicine. They will be required to pass a &quot;standardized patient test&quot; after the course to obtain the qualification for intervention.</description>
    </arm_group>
    <intervention>
      <intervention_type>Behavioral</intervention_type>
      <intervention_name>behavioral corrective tasks</intervention_name>
      <description>After each personalized conversation, the interveners will, based on a clear understanding of the participants' completion status and personal experiences with the previous &quot;behavioral corrective tasks,&quot; assist in formulating future &quot;behavioral corrective tasks&quot; for the next two weeks. These tasks will be selected from our designated &quot;To Do List,&quot; requiring at least one task from each category: social support, coping strategies, and emotional intelligence.</description>
      <arm_group_label>experimental group</arm_group_label>
    </intervention>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>Counselling on psychological knowledge</intervention_name>
      <description>Counselling on psychological knowledge includes weekly personalized feeds, as well as the methods and techniques for coping with challenges provided by the interveners.during personalized conversations with the participants.</description>
      <arm_group_label>experimental group</arm_group_label>
    </intervention>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>placebo-controlled study</intervention_name>
      <description>&quot;feel-good&quot; articles without professional psychological knowledge will be sent to the control group participants weekly.</description>
      <arm_group_label>control group</arm_group_label>
    </intervention>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>Peer Interventionist Training</intervention_name>
      <description>The training is a one-day course, encompassing a broad range of topics, including but not limited to counseling techniques and specialized medical psychology knowledge.</description>
      <arm_group_label>Peer intervener group</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Experimental group and control group:&#xD;
  &#xD;
          Inclusion Criteria:&#xD;
  &#xD;
            -  Aged 14-25&#xD;
  &#xD;
            -  Individuals who have experienced a stressful life event of moderate or greater&#xD;
               magnitude within the past six months (with a moderate impact on one or more of the&#xD;
               Stressful Events Scale screenings).&#xD;
  &#xD;
            -  Individuals who can provide informed consent and willingly cooperate with this study&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  Individuals currently undergoing clinical psychotherapy or participating in other&#xD;
               interventional studies.&#xD;
  &#xD;
            -  Individuals diagnosed with psychological or mental disorders.&#xD;
  &#xD;
          Peer intervener group：&#xD;
  &#xD;
          Inclusion Criteria:&#xD;
  &#xD;
            -  Aged 18-25&#xD;
  &#xD;
            -  Individuals with a Bachelor's degree in progress or higher, and a professional&#xD;
               background in sociology, psychology, education, or medicine.&#xD;
  &#xD;
            -  Individuals who can provide informed consent and willingly cooperate with this study.&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  Individuals currently undergoing clinical psychotherapy or participating in other&#xD;
               interventional studies.&#xD;
  &#xD;
            -  Individuals diagnosed with psychological or mental disorders.&#xD;
        </textblock>
      </criteria>
      <gender>All</gender>
      <minimum_age>14 Years</minimum_age>
      <maximum_age>25 Years</maximum_age>
      <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
    </eligibility>
    <overall_official>
      <last_name>Wei Xia, PhD</last_name>
      <role>Principal Investigator</role>
      <affiliation>Sun Yat-sen University</affiliation>
    </overall_official>
    <overall_contact>
      <last_name>Wei Xia, PhD</last_name>
      <phone>18823359471</phone>
      <email>xiaw23@mail.sysu.edu.cn</email>
    </overall_contact>
    <overall_contact_backup>
      <last_name>Hexiao Ding</last_name>
      <phone>13979305061</phone>
      <email>jxdhx@qq.com</email>
    </overall_contact_backup>
    <location>
      <facility>
        <name>XIAW</name>
        <address>
          <city>Guangzhou</city>
          <state>Guangdong</state>
          <zip>510080</zip>
          <country>China</country>
        </address>
      </facility>
      <contact>
        <last_name>Wei Xia, PhD</last_name>
        <phone>18823359471</phone>
        <email>xiaw23@mail.sysu.edu.cn</email>
      </contact>
    </location>
    <location_countries>
      <country>China</country>
    </location_countries>
    <verification_date>August 2023</verification_date>
    <study_first_submitted>July 29, 2023</study_first_submitted>
    <study_first_submitted_qc>July 29, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">August 7, 2023</study_first_posted>
    <last_update_submitted>August 7, 2023</last_update_submitted>
    <last_update_submitted_qc>August 7, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 9, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Sponsor-Investigator</responsible_party_type>
      <investigator_affiliation>Sun Yat-sen University</investigator_affiliation>
      <investigator_full_name>Wei XIA, PhD</investigator_full_name>
      <investigator_title>Associate Professor</investigator_title>
    </responsible_party>
    <keyword>adolescent</keyword>
    <keyword>internet-based</keyword>
    <keyword>peer support</keyword>
    <keyword>post-pandemic era</keyword>
    <keyword>stressful life event</keyword>
    <keyword>Coping Behavior</keyword>
    <patient_data>
      <sharing_ipd>Yes</sharing_ipd>
      <ipd_description>The non-identified IPD will be shared after the outcomes have been published.</ipd_description>
      <ipd_info_type>Statistical Analysis Plan (SAP)</ipd_info_type>
      <ipd_time_frame>After the publication of the study</ipd_time_frame>
      <ipd_access_criteria>Researchers should contact the PI for approval of the study protocol.</ipd_access_criteria>
    </patient_data>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT05979649
  org study id: L2023SYSU-HL-010
  nct id: NCT05979649
  lead sponsor: 
  has dmc: Yes
  is fda regulated drug: No
  is fda regulated device: No
  The aim of this randomized control trial study is to develop an online intervention project
        that specifically targets and addresses mental health issues among youths in the
        post-pandemic era, while also assessing its effectiveness. Additionally, this intervention
        project has the potential to effectively address other post-traumatic conditions experienced
        by youths. Furthermore, our research group will investigate the specific impacts of long-term
        interventions on various aspects including changes in mental health status, psychological
        resilience, coping strategies, perceived social support, and emotional intelligence among the
        participants.
  Over the past decade, mental health issues have become increasingly prevalent among young
        people. Approximately 14% of adolescents aged 10-19 years globally suffer from conditions
        like depression and anxiety. This is concerning because adolescence is a critical period for
        development, and these mental health problems can have long-term consequences on various
        aspects of their lives, including relationships, education, and work.
  
        The mental health of young people (15-24) is a significant global concern, affecting one in
        five individuals within this age group and representing the largest burden of illness.
        Moreover, the impact of mental health problems during adolescence can extend into adulthood,
        affecting physical and mental well-being and limiting opportunities for a fulfilling life.
  
        According to the World Health Organization (WHO), mental health and psychosocial well-being
        are essential for youth's human potential and rights. However, the COVID-19 pandemic has
        exacerbated mental health problems among adolescents, leading to disruptions in critical
        mental health services in many countries. Studies have shown that the pandemic has resulted
        in increased depression, anxiety, stress, and sleep disorders among young people.
        Additionally, the previously mentioned conditions faced by adolescents have worsened to the
        point of mental disorders and suicide attempts.
  
        The impact of the pandemic on youths' mental health has drawn global attention and highlights
        the urgency of intervening in their mental well-being. Stressors among young people primarily
        come from academics, employment, relationships, appearance, finances, etc. The lack of
        effective coping strategies and emotional regulation further exacerbate physical health
        symptoms and negative consequences. Unfortunately, a significant number of young people
        experiencing mental health problems do not seek professional help, primarily due to denial,
        embarrassment, lack of time, and stigma. They often turn to informal resources such as
        family, friends, books, or counseling websites, with uncertain effectiveness. Long waiting
        lists for psychological services add to the dilemma. Therefore, it is crucial to help youths
        overcome these barriers when providing support services.
  
        Currently, access to cost-effective and accessible mental health services remains challenging
        for young people. In addition to counseling and psychiatric services, peer support has
        emerged as a novel resource for young people seeking help. Peer support involves social and
        emotional support from individuals with similar experiences. Research suggests that peer
        support is an accessible, affordable, and easily implemented mental health resource.
        Involving peer supporters in mental health services can promote recovery and has positive
        effects on depressive symptoms, anxiety, psychological distress, self-esteem, self-efficacy,
        and self-management. However, there is a lack of research on the development and
        implementation of peer-support based interventions for adolescents with psychological
        problems. This study aims to address this gap.
  
        Given the concerns surrounding psychological problems among young people, this study aims to
        design a pragmatic and comprehensive peer support-based intervention. The intervention will
        be based on the Youth Stressful Life Event Response Model, which explains how adolescents
        respond to stress and how factors like emotional intelligence, social support, and coping
        strategies impact their mental health. This online, single-blind, randomized controlled trial
        will include both an intervention group and a control group. The control group will receive
        motivational articles unrelated to the main monitoring indicators. Participants will be
        assessed at baseline, post-intervention, and during follow-up. Through the implementation of
        a peer support program, this study aims to investigate the specific effects of long-term
        intervention on changes in mental health status, psychological resilience, perceived social
        support, and emotional intelligence.
  allocation: Randomized
  intervention model: Parallel Assignment
  primary purpose: Health Services Research
  masking: Double (Participant, Outcomes Assessor)
  measure: The ability to cope with stressful situations
  time frame: Baseline,2 months，4 months
  description: The change of the scores of various dimensions in the Stressful Situation Coping Scale - Chinese short(CISS-SFC) among youths during the intervention period and follow-up period.This scale is divided into four dimensions: task-oriented coping, emotion-oriented coping, distraction coping, and social diversion coping.Each item consists of four statements (scoredfrom 0 to 3) describing depressive symptoms, with higher scores indicating greater severity. Scores on eachitem are summed to yield a total score on the measure from 0 to 63.
  measure: The level of emotional intelligence
  time frame: Baseline,2 months，4 months
  description: The change of the Wong and Law Emotional Intelligence Scale(WLEIS) scores of youths during the intervention and follow-up periods.This scale includes four sub-scales: appraisal and expression of emotion in oneself, appraisal and recognition of emotion in others, regulation of emotion in oneself, and use of emotion to facilitate performance.The scale score ranges from 16 to 112.The higher the score, the better the emotional intelligence of youths.
  measure: The mental health level of the youths
  time frame: Baseline,2 months，4 months
  description: The change of the Brief Symptom Inventory-53(BSI-53) scores of youths during the intervention and follow-up periods.The minimum score on the scale is 0.The sum of all items' scores reaching 63 and above was considered "BSI-positive" .The lower the score, the milder the psychological problem symptoms of youths.
  measure: The participants' somatization symptoms, anxiety, and depression status
  time frame: Baseline,2 months，4 months
  description: The change of the Brief Symptom Inventory-18(BSI-18) scores of youths during the intervention and follow-up periods.The scale has a minimum score of 0 and a maximum score of 72. The higher the score, the worse the psychological well-being of adolescents.
  measure: The perceived level of social support system for oneself
  time frame: Baseline,2 months，4 months
  description: The change of the Perceived Social Support Scale(PSSS) scores during the intervention and follow-up periods.The scale score ranges from 7 to 84, and the higher the score, the greater the perceived level of social support by the participants.
  measure: Subjects' mental toughness Connor-Davidson resilience scale
  time frame: Baseline,2 months，4 months
  description: The change of the Connor-Davidson resilience scale scores during the intervention and follow-up periods.The scale has a minimum score of 0 and a maximum score of 100. The higher the score, the better the psychological resilience of the participants.
  measure: The extent of negative impact caused by stressful life events.
  time frame: Baseline,2 months，4 months
  description: The change of the Adolescent Self-Rating Life Events Check-List scale(ASLEC) scores of youths during the intervention period and follow-up period.The scores on the scale range from 0 (with the lowest score being 3 for participants meeting the inclusion criteria of this study) to 135. A higher score indicates a greater impact of stressful life events on the participants.
  measure: The level of social support received. Social Support Rating Scale
  time frame: Baseline,2 months，4 months
  description: The change of the Social Support Rating Scale(SSRS) scores during the intervention and follow-up periods.This scale includes objective support, subjective support, and utilization of support.The sum of all scores from the three subscales to obtain aggregate scores for the SSRS. A higher score indicates a higher level of social support.
  arm group label: experimental group
  arm group type: Experimental
  description: Throughout the intervention period, we will deliver weekly customized feeds to youths at a consistent time, covering stressful events, coping strategies, social support, and emotional intelligence, totaling eight deliveries.
  After peer interveners (peer mentors) receive counseling credentials, every fifth participant will be randomly paired with a peer intervener. Over the next eight weeks, they will engage in individualized conversations via online video conferences biweekly.The intervention will last eight weeks, with four conversations in total.
  After each personalized conversation, the interveners will collaboratively develop behavioral corrective tasks for the following two weeks from the "To Do List," including at least one task from each category: social support, coping strategies, and emotional intelligence. During the next conversation, the interveners will inquire about the participants' completion status and personal experiences.
  arm group label: control group
  arm group type: Placebo Comparator
  description: Throughout the eight weeks of intervention, articles without professional psychological knowledge will be delivered to the control group participants once a week at a consistent time, totaling eight deliveries in total.
  arm group label: Peer intervener group
  arm group type: Other
  description: Peer interveners will participate in a one-day course conducted by several instructors with backgrounds in psychology and medicine. They will be required to pass a "standardized patient test" after the course to obtain the qualification for intervention.
  intervention type: Behavioral
  intervention name: behavioral corrective tasks
  description: After each personalized conversation, the interveners will, based on a clear understanding of the participants' completion status and personal experiences with the previous "behavioral corrective tasks," assist in formulating future "behavioral corrective tasks" for the next two weeks. These tasks will be selected from our designated "To Do List," requiring at least one task from each category: social support, coping strategies, and emotional intelligence.
  arm group label: experimental group
  intervention type: Other
  intervention name: Counselling on psychological knowledge
  description: Counselling on psychological knowledge includes weekly personalized feeds, as well as the methods and techniques for coping with challenges provided by the interveners.during personalized conversations with the participants.
  arm group label: experimental group
  intervention type: Other
  intervention name: placebo-controlled study
  description: "feel-good" articles without professional psychological knowledge will be sent to the control group participants weekly.
  arm group label: control group
  intervention type: Other
  intervention name: Peer Interventionist Training
  description: The training is a one-day course, encompassing a broad range of topics, including but not limited to counseling techniques and specialized medical psychology knowledge.
  arm group label: Peer intervener group
  criteria: 
  gender: All
  minimum age: 14 Years
  maximum age: 25 Years
  healthy volunteers: Accepts Healthy Volunteers
  last name: Wei Xia, PhD
  role: Principal Investigator
  affiliation: Sun Yat-sen University
  last name: Wei Xia, PhD
  phone: 18823359471
  email: xiaw23@mail.sysu.edu.cn
  last name: Hexiao Ding
  phone: 13979305061
  email: jxdhx@qq.com
  facility: 
  contact: 
  country: China
  responsible party type: Sponsor-Investigator
  investigator affiliation: Sun Yat-sen University
  investigator full name: Wei XIA, PhD
  investigator title: Associate Professor
  sharing ipd: Yes
  ipd description: The non-identified IPD will be shared after the outcomes have been published.
  ipd info type: Statistical Analysis Plan (SAP)
  ipd time frame: After the publication of the study
  ipd access criteria: Researchers should contact the PI for approval of the study protocol.