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An effectiveness study of a culturally enriched school-based CBT anxiety prevention program
Lynn D Miller1, Aviva Laye-Gindhu, Joanna L Bennett
1Department of Educational and Counselling Psychology and Special Education, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z4. anxiety@interchange.ubc.ca
Summary
A culturally adapted mental health program did not reduce anxiety in Aboriginal students. However, all students experienced decreased anxiety over the study period, indicating a potential general benefit of the intervention.
Area of Science:
- Child and Adolescent Psychology
- Indigenous Mental Health
- School-Based Interventions
Background:
- Anxiety disorders are common in school-aged children across diverse cultural groups.
- Limited research exists on culturally tailored mental health interventions for Indigenous populations.
- The FRIENDS for Life program is an established cognitive behavioral intervention for anxiety.
Purpose of the Study:
- To evaluate the effectiveness of a culturally enriched FRIENDS for Life program for reducing anxiety in Aboriginal students.
- To assess the program's impact on anxiety levels in a mixed sample of students, including those of Aboriginal background.
Main Methods:
- A cluster randomized controlled trial involving 533 students (192 Aboriginal) was conducted.
- Data on anxiety were collected at three time points over one year.
- Multilevel models were used to analyze the intervention's effect on anxiety.
Main Results:
- The culturally enriched FRIENDS program did not significantly reduce anxiety for the total sample or specifically for Aboriginal children.
- All participating students, irrespective of intervention group, Aboriginal status, or gender, showed a consistent decrease in anxiety over six months.
Conclusions:
- The culturally enriched FRIENDS program, as implemented, did not demonstrate efficacy in reducing anxiety among Aboriginal students.
- A general, non-specific reduction in anxiety was observed across all students, suggesting potential benefits beyond targeted intervention components.
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