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Digital Training for Mental Health Promotion in Young People With Climate Change-Related Distress: Protocol for a
Leonie Fleck1, Henrik Wasmus1, Frederike Schirmbeck1
1Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
This study tested the Climate Mind and Act (CliMACT) training, a novel intervention for youth experiencing climate change-related distress. Results will inform future trials on this important mental health promotion strategy.
Area of Science:
- Mental health promotion and prevention strategies.
- Youth mental health and climate change.
- Ecological momentary interventions (EMIs).
Background:
- Traditional mental health research focused on disorders; a new focus is on promotion and prevention.
- Youth experiencing climate change-related distress are a priority population.
- Adaptive emotion regulation and meaningful action are key for mental health.
Purpose of the Study:
- To examine the feasibility and initial efficacy of the Climate Mind and Act (CliMACT) training.
- CliMACT is a novel hybrid EMI for mental health promotion in youth with climate change-related distress.
Main Methods:
- A 2-arm, blinded feasibility randomized controlled trial (RCT) with 50 participants aged 14-25.
- Participants received either CliMACT training + care as usual (CAU) or CAU only.
- CliMACT involved 3 professional sessions and a 6-week smartphone-based EMI.
Main Results:
- Enrollment began December 2024; data collection completed August 2025.
- Results are anticipated for publication in 2026.
- This trial is the first to assess feasibility and efficacy signals of an EMI for climate change-related distress in youth.
Conclusions:
- This study is the first to assess the feasibility and efficacy signals of an EMI for youth climate change distress.
- If feasible, this trial will guide a future fully powered RCT and economic evaluation.
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