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The Effects of a SWELE Program on Mental Wellbeing Among Children and Adolescents With Special Educational Needs and
Regina Lai Tong Lee1,2, Alice Wai Yi Leung1, Yuen Yu Chong1
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
Background:
The aim was to examine the effects of 'Supporting Wellness in E-Child Learning Environments' (SWELE) program on the mood, anxiety, social and self-regulation skills and playfulness behaviours of children and adolescents with special educational needs and disabilities.
Methods:
A quasi-experiment single-group pre-test and post-test design was adopted. The intervention group received a 16-week SWELE program featuring an unstructured free outdoor play coupled with mindfulness-based intervention.
Results:
1187 children and adolescents with intellectual or physical disabilities were recruited. At post-intervention, there are consistent positive changes across all five outcomes with medium to large effect sizes (Cohen's d: 0.63-0.80). Specifically, the SWELE program demonstrated statistically significant improvement in mood level (t = 21.86, p < 0.001), self-regulation skills (t = 29.59, p < 0.001) and social skills (t = 23.84, p < 0.001), reduction in anxiety symptoms (t = -27.47, p < 0.001), and an increase in playfulness behaviours (t = 20.84, p < 0.001).
Conclusion:
The SWELE intervention program was effective in promoting mental wellbeing among target children and adolescents.
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