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Children's and Parents’ Evaluations of ‘FRIENDS for Life’, an Indicated School-Based Prevention Program for Children With Symptoms of Anxiety and Depression

Published online by Cambridge University Press:  18 September 2015

Marieke Zwaanswijk  and
Mia P. Kösters
Marieke Zwaanswijk*
Affiliation:
NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands
Mia P. Kösters
Affiliation:
Public Health Service of Amsterdam, Amsterdam, the Netherlands
*
Address for correspondence: Marieke Zwaanswijk, PhD, NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, the Netherlands. Email: m.zwaanswijk@nivel.nl
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Abstract

There is evidence that the school-based program FRIENDS for Life is effective in preventing childhood anxiety and depression. Effectiveness is, however, not the only prerequisite for successful implementation. Participants’ evaluation of a prevention program may provide suggestions about how to fine-tune it to fit the needs of the target population. This study investigated children's and parents’ evaluations of the Dutch version of FRIENDS for Life. Forty-four participants of FRIENDS for Life (9–13 years) participated in online focus groups and 38 parents were interviewed in 2011–2012. Questions concerned the general opinion about the program, its perceived effectiveness and group atmosphere, and suggestions for program improvement. Most children (95.5%) and parents (65.8%) evaluated the program positively, and the majority (61.4% and 76.3%) thought that it had been useful in changing the child's behaviour. Children and parents expressed complementary views about the behaviours the child had learned. Some children (38.6%) expressed negative opinions about the program. Parents’ attendance at parent meetings was low (31.6–36.8%). Considered together with the growing evidence of the effectiveness of FRIENDS for Life, we concluded that it can be successfully implemented as an indicated prevention program in primary schools for children who show symptoms of anxiety or depression. Efforts could be made to increase parents’ involvement in the program.

Keywords

social validityFRIENDS for Lifechildhood anxiety and depressionindicated preventionschool-based interventiononline focus groups
Type
Standard Papers
Information
Behaviour Change , Volume 32 , Issue 4 , December 2015 , pp. 243 - 254
Copyright
Copyright © The Author(s) 2015 

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References

Barrett, P.M. (2004a). FRIENDS for Life: Group leader’s manual for children. Brisbane, Australia: Australian Academic Press.Google Scholar
Barrett, P.M. (2004b). FRIENDS for Life: Workbook for children. Brisbane, Australia: Australian Academic Press.Google Scholar
Barrett, P.M., Moore, A.F., & Sonderegger, R (2000). The FRIENDS Program for Young Former-Yugoslavian Refugees in Australia: A Pilot Study. Behaviour Change, 17, 124–133.Google Scholar
Barrett, P.M., Shortt, A.L., Fox, T.L., & Wescombe, K. (2001). Examining the social validity of the FRIENDS treatment program for anxious children. Behaviour Change, 18, 63–77.Google Scholar
Barrett, P.M., Sonderegger, R., & Sonderegger, N.L. (2001). Evaluation of an anxiety-prevention and positive-coping program (FRIENDS) for children and adolescents of non-English-speaking background. Behaviour Change, 18, 78–91.Google Scholar
Beesdo, K., Knappe, S., & Pine, D.S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32, 483–524.CrossRefGoogle ScholarPubMed
Bernstein, G.A., Layne, A.E., Egan, E.A., & Tennison, D.M. (2005). School-based interventions for anxious children. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 1118–1127.Google Scholar
Birmaher, B., Ryan, N.D., Williamson, D.E., Brent, D.A., Kaufman, J., Dahl, R.E., Perel, J., & Nelson, B. (1996). Childhood and adolescent depression: A review of the past 10 years, Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1427–1439.Google Scholar
Cartwright-Hatton, S., McNicol, K., & Doubleday, E. (2006). Anxiety in a neglected population: Prevalence of anxiety disorders in pre-adolescent children. Clinical Psychology Review, 26, 817–833.Google Scholar
Chorpita, B.F., Yim, L., Moffitt, C., Umemoto, L.A., & Francis, S.E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38, 835–855.Google Scholar
Cooley, M.R., Boyd, R.C., & Grados, J.J. (2004). Feasibility of an anxiety preventive intervention for community violence exposed African-American children. The Journal of Primary Prevention, 25, 105–123.CrossRefGoogle Scholar
Cooley-Strickland, M.R., Griffin, R.S., Darney, D., Otte, K., & Ko, J. (2011). Urban African American youth exposed to community violence: A school-based anxiety preventive intervention efficacy study. Journal of Prevention & Intervention in the Community, 39, 149–166.Google Scholar
Dadds, M.R., Spence, S.H., Holland, D.E., Barrett, P.M., & Laurens, K.R. (1997). Prevention and early intervention for anxiety disorders: A controlled trial. Journal of Consulting and Clinical Psychology, 65, 627–635.Google Scholar
Donovan, C.L., & Spence, S.H. (2000). Prevention of childhood anxiety disorders. Clinical Psychology Review, 20, 509–531.Google Scholar
Essau, C.A., Conradt, J., Sasagawa, S., & Ollendick, T.H. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy, 43, 450–464.Google Scholar
Gallegos, J., Rodríguez, A., Gómez, G., Rabelo, M., & Gutiérrez, M.F. (2012). The FRIENDS for Life program for Mexican girls living in an orphanage: A pilot study. Behaviour Change, 29, 1–14.Google Scholar
Gallegos-Guajardo, J., Ruvalcaba-Romero, N.A., Garza-Tamez, M., & Villegas-Guinea, D. (2013). Social validity evaluation of the FRIENDS for Life program with Mexican children. Journal of Education and Training Studies, 1, 158–169.Google Scholar
Goodenough, T., Williamson, E., Kent, J., & Ashcroft, R. (2003). ‘What did you think about that?’ Researching children's perception of participation in a longitudinal genetic epidemiological study. Children & Society, 17, 113–125.Google Scholar
Harland, P., Reijneveld, S.A., Brugman, E., Verloove-Vanhorick, S.P., & Verhulst, F.C. (2002). Family factors and life events as risk factors for behavioural and emotional problems in children. European Child and Adolescent Psychiatry, 11, 176–184.Google Scholar
Hunt, C., Andrews, G., Crino, R., Erskine, A., & Sakashita, C. (2009). Randomized controlled trial of an early intervention programme for adolescent anxiety disorders. Australian and New Zealand Journal of Psychiatry, 43, 300–304.Google Scholar
Iizuka, C.A., Barrett, P.M., Gillies, R., Cook, C.R., & Miller, D. (2014). The FRIENDS Emotional Health Program for Minority Groups at Risk. Journal of School Health, 84, 124–132.Google Scholar
Joinson, A.N. (2001). Self-disclosure in computer-mediated communication: The role of self-awareness and visual anonymity. European Journal of Social Psychology, 31, 177–192.Google Scholar
Kendall, L., Sloper, P., Lewin, R.J.P., & Parsons, J.M. (2003). The views of young people with congenital cardiac disease on designing the services for their treatment. Cardiology in the Young, 13, 11–19.CrossRefGoogle ScholarPubMed
Kösters, M.P., Chinapaw, M.J.M., Zwaanswijk, M., Van der Wal, M.F., Utens, E.M.W.J., & Koot, H.M. (2012). Study design of FRIENDS for Life: Process and effect evaluation of an indicated school-based prevention programme for childhood anxiety and depression. BMC Public Health, 12, 86.Google Scholar
Kösters, M.P., Chinapaw, M.J., Zwaanswijk, M., Van der Wal, M.F., & Koot, H.M. (in press). Indicated prevention of childhood anxiety and depression: Results from a practice-based study up to 12 months after intervention. American Journal of Public Health.Google Scholar
Krol, M., Sixma, H., Meerdink, J., Wiersma, H., & Rademakers, J. (2013). Exploring young patients’ perspectives on rehabilitation care: Methods and challenges of organizing focus groups for children and adolescents. Child: Care, Health and Development, 40, 507–514. doi:10.1111/cch.12095.Google Scholar
Mayall, B. (1994). Children's childhoods: Observed and experienced. London, UK: Falmer Press.Google Scholar
McLeod, B.D., Wood, J.J., & Weisz, J.R. (2007). Examining the assocation between parenting and childhood anxiety: A meta-analysis. Clinical Psychology Review, 27, 155–172.CrossRefGoogle Scholar
Mesman, J., & Koot, H.M. (2001). Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1029–1036.Google Scholar
Miller, L.D., Laye-Gindhu, A., Liu, Y., March, J.S., Thordarson, D.S., & Garland, E.J. (2011). Evaluation of a preventive intervention for child anxiety in two randomized attention-control school trials. Behaviour Research and Therapy, 49, 315–323.Google Scholar
Montoya-Weiss, M.M., Massey, A.P., & Clapper, D.L. (1998). On-line focus groups: Conceptual issues and a research tool. European Journal of Marketing, 32, 713–723.Google Scholar
Netherlands Institute for Social Research. (2012). Status scores [in Dutch]. Retrieved from http://www.scp.nl/content.jsp?objectid=default:20133Google Scholar
Reid, D.J., & Reid, F.J.M. (2005). Online focus groups: An in-depth comparison of computer-mediated and conventional focus group discussions. International Journal of Marketing Research, 47, 131–162.Google Scholar
Rezabek, R. (2000). Online focus groups: Electronic discussions for research. Forum: Qualitative Social Research, 1, Art. 18. Retrieved from http://nbn-resolving.de/urn:nbn:de:0114-fqs0001185Google Scholar
Siebes, R.C., Wijnroks, L., Ketelaar, M., Schie, P.E.M., Vermeer, A., & Gorter, J.W. (2007). Validation of the Dutch Giving Youth a Voice Questionnaire (GYV-20): A measure of the client-centredness of rehabilitation services from an adolescent perspective. Disability and Rehabilitation, 29, 373–380.Google Scholar
Stallard, P., Simpson, N., Anderson, S., Carter, T., Osborn, C., & Bush, S. (2005). An evaluation of the FRIENDS programme: A cognitive behaviour therapy intervention to promote emotional resilience. Archives of Disease in Childhood, 90, 1016–1019.CrossRefGoogle ScholarPubMed
Stewart, K., & Williams, M. (2005). Researching online populations: The use of online focus groups for social research. Qualitative Research, 5, 395–416.Google Scholar
Tates, K., Zwaanswijk, M., Otten, R., Van Dulmen, A.M., Hoogerbrugge, P.M., Kamps, W.A., & Bensing, J.M. (2009). Online focus groups as a tool to collect data in hard-to-include populations: Examples from paediatric oncology. BMC Medical Research Methodology, 9, 15.Google Scholar
Teubert, D., & Pinquart, M. (2011). A meta-analytic review on the prevention of symptoms of anxiety in children and adolescents. Journal of Anxiety Disorders, 25, 1046–1059.Google Scholar
Tick, N.T., Van der Ende, J., & Verhulst, F.C. (2008). Ten-year increase in service use in the Dutch population. European Child and Adolescent Psychiatry, 17, 373–380.Google Scholar
Utens, E., & Ferdinand, R. (2006a). FRIENDS for Life: Group Leader's Manual for Children [in Dutch]. Rotterdam, the Netherlands: Afdeling Kinder — en Jeugdpsychiatrie, Erasmus Medisch Centrum — Sophia Kinderziekenhuis.Google Scholar
Utens, E., & Ferdinand, R. (2006b). FRIENDS for Life: Workbook for Children [in Dutch]. Rotterdam, the Netherlands: Afdeling Kinder — en Jeugdpsychiatrie, Erasmus Medisch Centrum — Sophia Kinderziekenhuis.Google Scholar
Verhulst, F.C., & Van der Ende, J. (1997). Factors associated with child mental health service use in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 901–909.Google Scholar
Walston, J.T., & Lissitz, R.W. (2000). Computer-mediated focus groups. Evaluation Review, 24, 457–483.Google Scholar
World Health Organization. (2004). Prevention of mental disorders: Effective interventions and policy options. Geneva, Switzerland: Author.Google Scholar
Zwaanswijk, M., Tates, K., Van Dulmen, A.M., Hoogerbrugge, P.M., Kamps, W.A., & Bensing, J.M. (2007). Patients’, parents’, and survivors’ communication preferences in paediatric oncology: Results of online focus groups. BMC Pediatrics, 7, 35.CrossRefGoogle ScholarPubMed
Zwaanswijk, M., Van der Ende, J., Verhaak, P.F.M., Bensing, J.M., & Verhulst, F.C. (2005). Help-seeking for child psychopathology: Pathways to informal and professional services in the Netherlands. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1292–1300.CrossRefGoogle ScholarPubMed