Reasons for non-participation of children and adolescents in a large-scale school-based mental health project.

Autor:	Baldofski S; Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany., Klemm SL; Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany., Kohls E; Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany.; Department of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany., Mueller SME; Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany., Bauer S; Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany., Becker K; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine, Philipps-University and University Hospital Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen, Giessen, Germany., Diestelkamp S; German Center for Addiction Research in Childhood and Adolescence, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Eschenbeck H; Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany., Hiery A; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine, Philipps-University and University Hospital Marburg, Marburg, Germany., Kaess M; University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland.; Department of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany., Koenig J; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany., Lehner L; Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany., Moessner M; Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany., Thomasius R; German Center for Addiction Research in Childhood and Adolescence, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Rummel-Kluge C; Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany.; Department of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Jan 08; Vol. 11, pp. 1294862. Date of Electronic Publication: 2024 Jan 08 (Print Publication: 2023).
DOI:	10.3389/fpubh.2023.1294862
Abstrakt:	Background: Non-participation in mental health studies is an under-explored but very important topic. Investigating reasons for non-participation holds promise for the planning of future study designs and recruitment strategies. This study aimed at investigating reasons for children and adolescents (C&A) not participating in a school-based mental health research project. Methods: Data collection took place within the school-based recruitment of a large-scale multi-site project ("ProHEAD-Promoting Help-seeking using E-technology for Adolescents") in Germany. Participants were N = 534 C&A aged ≥ 12 years attending secondary schools. The present cross-sectional study analyzed anonymous survey data of C&A who themselves or whose parents, respectively, did not provide written consent to participate in the mental health research project. The questionnaire consisted of 14 items covering potential reasons for non-participation, and four free text fields. Besides descriptive statistics, free text field answers were analyzed using qualitative content analysis. Results: Students indicated an average of M = 2.94 ( SD = 1.75) reasons for their non-participation in the project. In the descriptive analysis of indicated items, the three most frequently reported reasons for non-participation included students reporting to not be concerned by the topic "mental health" ( n = 290, 54.3%), not having returned the consent form to the teacher ( n = 175, 32.8%), and not having time for participation ( n = 149, 27.9%). In the qualitative content analysis, the most frequently assigned categories were organizational reasons ( n = 216, 57.1%), general disinterest in study participation ( n = 139, 36.8%), and personal attitudes toward the topic "mental health" ( n = 84, 22.2%), such as not being concerned with the topic "mental health" ( n = 23, 6.1%) or being too concerned with the topic "mental health" ( n = 16, 4.2%). Conclusion: The study provides unique insights into reasons for C&A and their caregivers not participating in a large federally funded mental health research project. The results suggest that in order to increase participation rates, stigma should be reduced, parents as well as teachers should be involved where possible, and the use of incentives might be helpful. The study highlights the importance of assessing reasons for non-participation, especially in online intervention studies on mental health. Competing Interests: KB has received honorary from Georg Thieme Publisher during the last 5 years outside and independent of the submitted work. CR-K received lecture honoraria from Recordati and Servier outside and independent of the submitted work. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Baldofski, Klemm, Kohls, Mueller, Bauer, Becker, Diestelkamp, Eschenbeck, Hiery, Kaess, Koenig, Lehner, Moessner, Thomasius and Rummel-Kluge.)
Databáze:	MEDLINE
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