A School Intervention Aiming to Promote Mental Resources in Childhood and Adolescence
Author(s):
Merle Müller (presenting / submitting) Katharina Karolina Pucher (presenting) Eike Quilling
Conference:
ECER 2016
Format:
Paper

Session Information

08 SES 03 JS, Interventions to Promote Wellbeing: Schools and Community

Joint Paper Session NW 08 and NW 14

Time:
2016-08-23
17:15-18:45
Room:
OB-H2.32
Chair:
Venka Simovska

Contribution

Background

In recent years there has been a steady increase of mental abnormalities in young students reported in Germany. In 2012, the KiGGS-study investigating (mental) health during childhood and adolescence found approximately one fifth (20,2%) of children and adolescents aged between 3 to 17 years are classified at risk for mental abnormalities (Hölling et al., 2014, p. 816). This is often accompanied by poor physical health, a reduced health-related quality of life, a restricted social functionality, as well as poor academic development in school (Hölling et al., 2007, p.784). Similar results were also reported in the German HBSC-study, 2012 (Ravens-Sieberer et al., 2012, p. 4–7).

The school environment has great influence and importance on the health and well-being of pupils. In 2012 the World Health Organisation (WHO) (2012) stated that stress in school is a relevant factor in causing mental problems.

Consequently, a good atmosphere plays a central role in the health of children and adolescents and can be considered as an important protection factor for mental health (WHO, 2012,p. 53).

Thus, it appears to be beneficial for the health of children and adolescents to have a positive social and learning environment. Critical to this is the atmosphere in the classroom and the support provided by teachers and fellow students. Transparent and stable structures, as well as fair and understandable rules can contribute to shaping the living environment of school as an active field of action for teachers and pupils (BMFSFJ (Hrsg.) 2009, p. 5). Additionally, it may prove beneficial for pupils to be introduced to possible strategies to cope with stress or – if possible – to avoid stress at school.

In order that stress management and the creation of a positive atmosphere in school can occur, it is necessary that in school children and adolescents learn life skills, as well as academic knowledge. In this context Wustmann (2004) states that, resilience should be given importance for the health and health connected aspects of an individual.

“In general resilience denotes the ability to successfully cope with burdensome circumstances of life and negative consequences of stress. In this understanding resilience is mental resistance against biological, psychological and psychosocial development risk” (Wustmann, 2004, p. 192).

Through the strengthening of their resistance, children and adolescents should be enabled to realise their own resources, use them and effectively in difficult circumstances. This action ability can also be defined empowerment” (Schaeffer & Dierks, 2012, p. 757). Additional to the ability and competence to consciously activate one's own resources, an element of resilience is reliant on the presence of a relationship to at least one adult role model. Generally this is a close family member; however, it can also be another adult role model belonging to the social environment of the child/adolescent; e.g, a teacher.

According to the protection-factors-model by Petermann and Winkel (2005), it appears to be target-aimed to strengthen the life skills of the children and adolescents in order to promote their resilience.

"The skill to come to a decision, problem-solving skill, creative thinking, critical   thinking, effective communication skill, interpersonal relationship skill, self-perception, empathy as well as stress and emotion management are considered by the WHO to be life skills” (BZgA, 2009, p. 122-123).

To counteract the increase of mental abnormalities, a primary preventive intervention for children and adolescents was developed by the health insurance AOK Rheinland/Hamburg together with the German Sport University Cologne, and then investigated in form of an intervention study. The target of the intervention in the school setting was to promote the social competence of the pupils and to strengthen their mental resources.

Method

Method The intervention was carried over 20 modules with pupils between ages of 10 and 13 years old. It was conducted in two pilot studies (2012-2013; 2015) in the 5th and 6th grade classes of different school forms in Germany. The following information only refers to the second pilot study executed in 2015. The 20 modules were implemented in regular lessons within one school term. Topics included; communication, self- and external perception, stress regulation and the realisation of personal strengths. The topics were implemented in a practice-orientated manner and were interjected with regular active- and relaxation breaks. The implementation was done in two steps. In the first step, modules 1 to 10 were carried out in a weekly rhythm by an external social pedagogue with the teachers present. In the second step, the teachers were asked to carry out the modules 11 to 20 on their own. The teachers took part in two workshops in preparation to deliver the modules themselves. Additionally, the workshops for the teachers offered a platform for reflection and exchange. An instructor described the execution of the individual units in details, as well as providing the teachers with further support for the independent conduction of the modules. The social pedagogue or teachers, respectively, were advised to take the content as starting point and adapt them to the specific situation of their classes. Quantitative and qualitative analyses were deliberately combined for the evaluation of the intervention. For the quantitative assessment there were three time points of measurement, which were placed before, during and after the modules in the school classes. This assessment was done in four intervention classes (IG n=112) and four control classes (CG n=113) by means of questionnaires addressing resilience (Leppert, 2008) and general perceived self-efficacy (Jerusalem & Schwarzer, 1999). Additionally, personal health and leisure-related data was gathered. The qualitative research design consisted of a semi-standardised interview guide, which was applied by the teachers before and after the module. The observations of the teachers were assessed in respect to the behaviour of the pupils, changes in the class atmosphere, general attitude towards the study, as well as the rating of the module manual. Moreover, the pupils filled out module-related reflection sheets. The appraisal and judgement of the contents were recorded on the day, as well as the pupils personal goals stated as which they intended to reach as a consequence of the module.

Expected Outcomes

Results/Implications The results of the evaluation of the project showed a strengthening of social competence and positive changes in the atmosphere in the classes. The written survey of the pupils did not reveal significant changes in respect to the quantitatively assessed values of resilience. The qualitative results of the evaluation of the project showed that the communication skills and conflict resolution skills of the pupils, as well as the atmosphere in the classes were improved. According to statements from the teachers, this was reflected by less frequent conflicts among the pupils. In the event conflicts occurred, the majority of times the pupils were able to verbally solve them without the help of adults. The teachers also noticed a higher acceptance attitude between the pupils, e.g. during group formation processes. This observation was further supported by the self-reports of the pupils in the reflection sheets of the modules. The results indicate that despite an increase of social competences and an improved atmosphere in the classes, resilience is not automatically augmented in the children and adolescents. The relationship with an emotionally stable role model is of importance for the healthy development within the construct of resilience. It may prove a more important consideration to emphasise this relationship in order to further promote resilience in the children of the intervention. Therefore, during the revision of the concept of the intervention, the promotion of a positive and stable pupil-teacher-relationship will be of strong focus. The intervention will be designed as an exclusive training for teachers and comprise aspects on the role model of teachers and the building of relationships. As mental abnormalities in young students have risen internationally in recent years (WHO, 2012), it would be logical – following a pilot stage in 2016 – to trail this concept in other European countries.

References

Quilling, E. Prof. Dr. phil. Eike Quilling (graduate degree in education) is a junior professor of network and intervention management in lifestyle research and head of the Department of Movement Education and Intervention Management at the German Sport University Cologne. Her primary research interest is on network structures in movement and health promotion. Particularly with regard to health promotion in different settings she focuses on structures of prevention from the early childhood up to families and social areas. Müller, M. Merle Müller studied educational science (diploma) at the University of Hamburg and finished her study in 2010 at the Münster University with focus on young and adult education. With her minor subjects sociology, psychology, sport and human movement science she already chose the perspective of a holistic health promotion. 
According to her study she worked at the Münster University as well as for various companies in the field of training providers, where she was responsible for training conceptions, organization and quality management. Since 2013 she is working at the German Sport University Cologne at the Institute of Movement and Neurosciences in the department Movement Education and Intervention Management. She is currently doing her doctoral studies on the subject of prevention networks.

Author Information

Merle Müller (presenting / submitting)
German Sport University Cologne
Cologne
German Sport University Cologne
Movement and Neurosciences
Cologne
German Sport University Cologne, Germany

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