Study quality | Study design | Measures | Follow-up | Conductor | Intervention | Effects/Outcomes | General study aim | School level |
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Berry et al. [71] (68.8%) | Cluster Randomized Control Trial; Randomized on a 1:1 ratio stratified with binary classification of school size and eligible children proportion for free school meal; 29 schools "PATHS" intervention × 27 schools WL control | SDQ PTRS T-POT TBQ | Baseline, 1-year follow-up, 2-year follow-up, | Teacher | SEL | 12 months follow-up: No difference on SDQ, some significant differences on PTRS (social competence: d = 0.09, aggressive behaviour:d = − 0.14,inattention: d = − 0.06, Impulsivity: d = − 0.06, peer relations: d = − 0.10, learning behaviours: d = 0.10); 6 months follow-up: Significant difference on T-POT (Total teacher positive behaviours: d = − 0.304, Class negative behaviour to teacher: d = 0.307, Class off-task behaviour:d = 0.227) | Promotion | Primary school |
Bradshaw et al. 2013 (68.8) | Open cohort 4-year RCT:new students to intervention school can participants while those who left intervention schools would not be traced; 21 schools randomized to intervention group, 16 schools randomized to control group | TOCA-C | 5 times of evaluation over the four years: Baseline in the fall of the first year, and follow-up in the spring of the following four years.No particular time point reported | Teacher | CBT | Significant effect on the general sample: disruptive behaviors (d = 0.12), concentration problems (d = 0.08), prosocial behavior (d = − 0.17), emotion regulation (d = − 0.11), IG children are 33% likely to receive an ODR (AOR = 0.67),IG girls less likely to receive an ODR than CG girls (AOR = 1.27); Significant effect on the participants who are at kindergarten at the onset of the trial than CG: prosocial behavior (γ = 0.08), emotion regulation (γ = 0.05); no significant differences between SWPBIS and comparison schools on suspensions | Promotion | Elementary school |
Burckhardt et al. [72] (43.4%) | Quasi-randomised controlled trial with cluster randomization. 1: 1 ratio of intervention and control group number (n = 4);disproportionate participants number to intervention (n = 63) and control group (n = 61).After follow-up, intervention was also delivered to the control group for evaluation | DASS-21 FS | Baseline, Post-intervention, 5-month follow-up | Teacher | ACT | No significant difference between IG and CG on baseline;no significant differences between post-intervention completers and dropouts;no differences were found between follow-up dropouts and completers.No significant differences between the ACT and control conditions for the DASS-21 or FS on different time points.Baseline-post effect size on (non-significant): depression: d = 0.31, anxiety: d = 0.28, stress: d = 0.63; DASS-total: 0.44, FS: d = 0.20. General positive effect of ACT reported by both groups: agreeing over 50%, except exercising more | Prevention | High school |
Cook et al. [73] (34%) | A matched quasi-randomized design was used to equate groups at baseline. A quasi-experimental procedure and not pure random assignment were conducted, producing four pairs of classes were assigned to differentt experimental conditions | SIBS SEBS | Baseline, Post-test (5 months after baseline collection) | Teacher | SEL and PBIS | Externalizing: SEL Only (d = − 0.24), PBIS Only (d = − 0.26), SEL/PBIS COMBO (d = − 0.62), Control (d = 0.00); Internalizing: SEL Only (d = − 0.16), PBIS Only (d = − 0.02), SEL/PBIS COMBO (d = − 0.37), Control (d = 0.00). The significance of all data was not reported | Promotion | Elementary school |
Dowling et al. [74] (59%) | Cluster Randomized Control Trial; 1: 1 ratio of intervention and control group number (n = 17);disproportionate participants number to intervention (n = 345) and control group (n = 330) | RSS ERQ TMMS CSI-15 SEQC AICQ MDELS DASS-21. WEMWBS ATSS SAMRS | Baseline, Post-intervention | Teacher | SEL | Significant increase of Social Support Copings (d = 0.15), Significant reduction of suppressing emotions (d = − 0.19), Significant reduction of stress (d = − 0.06) and depression (d = − 0.07) | Promotion | High school |
Dvořáková et al. [75] (50%) | Pilot randomized control trial. Gender stratification was conducted in the randomization to assure a balanced gender ratio in the intervention (n = 55, n of female = 35) and control (n = 54, n of female = 37) | GAD SWL MAAS SCS SCC-R. CS PSQI YAAPST | Baseline, post-intervention | Psychologist | Mindfulenesss | Significant effect on anxiety (d = − 0.48), depression (d = − 0.34), and satisfaction with life (d = 0.41) | Promotion | University |
Flynn et al. [76] (37.5%) | Quasi-experimental design with opportunistic sampling. No blinding or randomization was reported. DBT STEPS-A (n = 26) × control group (n = 45) | DBT-WCCL. BASC-2 | Baseline, post-intervention | Teacher | SEL | Significant effect on emotion symptom index (d = − 0.32) and internalizing (d = − 0.41) | Promotion | All-female high school |
Garcia-Escalera et al. 2020 (46.9%) | Two-arm cluster randomized control trial. UP-A group (n = 90) × waitline control group (n = 61) | RCADS-30 CDN EAN DPDSQ CKQ SPOQ | Baseline, postintervenion, 3-months follow-up | Psychologist | UP | Significant main effect of time on the RCADS total score (d = − 0.22), Separation Anxiety Disorder (SAD, d = − 0.32), Generalized Anxiety Disorder (GAD, d = − 0.18), Obsessive Compulsive Disorder (OCD, d = − 0.21). Significant decreases for those with severe baseline symptoms in the UP-A group between the following time points: T1 and T3 (d = 0.96, n = 9) and T2 and T3 (d = 0.88, n = 9) | Prevention | High school |
Johnson and Wade, 2019 (56.3%) | Cluster (class based) controlled trial. Mindfulness intervention group (n = 71) × Control group (n = 75) | DASS-21 GAD-7 EDE-Q. WEMWBS | Baseline, post-intervention, 4-months follow-up | Teacher | Mindfulenesss | No significant effect was reported on post-intervention. High medium significant effect reported on the anxiety (d = 52) and depression (0.61) among all intervention group students in follow-up. Moderation effect: only significant effect on anxiety (d = 0.81) and depression (d = 0.95) among year ten students | Promotion | Secondary school |
Johnson and Wade, [63] (59%) | Cluster (class based) controlled trial. Mindfulness intervention group (n = 237) × Control group (n = 239) | CHIME-A. DASS-21 GAD-7 EDE-Q. WEMWBS | Baseline, post-intervention, 3-months follow-up, 9-months follow-up | Teacher | Mindfuleness | Significant effect on Decentering and Nonreactivity (d = − 0.20) among the general sample in 3 month follow-up. Year 8 at 3 month follow-up: Awareness of External Experiences (d = − 0.30), Decentering and Nonreactivity (d = − 0.39), wellbeing (d = − 0.25) | Promotion | Secondary |
Kishida et al. [77] (81.3%) | No randomization was conducted | JSDQ GSESC_x005f-R Short CAS. DSRS-C ASCA | Baseline, post-intervention | Teacher | CBT | Study 1: Significant time effects for general difficulties [F (1, 52.78) = 4.88, p < 0.05], general difficulties (SDQ) decreased with small effect sizes (g =  − 0.20). For subclinical samples in study 1, no significant time effects for the primary and secondary outcomes; general difficulties, internalizing problems, and externalizing problems decreased with medium effect sizes (g =  − 0.79, g =  − 0.52, and g =  − 0.60, respectively). Study 2: no significant time effects or meaningful effect sizes for all outcomes. subclinical sample: Significant time effects for depression as a secondary outcome [F (1, 9) = 6.45, p < 0.05], General difficulties and internalizing problems, anxiety, and depression decreased with medium effect sizes (g =  − 0.69, g =  − 0.55, g =  − 0.63, and g =  − 0.63, respectively) | Prevention | Primary |
Knight et al. [78] (75%) | Conductor (teacher) randomization, and student control trials. Teachers aligned to different classes in the first year. In the second year, students may be alligned with different teachers and classmates, while they will remain in the same group (intervention or control) | SEARS | Baseline, post-intervention | Teacher | CBT and SEL | Significant effect on Self-regulation (d = 1.04), Social competence (d = 0.65), Empathy (d = 0.70), Responsibility (d = 0.81), SEARS-T (d = 0.89). No significant effect reported on SEARS-C/A | Promotion | Secondary |
Kuyken et al. [64] (50%) | Non-randomised controlled parallel group study. MiSP group (n = 256) × Control group (n = 266) | WEMWBS PSS CES-D | Baseline, post-intervention, 3 months follow-up | Teacher and psychologist | Mindfulness | Significant fewer depressive symptoms post-treatment and at follow-up and lower stress and greater well-being at follow-up | Promotion | Secondary |
Lam and Seiden [79] (34%) | Controlled trial, no randomization was reported | BRIEF-SR DERS RRS | Baseline, post-intervention | Psychologist | ACT, SEL, and Mindfulness | Significant effect on general YSR (η2 = 0.05) and EF (η2 = 0.11) score, specifically on anxiety/depression (η2 = 0.09), emotion (η2 = 0.06), monitor (η2 = 0.06), and memory (η2 = 0.11) | Promotion | Primary |
Mendelson et al. [80] (43.3%) | Randomized control trial. RAP group (n = 29) × Control group (n = 20) | SDQ ACES SCS SMFQ CCSC EAQ | Baseline, post-intervention | Psychologist and a community member | CBT and Mindfulness | Significant effect on SCS Dysregulation (d = 0.85), SCS Social Competence (d = 0.87), SCS Authority Acceptance (d = 0.69), ACES Academic Competence (d = 0.76) | Prevention | Secondary |
Sawyer et al. [81] (78.1%) | Cluster randomized controlled trial. Intervention group (n = 3037) × Control group (n = 2597) | CES-D OTSS AICQ CAS MSPS APSC. Interpersonal Competence Questionnaire, Coping Actions Scale. School-level protective and risk factors:Multidimensional Scale of Perceived Support, Adolescents’ perceptions of school climate | Baseline, 1-year follow-up, 2-year follow-up | Not reported | CBT | Multi-level modelling indicated significant effect on both intervention and control groups: CES-D scores (coefficient = 0.517, SE = 0.222), Positive Coping Strategies (coefficient = -0.496, SE = 0.147), Negative Coping Strategies (coefficient = − 0.248, SE = 0.100), Optimistic Thinking Style (coefficient = − 0.716, SE = 0.115), Family Relationships (coefficient = − 0.838, SE = 0.068), Friends Relationships (coefficient = − 0.188, SE = 0.077), Significant Other Relationships (coefficient = − .178, SE = 0.063), School Climate (coefficient = − 1.849, SE = 0.247); Significant coefficient for the group × time rating on teacher rated school climate (coefficient = 0.600, SE = 0.290). Students with mild to severe CES-D baseline scores: reduction in Negative Coping Strategies (coefficient = − 0.708, SE = 0.129), Relationships (coefficient = − 0.765, SE = 0.117) and student-rated School Climate (coefficient = − 1.392, SE = 0.252). Significant increase in Interpersonal Competence (coefficient = 0.352, SE = 0.164) | Promotion | Secondary |
Shum et al. [82] (50%) | Non-randomized controlled trial. Intervention group (n = 264) × Control group (n = 195) | SCARED ATS-N/P. C-IRI RSES | Baseline, post-intervention, 6-months follow-up | Students | CBT | Significant effect on the knowledge of mental health in post-intervention (coefficients = 0.46) and follow-up (coefficients = 0.66), and perspective-taking (empathy, coefficients = 1.50). Online program: compared with lower completion group, significant improvement on higher completion group on the knowledge of mental health (coefficients = 0.51) and positive thoughts (coefficients = 3.32) | Prevention and promotion | Primary |
Skryabina et al. [83] (59%) | Cluster randomized control trial. Health-led FRIENDS (n = 478) × School-led FRIENDS (n = 467) × Usual PSHE (n = 398) | RCADS PSWQC RSES | Baseline, 12 months follow-up | Teacher and psychologist respectively | CBT | Significant reductin on Sep anxiety: Health-led FRIENDS group × Usual PSHE group (d = − 0.11), School-led FRIENDS group × Usual PSHE group (d = − 0.17) | Prevention and promotion | Primary |
Stallard et al. [65] (75%) | Cluster randomised controlled trial. Health-led FRIENDS (n = 509) × School-led FRIENDS (n = 497) × Usual PSHE (n = 442) | RCADS-30. PSWQC RSC OBVQ SDQ RCADS-30-P | Baseline, 6-months follow-up, 12-months follow-up | Teacher and psychologist respectively | CBT | All groups: Significant difference in the mean of RCADS at 12 month for health-led FRIENDS, comparing school-led FRIENDS (interaction coefficient − 3.91) and usual school provision (interaction coefficient = − 2.66). High risk group: signficant 12 month within group reduction, without effect difference across groups. Low risk group: Significant difference in the mean of RCADS at 12 month for health-led FRIENDS, comparing school-led FRIENDS ((adjusted difference = − 3.78) and usual school provision (adjusted difference = − 3.13). Low anxiety group: significant effect on health-led FRIENDS, than usual school provision (d = 0.22) and school-led FRIENDS (d = 0.25), reflected by child-completed total RCADS | Prevention | Primary |
Takahashi et al. [66] (56.3%) | Non-randomized controlled trial. Intervention group (n = 69) × Control group (n = 230), alligned on teacher's decision | VOYAGE, SDQ | Baseline, post-intervention | psychologist | ACT | Significant group × time interaction effect on Continuation of Avoidance subscale (CA, β =  − 0.97), the ACT group showed significant reductions in CA between pre- and post-intervention periods (β = 0.86). Significant reduction in CA in ACT group between pre- and post-intervention periods (β = 2.02), while not in the WLC group (β =  − 0.58). Significant interaction effect for the Hyperactivity/Inattention subscale on the SDQ in the whole sample (β =  − 0.69). Both WLC (β = 0.22) and ACT group (β = 0.92) showed significant reduction in Hyperactivity/Inattention | Promotion | Secondary |
Torok et al. [84] (34%) | Non-experimental pilot examination with pre and post-test | Teacher-rated SDQ | Baseline, post-intervention | Teacher | SEL | Significant effect on SDQ global difficulties (d = 0.44), Externalising difficulties (d = 0.30), Internalising difficulties (d = 0.36), Emotional (d = 0.30), Conduct (d = 0.21), Hyperactivity (d = 0.29), Peer relationships (d = 0.30), Prosocial behaviour (d = 0.26) | Promotion | Primary |
Volkaert et al. [85] (68.8%) | Cluster randomized control trial, without blinding participants. Intervention group (n = 139) × Control group (n = 208) | DERS FEEL-KJ. SPPA HRQoL CDI CESD STAI-C SSRPH OBVQ ARSP CBCL BRIEF | Baseline, post-intervention, 3-month follow-up, 6-month follow-up | Psychologist | Locally Designed Transdiagnostic | Significant group × time interaction effect on depressive symptoms***, CDI*, anxiety symptoms***, negative affect***, self-esteem***, quality of life*** | Promotion | Primary |