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Digital Training for Mental Health Promotion in Young People With Climate Change-Related Distress: Protocol for a Feasibility Randomized Controlled Trial

Leonie Fleck, Henrik Wasmus, F. Schirmbeck, C. de Freitas, R. Teixeira, L. Sanna, A. D. de Graaff, M. de Allegri et al.

JMIR Research Protocols, 2025

50 participants · 1 citation

Abstract

Background Efforts in mental health research have long focused on the care and long-term outcomes of mental disorders. More recently, a shift in focus has occurred toward mental health promotion and prevention. One priority target population for promotion and prevention is youth with climate change–related distress. In light of the real-world threat of climate change, adaptive emotion regulation and engagement in meaningful action are 2 important strategies for promoting mental health. Ecological momentary interventions (EMIs) allow for the delivery of accessible interventions for young people with climate change–related distress, but evidence on their feasibility or beneficial effects is currently lacking. Objective We aimed to examine the feasibility and initial signals of efficacy of the Climate Mind and Act (CliMACT) training, a novel hybrid EMI for mental health promotion in youth with climate change–related distress. Methods A 2-arm, parallel-group, and assessor- and analyst-blinded feasibility randomized controlled trial (RCT) will be conducted in 50 young people aged 14-25 years with climate change–related distress, who will be allocated on a 1:1 ratio to the experimental condition (CliMACT training + care as usual [CAU]) or the control condition (CAU only). CliMACT involves 3 sessions with a mental health professional and 6-week access to a smartphone-based EMI to support the real-world transfer of training content based on compassion-focused interventions and…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 50 participants or records.

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