Evidence map›Paper›PMID 39438937›Full record

ArticleChild and adolescent psychiatry and mental health2024

Evaluation of ANKOMMEN as a group intervention based on life story work for adolescents in residential care in Germany: a single-arm pilot study.

Steffen Schepp, Jörg M Fegert, Miriam Rassenhofer, Sara Regner, Andreas Witt, Elisa Pfeiffer

Abstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Steffen ScheppDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany. steffen.laentzsch@web.de.
Jörg M FegertDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Miriam RassenhoferDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Sara RegnerDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Andreas WittDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Elisa PfeifferDepartment for Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescents face many challenges when coping with out-of-home placement, and life story work can be helpful in this context. Typically conducted in individual settings, life story work's high resource requirements pose a challenge for implementation in the standard care of youth welfare institutions. To address this issue, the ANKOMMEN intervention was developed as a manualized group program for adolescents in residential care focusing on processing and coping with experiences associated with their out-of-home placement.

methodThe intervention was evaluated in a single-arm pilot study with questionnaires administered at three time points (pre-intervention, post-intervention, and 3-month follow-up). The primary outcome was self-efficacy, while secondary outcomes included self-esteem, depressive symptoms, posttraumatic stress symptoms, and behavioral problems. A total of 31 intervention groups with 115 adolescents (M = 14.91 years; SD = 1.45; 52.2% male) were conducted between October 2020 and September 2022 in Germany. Data were analysed using mixed effect models.

resultsPre-post comparisons revealed increased self-efficacy (d = -0.80) and self-esteem (d = -0.68) among participants with below-average scores prior to the intervention. Additionally, there was a decrease in self-reported depressive symptoms (d = 0.76), self-reported posttraumatic stress symptoms (d = 0.58), self-reported internalizing behavior problems (d = 0.74), caregiver-reported internalizing behavior problems (d = 0.76), and self-reported externalizing behavior problems (d = 0.52) for participants with clinically relevant scores prior to the intervention. These improvements were stable in the 3-month follow-up assessment. Furthermore, the intervention proved its feasibility in standard care within the context of the evaluation study.

conclusionsThe results of the pilot study provide preliminary evidence for the feasibility and potential effectiveness of ANKOMMEN but further research is needed to obtain valid evidence for the efficacy of the intervention.

Indexed as

Adolescents in careChild welfareGroup interventionLife story workResidential care

Identifiers

PMID39438937
PMCPMC11515701

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.