A recent systematic review by the Children’s Health Policy Centre looked at Super Skills for Life, a targeted program which aimed to prevent depression and anxiety disorders for children who already had symptoms of them. The program produced multiple benefits for young children at one-year follow-up, including reducing symptoms of both disorders. Researchers then examined how children’s participation in and satisfaction with Super Skills for Life influenced their outcomes. First, they divided children into two groups based on their experiences with the program. The high-fidelity group included children who scored above 50% on three markers: attended seven or eight (of the eight) scheduled sessions, completed five to seven (of the seven) homework assignments, and rated their satisfaction with the program as nine or 10 (out of 10). This classification resulted in 61.2% of children being in the high-fidelity group and 38.8% in the low-fidelity group.
Children who participated in Super Skills for Life had significantly fewer anxiety and depressive symptoms compared to the control group, with no difference based on fidelity classification. However, for emotional symptoms and behavioural problems, only the high-fidelity group outperformed the control group at one-year follow-up. These findings suggest that while children can experience benefits from prevention programs even when their engagement is more limited, maximum gains occur when maximum fidelity is achieved. The take-away message for practitioners is to continue their efforts to engage children, including encouraging children’s attendance in sessions and their practice of skills outside of sessions, knowing the potential positive payoffs.
For more information, see Vol. 17, No. 2 of the Children’s Mental Health Research Quarterly.