School-based mental health promotion in children and adolescents with StresSOS using online or face-to-face interventions: study protocol for a randomized controlled trial within the ProHEAD Consortium

Abstract Background Schools are an ideal setting in which to promote health. However, empirical data on the effectiveness of school-based mental health promotion programs are rare, and research on universal Internet-based prevention in schools is almost non-existent. Following the life skills approach, stress management training is an important component of health promotion. Mental health literacy is also associated with mental health status, and it facilitates formal help-seeking by children and adolescents (C&A). The main objectives of this study are (1) the development and evaluation of an Internet-based version of a universal school-based health promotion program called StresSOS and (2) demonstrating non-inferiority of the online setting compared to the face-to-face setting. StresSOS aims to improve stress management and mental health literacy in C&A. Methods/design A school-based sample of 15,000 C&A (grades 6–13 and older than 12 years) will be recruited in five regions of Germany within the ProHEAD Consortium. Those with a screening result at baseline indicating no mental health problems will be invited to participate in a randomized controlled trial comparing StresSOS online to an active online control condition (Study A). In addition, 420 adolescents recruited as a separate school-based sample will participate in the StresSOS face-to-face intervention. Participants in both intervention groups (online or face-to-face) will receive the same eight treatment modules to allow for the comparison of both methods of delivery (Study B). The primary outcome is the number of C&A with symptoms of mental health problems at a 12 months follow-up. Secondary outcomes are related to stress/coping (i.e., knowledge, symptoms of stress, coping resources), mental health literacy (knowledge and attitudes toward mental disorders and help-seeking), program usage patterns, cost-effectiveness, and acceptability of the intervention. Discussion This study represents the first adequately powered non-inferiority trial in the area of school-based mental health promotion. If online StresSOS proves efficacious and non-inferior to face-to-face delivery, this offers great potential for health promotion in youths, both in and outside the school environment. Trial registration German Clinical Trials Register, DRKS00014693 . Registered on 14 May 2018

Nonadiabatic effects in gas-surface dynamics

In this chapter, we will provide the theoretical foundations on which the local-density friction approximation (LDFA) is based and examples of its application to gas–surface interaction problems. With this aim, first in Sect. 28.2 we will review the derivation of the stopping power (energy lost per unit path length) for an atom or molecule traveling through a uniform electron gas in the strong coupling limit, i. e., when its velocity is lower than the Fermi velocity of the system. Real systems present electronic density nonlinearities. For this reason in Sect. 28.3, we show how this method for calculating the stopping power has been successful to reproduce and explain experimental energy-loss measurements for ions/atoms traveling through real solids and interacting with metal surfaces. The last part of Sect. 28.3 is devoted to the description of the LDFA method that accounts for the effect of energy losses in the dynamics of thermal and hyperthermal gas particles interacting with metal surfaces. Its implementation both in molecular dynamics performed in precalculated potential energy surfaces (PESs) and in ab-initio molecular dynamics is also discussed. Finally, an overview of the knowledge acquired during last years by the application of the LDFA will be presented in Sect. 28.4. In particular, we will analyze the importance of electron–hole (e–h) pair excitations in different gas–surface elementary processes that involve atoms and molecules of practical interest, such as H, N, H2, N2, and H2O. The analysis will mostly review the results obtained for the dissociative and nondissociative adsorption, for the Eley–Rideal and hot-atom recombinations and for the scattering of these gas species on different metal surfaces. As a general conclusion, it will be shown that e–h pair excitations are typically relevant for long-lasting processes. The last part of this section will review recent applications of the LDFA to model the desorption dynamics of atoms or molecules induced by femtosecond laser pulses. A summary of this chapter is provided in Sect. 28.5.Peer reviewe