Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study

Abstract Background Unstructured play has also been found effective on promoting positive emotions and emotional competence among children and adolescents with special educational needs (SEN). Unstructured Outdoor Play coupled with Mindfulness-based Interventions via ‘Supporting Wellness in E-Child...

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Main Authors: Regina Lai Tong Lee, Sally Wai Chi Chan, Yuen Yu Chong, Steven Wai Ho Chau, Kai Chow Choi, Wai Tong Chien
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-024-05288-8
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author Regina Lai Tong Lee
Sally Wai Chi Chan
Yuen Yu Chong
Steven Wai Ho Chau
Kai Chow Choi
Wai Tong Chien
author_facet Regina Lai Tong Lee
Sally Wai Chi Chan
Yuen Yu Chong
Steven Wai Ho Chau
Kai Chow Choi
Wai Tong Chien
author_sort Regina Lai Tong Lee
collection DOAJ
description Abstract Background Unstructured play has also been found effective on promoting positive emotions and emotional competence among children and adolescents with special educational needs (SEN). Unstructured Outdoor Play coupled with Mindfulness-based Interventions via ‘Supporting Wellness in E-Child Learning Environments’ (SWELE) program can foster the mental health and wellbeing of children and adolescents with SEN. Currently there is a lack of the unstructured play with mindfulness-based interventions in the special schools in Hong Kong. Thus, aim of the SWELE program is to examine the effects of unstructured play with mindfulness-based interventions—(SWELE) program combining unstructured outdoor play activities with mindfulness-based interventions to promote mental wellbeing among SEN children and adolescents. Methods This 16-week SWELE program focuses on combining unstructured outdoor play activities with mindfulness-based interventions to promote mental wellbeing among children and adolescents with SEN. Training workshops for schoolteachers, school principals, parents and student mental health ambassadors in each special school together with a 16-week SWELE program and each last 45–60 min. Unstructured play allows students the freedom to explore, create and discover without predetermined rules or guidelines. Outdoor unstructured play activities include naturally run, jump and move on a playground, riding a bike, climbing trees, playing tag, playing with blocks, colour, water play, and boxes. A convergent parallel mixed-methods design both with a quantitative measure using a single group pre- and post-tests quasi-experiment behavioural observational method to preliminarily evaluate the impact of SWELE Program on SEN children’s and adolescents’ mental wellbeing; and with a qualitative design to conduct eight focus group discussions including schoolteachers, school principals, parents, SEN students, school nurses from six selected special groups and to explore their perceptions and experiences after participated the SWELE program. Discussion The purpose of this protocol is to examine the effects of a 16-week SWELE program on the mood, anxiety level, social skills and playfulness behaviours among children and adolescents with SEN in the special schools in Hong Kong. From the evaluation and observation, the pre-set aim and objectives on the improvement of mental wellbeing in children and adolescents with SEN can be confirmed. Trial registration ClinicalTrial.gov, NCT06112483. Registered on 31 October 2023.
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spelling doaj-art-1c7cd202bb6d479bbee7958862b0bc812025-08-20T02:20:40ZengBMCBMC Pediatrics1471-24312024-12-0124111010.1186/s12887-024-05288-8Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental studyRegina Lai Tong Lee0Sally Wai Chi Chan1Yuen Yu Chong2Steven Wai Ho Chau3Kai Chow Choi4Wai Tong Chien5The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongTung Wah CollegeThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongDepartment of Psychiatry, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong KongAbstract Background Unstructured play has also been found effective on promoting positive emotions and emotional competence among children and adolescents with special educational needs (SEN). Unstructured Outdoor Play coupled with Mindfulness-based Interventions via ‘Supporting Wellness in E-Child Learning Environments’ (SWELE) program can foster the mental health and wellbeing of children and adolescents with SEN. Currently there is a lack of the unstructured play with mindfulness-based interventions in the special schools in Hong Kong. Thus, aim of the SWELE program is to examine the effects of unstructured play with mindfulness-based interventions—(SWELE) program combining unstructured outdoor play activities with mindfulness-based interventions to promote mental wellbeing among SEN children and adolescents. Methods This 16-week SWELE program focuses on combining unstructured outdoor play activities with mindfulness-based interventions to promote mental wellbeing among children and adolescents with SEN. Training workshops for schoolteachers, school principals, parents and student mental health ambassadors in each special school together with a 16-week SWELE program and each last 45–60 min. Unstructured play allows students the freedom to explore, create and discover without predetermined rules or guidelines. Outdoor unstructured play activities include naturally run, jump and move on a playground, riding a bike, climbing trees, playing tag, playing with blocks, colour, water play, and boxes. A convergent parallel mixed-methods design both with a quantitative measure using a single group pre- and post-tests quasi-experiment behavioural observational method to preliminarily evaluate the impact of SWELE Program on SEN children’s and adolescents’ mental wellbeing; and with a qualitative design to conduct eight focus group discussions including schoolteachers, school principals, parents, SEN students, school nurses from six selected special groups and to explore their perceptions and experiences after participated the SWELE program. Discussion The purpose of this protocol is to examine the effects of a 16-week SWELE program on the mood, anxiety level, social skills and playfulness behaviours among children and adolescents with SEN in the special schools in Hong Kong. From the evaluation and observation, the pre-set aim and objectives on the improvement of mental wellbeing in children and adolescents with SEN can be confirmed. Trial registration ClinicalTrial.gov, NCT06112483. Registered on 31 October 2023.https://doi.org/10.1186/s12887-024-05288-8Unstructured playMindfulness-based interventionsChildren and adolescentsSpecial educational needsMoodAnxiety
spellingShingle Regina Lai Tong Lee
Sally Wai Chi Chan
Yuen Yu Chong
Steven Wai Ho Chau
Kai Chow Choi
Wai Tong Chien
Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study
BMC Pediatrics
Unstructured play
Mindfulness-based interventions
Children and adolescents
Special educational needs
Mood
Anxiety
title Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study
title_full Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study
title_fullStr Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study
title_full_unstemmed Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study
title_short Effects of a SWELE program for improving mental wellbeing in children and adolescents with special educational needs: protocol of a quasi-experimental study
title_sort effects of a swele program for improving mental wellbeing in children and adolescents with special educational needs protocol of a quasi experimental study
topic Unstructured play
Mindfulness-based interventions
Children and adolescents
Special educational needs
Mood
Anxiety
url https://doi.org/10.1186/s12887-024-05288-8
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