@article{ref1,
title="Stress-prevention in secondary schools: online- versus face-to-face-training",
journal="Health education (1992)",
year="2009",
author="Fridrici, Mirko and Lohaus, Arnold",
volume="109",
number="4",
pages="299-313",
abstract="Purpose - The purpose of this paper is to focus on the evaluation of an internet-delivered stress-prevention program for adolescents as a possible alternative for school-based implementation of mental health promotion.Design/methodology/approach - A total of 904 adolescents in grades eight and nine were assigned to four treatment conditions (online-training in school, online-training via internet from home, school-based face-to-face training, control group without intervention). Before and after the training interval, all adolescents were questioned about their knowledge regarding stress and coping and their appraisal of stress-evoking situations. The participants self-assessed their perceived stress vulnerability, their coping behavior and their stress symptoms. In addition, the training groups were asked about their training acceptance.Findings - The results show a considerable knowledge gain for participants of the online-program. The number of positive cognitions in stress-evoking situations also increased, although this effect was only observed in the school-based online-training setting. Regarding training acceptance, the best results were obtained for participants of the classical face-to-face intervention.Research limitations/implications - Future research should examine factors that influence compliance rates in internet-delivered prevention programs.Practical implications - Although online-prevention cannot completely substitute school-based face-to-face-training, it can be seen as an effective and economic complement to conventional methods of health promotion.Originality/value - This paper presents not only a comparative evaluation of internet- and school-based health promotion targeting adolescents, but also a comparison of the effects of online-prevention under &quot;real&quot; and &quot;ideal&quot; conditions.<p />",
language="",
issn="0965-4283",
doi="10.1108/09654280910970884",
url="http://dx.doi.org/10.1108/09654280910970884"
}