Journal of Public Health

, Volume 19, Issue 4, pp 385–388 | Cite as

Stress prevention in adolescence: evaluation of a multimodal training approach

  • Arnold Lohaus


Subject and aims

This paper reports on the development and evaluation of a stress prevention program for adolescents of grades 8 and 9. The program is based on the problem-solving approach and was developed on the basis of several evaluation studies. It consists of eight weekly training sessions with durations of 90 min each and is accompanied by an e-learning platform.

Evaluation studies

The first section of the paper reports on a preceding demand analysis and the initial development and evaluation of the stress prevention program. The second section summarizes the results of providing an additional e-learning platform. Eight online-lessons were designed in correspondence to the training sessions of the face-to-face intervention. The last section of the paper focuses on the results of an evaluation of an optimized training version including the successful elements of the face-to-face and the e-learning platform.

Results and conclusion

The results of the final evaluation study showed clear knowledge and self-efficacy improvement and reduction of stress symptoms. Moreover, the training led to positive assessments by most adolescents. Possible actions in contributing to an increase of the training effects beyond those already apparent in the current evaluation studies are additionally discussed.


Stress prevention Adolescence E-learning Evaluation 



This study was supported by the German Federal Ministry of Education and Research (Bundesministerium für Bildung und Forschung) and by a Health Insurance Company (Techniker Krankenkasse).

Conflict of interest

The author declares that there is no conflict of interest.


  1. Beyer A, Lohaus A (2006) Stresspräventionstraining im Jugendalter. Hogrefe, Göttingen, GermanyGoogle Scholar
  2. Currie C, Hurrelmann K, Settertobulte W, Smith R, Todd J (eds) (2000) Health and health behaviour among young people. Issue 1 of the WHO Policy Series: Health policy for children and adolescents. World Health Organization, CopenhagenGoogle Scholar
  3. D’Zurilla TJ, Goldfried MR (1971) Problem solving and behavior modification. J Abnorm Psychol 78:107–126PubMedCrossRefGoogle Scholar
  4. Fridrici M, Lohaus A (2008) Sind Jugendliche “online” besser zu erreichen? Zur Internetnutzung bei Stresspräventionsmaßnahmen für Jugendliche. Prax Kinderpsychol K 57:39–59Google Scholar
  5. Fridrici M, Lohaus A (2009) Stress prevention in secondary schools: online versus face-to-face-training. Health Educ 109:299–313CrossRefGoogle Scholar
  6. Fridrici M, Lohaus A, Glass C (2009) Effects of incentives in web-based prevention for adolescents: results of an exploratory field study. Psychol Health 24:663–675PubMedCrossRefGoogle Scholar
  7. Kaplan PS (1999) A child’s odyssey: child and adolescent development. Wadsworth, New YorkGoogle Scholar
  8. Lohaus A, Fridrici M, Maass A (2009) Stressprävention im Jugendalter: Effekte eines optimierten Trainingsprogramms mit Internetbegleitung. Z Gesundheitspsych 17:13–21CrossRefGoogle Scholar
  9. McNamara S (2000) Stress in young people. What’s new and what can we do? Continuum, LondonGoogle Scholar
  10. Prochaska JO, Velicer WF (1997) The transtheoretical model of health behavior change. Am J Health Prom 12:38–48Google Scholar
  11. Rideout V, Roberts DF, Foehr UG (2005) Generation M: media in the lives of 8–18 year-olds. Kaiser Family Foundation, Menlo Park, CAGoogle Scholar
  12. Taylor CB, Jobson KO, Winzelberg A, Abascal L (2002) The use of the Internet to provide evidence-based integrated treatment programs for mental health. Psychiat Ann 32:671–677Google Scholar
  13. Velicer WF, Prochaska JO, Fava JL, Norman GJ, Redding CA (1998) Smoking cessation and stress management: applications of the transtheoretical model of behavior change. Homeostasis 38:216–233Google Scholar
  14. Vierhaus M, Maass A, Fridrici M, Lohaus A (2010) Effects of a stress prevention program addressing adolescents in different phases of behaviour change. Educ Psychol 30:465–480CrossRefGoogle Scholar
  15. Weinstein ND (1982) Unrealistic optimism about susceptibility to health problems. J Behav Med 5:441–460PubMedCrossRefGoogle Scholar
  16. Weinstein ND (1987) Unrealistic optimism about susceptibility to health problems: conclusions from a community-wide sample. J Behav Med 10:481–500PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of BielefeldBielefeldGermany

Personalised recommendations