Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

The Impact of Promoting Alternative Thinking Strategies (PATHS) on Loneliness in Primary School Children

Results From a Randomized Controlled Trial in England

Bibliographic Data

ID22167017
AuthorsAlexandra Hennessey (0000-0002-9341-4709, University of Manchester, corresponding author), Pamela Qualter (0000-0001-6114-3820, University of Manchester), Neil Humphrey (0000-0003-4849-2203)
Year2021
Volume6
Publication date2021-12-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Education (JOURNAL)
Journal identifiersISSN: 2504-284X • E-ISSN: 2504-284X
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/feduc.2021.791438
OpenAlexW4200317171
LanguageEN
Citations received5
References cited37

Research suggests that loneliness during childhood is associated with poor well-being and mental ill-health. There is a growing social and educational imperative to explore how school-based interventions can support young children’s social development. The Promoting Alternative Thinking Strategies (PATHS) curriculum is a universal school intervention focused on social and emotional learning, and it has a significant evidence based supporting its positive impact on children’s social-emotional and mental health outcomes. Yet the impact on children’s reported loneliness has not been explored. This paper presents the first large scale analyses of the impact of PATHS on reducing children’s loneliness in England. A cluster randomized controlled trial (RCT) with two arms: intervention (PATHS—23 schools) and control (usual practice—22 schools) assessed the impact of PATHS on children’s loneliness from baseline to 2-year follow-up. Two-level (school, child) multi-nomial regression models were used to assess “intention-to-treat” effects, controlling for important demographic co-variates such as gender, age, free school meal eligibility, ethnicity, and special educational needs. These analyses revealed a significant positive effect of PATHS on children’s loneliness. Furthermore, sensitivity analyses, treating loneliness as a dichotomous variable and using different cut-offs for loneliness, revealed the positive effect of PATHS was maintained and, thus, robust. This is the first RCT to demonstrate that a school-based universal social-emotional learning intervention such as PATHS can reduce loneliness in children

Curriculum · Developmental psychology · Loneliness · Mental health · Psychiatry · Psychological intervention · Randomized controlled trial · UCLA Loneliness Scale · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Community Health and Development · COVID-19 and Mental Health · Medicine · Psychology · Social Psychology

  • Exploring how children and adolescents talk about coping strategies relating to loneliness using reflexive thematic analysis

    Open Access•Lauren Burke, Lily Verity et al.•Frontiers in Psychiatry•2024

  • Fit to belong

    Open Access•Lily Verity, Manuela Barreto et al.•Frontiers in Education•2023

  • An Update of the Meta-Analysis of the Effects of Classroom Management Interventions on Students’ Academic, Behavioral, Social-Emotional, and Motivational Outcomes

    Open Access•H Korpershoek, Hester de Boer et al.•Review of Educational Research•2025

  • Loneliness During the School Years

    Open Access•Rebecca Jefferson, Manuela Barreto et al.•Journal of School Health•2023

  • Adolescent loneliness across the world and its relation to school climate, national culture and academic performance

    Open Access•Rebecca Jefferson, Manuela Barreto et al.•British Journal of Educational…•2023

  • Perceived social isolation, evolutionary fitness and health outcomes

    Open Access•Louise C Hawkley, John P Capitanio•Philosophical Transactions of the…•2015

  • Childhood loneliness as a predictor of adolescent depressive symptoms

    Open Access•Pamela Qualter, Stephen L Brown et al.•European Child & Adolescent…•2010

  • Intention-to-treat concept

    Open Access•Sandeep Kumar Gupta, SandeepK Gupta•Perspectives in Clinical Research•2011

  • Loneliness Across the Life Span

    Open Access•Pamela Qualter, Janne Vanhalst et al.•Perspectives on Psychological…•2015

  • The Predictive Validity of Multiple-Item versus Single-Item Measures of the Same Constructs

    Open Access•Lars Bergkvist, John R Rossiter•Journal of Marketing Research•2007

  • Intermediate and advanced topics in multilevel logistic regression analysis

    Open Access•Peter C Austin, Juan Merlo•Statistics in Medicine•2017

  • Loneliness and Peer Relations in Childhood

    Open Access•Steven R Asher, Julie Paquette et al.•Current Directions in Psychological…•2003

  • The Stability and Change of Loneliness Across the Life Span

    Open Access•Marcus Mund, Maren M Freuding et al.•Personality and Social Psychology…•2020

  • Loneliness, social relationships, and mental health in adolescents during the Covid-19 pandemic

    Open Access•Kate Cooper, Emily Hards et al.•Journal of Affective Disorders•2021

  • Multidisciplinary research priorities for the Covid-19 pandemic

    Open Access•Emily A Holmes, Rory C O''Connor et al.•The Lancet Psychiatry•2020

  • Rapid Systematic Review

    Open Access•Maria E Loades, Eleanor Chatburn et al.•Journal of the American Academy…•2020

  • Loneliness Matters

    Louise C Hawkley, John T Cacioppo•Annals of Behavioral Medicine•2010

  • Undesirable social relations as risk factors for loneliness among 14-year-olds in the UK

    Open Access•Keming Yang, Kimberly J Petersen et al.•International Journal of…•2022

  • Implementation matters

    Open Access•Margarita Panayiotou, Neil Humphrey et al.•Journal of Educational Psychology•2020

  • Looking Back to Move Forward

    Open Access•Ola Demkowicz, Margarita Panayiotou et al.•Frontiers in Psychiatry•2021

  • The Association between Loneliness, Mental Well-Being, and Self-Esteem among Adolescents in Four Nordic Countries

    Open Access•Nelli Lyyra, Einar Thorsteinsson et al.•International Journal of…•2021

  • Prevalence and Social Inequality in Youth Loneliness in the UK

    Open Access•Pamela Qualter, Alexandra Hennessey et al.•International Journal of…•2021

  • The KIDSCREEN-27 quality of life measure for children and adolescents

    Open Access•Ulrike Ravens-Sieberer, Pascal Auquier et al.•Quality of Life Research•2007

  • Testing the structural and cross-cultural validity of the KIDSCREEN-27 quality of life questionnaire

    Open Access•Stephane Robitail, Ulrike Ravens-Sieberer et al.•Quality of Life Research•2007

  • Improving Young Children’s Social and Emotional Competence

    Open Access•Celene E Domitrovich, Rebecca C Cortes et al.•The Journal of Primary Prevention•2007

  • A brief conceptual tutorial of multilevel analysis in social epidemiology

    Juan Merlo, Basile Chaix et al.•Journal of Epidemiology and…•2006

  • Just one question

    Ann Bowling•Journal of Epidemiology and…•2005

  • Promoting Alternative Thinking Strategies (PATHS) and Elementary School Aged Children's Aggression

    Open Access•Hugh F Crean, Deborah Johnson et al.•American Journal of Community…•2013

  • Adolescent loneliness and social anxiety

    Open Access•A M Cavanaugh, Cheryl Buehler•Journal of Social and Personal…•2016

Unique citing works5
Citations per year1,67
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae