The effect of peer education based on adolescent health education on the resilience of children and adolescents: A cluster randomized controlled trial

Acknowledgments We would like to thank the primary and secondary school health centers in Qijiang District and teachers and leaders of selected schools for their support of data collection. At the same time, we would also like to thank the teachers of the Department of Statistics, Chongqing Med- ical University for their guidance on data analysis. Author Contributions Conceptualization: Hong Wang. Data curation: Yinshuang Tang, Hua Diao, Feng Jin, Yang Pu. Formal analysis: Yinshuang Tang. Funding acquisition: Hong Wang. Investigation: Yinshuang Tang, Feng Jin, Yang Pu. Methodology: Yinshuang Tang, Hua Diao. Project administration: Hong Wang. Resources: Yinshuang Tang, Hong Wang. Software: Hua Diao. Supervision: Hong Wang. Validation: Yinshuang Tang, Hua Diao, Hong Wang. Visualization: Yinshuang Tang, Hua Diao. Writing – original draft: Yinshuang Tang, Hua Diao. Writing – review & editing: Hong Wang. References 1. Cyranoski D. China tackles surge in mental illness. Nature. 2010; 468(7321):145. https://doi.org/10. 1038/468145a PMID: 21068798 2. Wang C, Zhang P, Zhang N. Adolescent mental health in China requires more attention. Lancet Public Health. 2020; 5(12): e637. https://doi.org/10.1016/S2468-2667(20)30094-3 PMID: 33271076 3. Psychiatric institutions in China. Lancet. 2010; 376(9734):2. https://doi.org/10.1016/S0140-6736(10) 61039-2 PMID: 20609976 4. Zheng Y, Zheng X. Current state and recent developments of child psychiatry in China. Child Adolesc Psychiatry Ment Health. 2015; 9:10. https://doi.org/10.1186/s13034-015-0040-0 PMID: 25972919

5. Xiao Y, Wang Y, Chang W, Chen Y, Yu Z, Risch HA. Factors associated with psychological resilience in left-behind children in southwest China. Asian J Psychiatr. 2019; 46:1–5. https://doi.org/10.1016/j.ajp. 2019.09.014 PMID: 31568979 6. Harvey J, Delfabbro PH. Psychological resilience in disadvantaged youth: A critical overview. Aust Psy- chol. 2004, 39(1): 3–13. https://doi.org/10.1080/00050060410001660281 7. Haggerty RJ, Sherrod LR, Garmezy N, Rutter M. Stress, risk, and resilience in children and adoles- cents: Processes, mechanisms, and interventions. Cambridge University Press; 1996. 8. Singh R, Mahato S, Singh B, Bhushal S, Fomani FK. Psychometric properties of Adolescent Resilience Questionnaire among Nepalese adolescents in Lalitpur. Asian J Psychiatr. 2019; 45:13–17. https://doi. org/10.1016/j.ajp.2019.08.002 PMID: 31430691 9. Epstein RM, Krasner MS. Physician resilience: what it means, why it matters, and how to promote it. Acad Med. 2013; 88(3):301–3. https://doi.org/10.1097/ACM.0b013e318280cff0 PMID: 23442430 10. Mandleco BL, Peery JC. An organizational framework for conceptualizing resilience in children. J Child Adolesc Psychiatr Nurs. 2000; 13(3):99–111. https://doi.org/10.1111/j.1744-6171.2000.tb00086.x PMID: 11111503 PLOS ONE The effect of peer education based on adolescent health education on resilience of children and adolescents PLOS ONE | https://doi.org/10.1371/journal.pone.0263012 February 2, 2022 15 / 18