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Supporting childhood mental health in disasters: Evaluation of Psychological First Aid in Schools

Psychological First Aid in Schools to prepare staff for supporting student mental health in disasters and critical incidents: a cluster-randomised controlled trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626000343303
Enrollment
360
Registered
2026-03-19
Start date
2026-04-01
Completion date
2027-08-01
Last updated
2026-03-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Disasters can disrupt childhood development and increase the long-term risk of mental health difficulties. Although most children and adolescents recover with appropriate support, evidence for effective interventions to protect youth mental health in disasters remains limited. This study aims to evaluate the effectiveness of Psychological First Aid in Schools (PFA-S), a school-based training program designed to prepare primary and secondary school staff to support student wellbeing during and after disasters and critical incidents. This study will provide important evidence for an accessible, scalable school-based intervention to strengthen staff capacity to provide psychosocial support to students in disasters, promoting recovery and preventing long-term psychological impacts.

Interventions

Name: Psychological First Aid in Schools (PFA-S) Goal: The aim of PFA-S is to equip school staff with the knowledge, skills, and attitudes to be prepared to support the psychological wellbeing of school students when a disaster or critical incident occurs. What: The PFA-S program of training is delivered over 2 hours, and includes education content regarding the impacts of disasters on children across development, PFA-S core principles and actions, examples of disasters and application of PFA-S

Name: Psychological First Aid in Schools (PFA-S) Goal: The aim of PFA-S is to equip school staff with the knowledge, skills, and attitudes to be prepared to support the psychological wellbeing of school students when a disaster or critical incident occurs. What: The PFA-S program of training is delivered over 2 hours, and includes education content regarding the impacts of disasters on children across development, PFA-S core principles and actions, examples of disasters and application of PFA-S actions, and opportunities to reflect on and apply PFA-S principles and actions to relevant disaster and school contexts. The materials used are designed specifically for this study, by members of the research team and the NSW Department of Education. Further information about training materials can be gained by contacting the researchers or the training providers. Who: PFA-S training will be delivered by two NSW Department of Education Psychology and Wellbeing Services staff per session. Lead facilitators will be Psychologists in current wellbeing training and leadership roles and/or working in school psychologist roles. How: The program will be delivered live to entire school staff groups. To meet the timetabling needs of each school, the program may be delivered in one 2-hour block, or in two 1 hour sessions across two weeks, with one session conducted online, and one session in-person. Strategies to monitor fidelity will include a fidelity checklist completed by facilitators, as well as session attendance records. Where: The program will be delivered at each participating school site. School's completing the training across two weeks will access live facilitation for the first session via videoconferencing facilities, and the second session will be delivered on site.

Sponsors

Australian National University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
5 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

The current project is a universal trial, meaning all staff (wellbeing, teaching and support staff) within a participating school will be invited to participate in the trial. All students at participating schools aged >= 8 years will be eligible to assent to survey participation, with parent/carer consent, if they can complete the survey with usual classroom supports in place, All students at participating schools aged >= 5 years will be eligible to assent to focus group participation, with parent/carer consent.

Exclusion criteria

No exclusion criteria; however, participants must meet the inclusion criteria and provide assent and parental consent.

Outcome results

None listed

Source: ANZCTR · Data processed: Apr 3, 2026