Promotion of mental health literacy and prevention of mental health difficulties in adolescents Other
Conditions
Interventions
The study will involve at least 700 adolescents in school grades 10-11 (age range approx. 14-18 years) recruited at schools across the 4 study sites in Vietnam (Thái Bình and Khánh Hòa) and Cambodia (
2) Stress and anxiety (two sessions)
3) Depression and emotional regulation (two sessions)
4) Eating disorders and body image (two sessions)
5) Se
Sponsors
Queen Mary University of London
Eligibility
Sex/Gender
All
Age
14 Years to 99 Years
Inclusion criteria
Inclusion criteria: Participants for the intervention must meet the following criteria to take part: 1. A school student of any gender in one of the participating schools; 2. 10th-11th grade (age range 14-18 years) 3. Able and willing to take part for the duration of the study (i.e. one school year) 4. Able and willing to provide written assent to participate; 5. Able to obtain written informed consent from a parent/guardian; 6. Not planning to transfer to a different school in the next 12 months. For each participant, we will also recruit one of their parents/legal guardians, also of any gender and willing and able to provide written consent for themselves and their child. Intervention providers must meet the following criteria to take part: An adult of any gender identified as interested and capable during the stakeholder analysis – i.e., these providers will be selected from the trainees who completed mental health literacy training in phase 2 of the M-BRIGHT study.
Exclusion criteria
Exclusion criteria: 1. Have a severe mental health condition and/or physical health or medical condition - i.e., students whose health status inhibits their capacity to attend school regularly, participate in study activities or provide written informed consent; 2. They are a participant in a concurrent or similar intervention or research project, as enrolment in another programme or trial may confound outcomes; 3. They have a high likelihood of dropout, such as students expected to leave the school within the study period (e.g., due to planned relocation).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome(s) as of 15/07/2026: Feasibility, acceptability and fidelity will be measured as follows: 1.The number of sessions delivered as planned (feasibility and fidelity) will be measured using the intervention monitoring template, recorded at every intervention session and checked at midline and endline 2.The number of adolescents who took part, attrition and understanding whether any socio-demographic factors impact participation (feasibility) will be measured using the intervention monitoring template and demographic survey, with monitoring recorded at every intervention session and demographic data collected at baseline 3.Compliance with the intervention manual and data completeness and quality (fidelity) will be measured through observations at midline and monitoring completeness of the intervention monitoring template and all participant surveys throughout the intervention 4.Acceptability will be examined through interviews and focus groups with adolescents, their family members and other key informants (e.g., teachers, community leaders) at endline Potential effects of the intervention will be measured at baseline, endline and three months post-intervention through the survey for adolescents as follows: 5.Mental health literacy will be measured by the Mental Health Literacy Scale (MHLS) (O’Connor & Casey, 2015) 6.Mental health will be measured by Children Patient Health Questionnaire for symptoms of depression (PHQ-8) (Kroenke & Spitzer, 2002) and the Generalised Anxiety Disorder Questionnaire (GAD-7) (Spitzer et al., 2006) 7.Wellbeing will be measured by WHO Five Wellbeing Index Questionnaire (WHO-5) (World Health Organization, 1998) 8.Health-related quality of life (HRQOL) will be measured by the EQ-5D (Rabin & De Charro, 2001) 9. Health economics information will also be collected three months post-intervention through the adolescent and parent surveys. This includes study-specific questions on health-related costs _____ Previous prima | — |
Secondary
| Measure | Time frame |
|---|---|
| Current key secondary outcome(s) as of 15/07/2026: Children’s emotional and behavioural relationships and social networks. These will be measured at baseline, endline and three months post-intervention through the survey for adolescents and parents/guardians as follows: 1. Adolescent survey: 1.1. Social networks, key relationships and loneliness will be measured by the #BeeWell survey (Heather & Manzi, 2024); 1.2. Self-esteem will be measured by Rosenberg’s Self-esteem Scale (RSES) (Rosenberg, 1965). 2. Parent/carer survey: 2.1. Child behaviour and emotions will be measured by the Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997). An additional secondary outcome measure is the impact of the mental health literacy training from a previous phase (phase 2) of the M-BRIGHT study. This will be measured by comparing the mental health literacy of intervention providers prior to the training, at the end of the training (in phase 2) as well as midway through and at the end of the intervention (in phase 3), using the Mental Health Literacy Scale (O’Connor & Casey, 2015) in the intervention provider survey. We will also interview a small number of trainees who do not go on to deliver the intervention approximately three months after the training (in phase 2) and after the intervention (in phase 3) to understand the impact that the training may have had on them over time despite not delivering the intervention. Trainees who do not go on to deliver the intervention will also complete this survey at the same timepoints (pre- and post-training and at the end of the intervention. _____ Previous key secondary outcome(s): Children’s emotional and behavioural relationships and social networks. These will be measured at baseline, endline and three months post-intervention through the survey for adolescents and parents/guardians as follows: 1. Adolescent survey: 1.1. Social networks, key relationships and loneliness will be measured by the #BeeWell survey (Heather & M | — |
Countries
Cambodia, Viet Nam
Contacts
Public ContactFrancois van Loggerenberg
Outcome results
None listed