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Early intervention for depression and anxiety in 16-18 year olds: a multi-centre trial of self-referral psychological stress workshop programmes in schools

Brief Educational workshops in Secondary Schools Trial: a multi-centre cluster randomised controlled trial of self-referral psychological stress workshops in schools for depression and anxiety in 16-18 year-olds.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN90912799
Enrollment
900
Registered
2020-06-02
Start date
2021-09-01
Completion date
Unknown
Last updated
2026-08-10

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

Conditions

Depression and anxiety Mental and Behavioural Disorders Depression and anxiety

Interventions

Participants in the intervention arm will receive a one-day, school-based mental health programme called the DISCOVER workshop, administered by trained NHS practitioners. Participants in the control a

Sponsors

King's College London
Lead Sponsor

Eligibility

Sex/Gender
All
Age
16 Years to 18 Years

Inclusion criteria

Inclusion criteria: Current participant inclusion criteria as of 01/09/2023: 1. Aged between 16 - 18 years 2. Enrolled at one of the schools taking part in the trial, with planned attendance until the end of the summer term 3. Sufficient English to provide valid informed consent and complete assessments 4. Be seeking help for stress (with or without teacher encouragement) 5. Able to attend and take part in the workshop School/college inclusion criteria: 1. Secondary school with 6th form or dedicated 6th form college 2. State-funded 3. Sufficient resources available to host trial Previous participant inclusion criteria as of 22/07/2021 to 01/09/2023: 1. Aged between 16 - 18 years 2. Enrolled at one of the schools taking part in the trial, with planned attendance until the end of the summer term 3. Sufficient English to provide valid informed consent and complete assessments 4. Be seeking help for stress (with or without teacher encouragement) 5. Able to attend and take part in the workshop School/college inclusion criteria: 1. Secondary school with 6th form or dedicated 6th form college 2. State-funded 3. Mixed gender 4. Sufficient resources available to host trial Previous participant inclusion criteria: 1. Aged between 16 - 18 years 2. Enrolled at one of the schools taking part in the trial, with planned attendance until the end of the summer term 3. Sufficient English to provide valid informed consent and complete assessments 4. Be seeking help for stress (with or without teacher encouragement) 5. Able to attend and take part in the workshop

Exclusion criteria

Exclusion criteria: Current participant exclusion criteria as of 01/09/2023: 1. Identified as actively suicidal (through risk assessment) 2. Current involvement with Child and Adolescent Mental Health Services (reviving psychological therapy for anxiety or depression) 3. Severe learning difficulties or psychosis School/college exclusion criteria: 1. Further education college 2. Privately funded school/college 3. 6th form/College student population <70 Previous participant exclusion criteria as of 27/09/2022 to 01/09/2023: 1. Identified as actively suicidal (through risk assessment) 2. Current involvement with Child and Adolescent Mental Health Services 3. Severe learning difficulties or psychosis School/college exclusion criteria: 1. Further education college 2. Single-gender school/college 3. Privately funded school/college 4. 6th form/College student population <70 Previous participant exclusion criteria as of 22/07/2021: 1. Identified as actively suicidal (through risk assessment) 2. Current involvement with Child and Adolescent Mental Health Services 3. Current involvement with school counselling 4. Severe learning difficulties or psychosis School/college exclusion criteria: 1. Further education college 2. Single-gender school/college 3. Privately funded school/college 4. 6th form/College student population <70 Previous participant exclusion criteria: 1. Identified as actively suicidal (through risk assessment) 2. Current involvement with Child and Adolescent Mental Health Services 3. Current involvement with school counselling 4. Severe learning difficulties or psychosis

Design outcomes

Primary

MeasureTime frame
Symptoms of depression, measured using the Mood and Feelings Questionnaire (MFQ), collected at baseline, and 3 and 6 months post-intervention

Secondary

MeasureTime frame
Current secondary outcome measures as of 22/07/2021: 1. Symptoms of anxiety, measured using the Revised Child Anxiety and Depression Scale (RCADS), collected at baseline, and 3 and 6 months post-intervention 2. Wellbeing, measured using the Warwick Edinburgh Mental Wellbeing scale (WEMWBS), collected at baseline, and 3 and 6 months post-intervention 3. Cost-effectiveness, measured using the Child and Adolescent Service Use Schedule (CA-SUS), collected at baseline and 3 and 6 months post-intervention 4. Quality of life, measured using the EQ-5D-3L (a self-report measure of health-related quality of life, used to calculate quality-adjusted life years (QALYs) suitable for economic evaluation), collected at baseline, and 3 and 6 months post-intervention 5. Participant satisfaction, measured using the the Client Satisfaction Questionnaire, collected immediately post-intervention, and 3 and 6 months post-intervention 6. A qualitative process evaluation, designed to (a) examine the contextual and process factors that either support or obstruct the implementation of the intervention, (b) examine the experience of participants and workshop facilitators and (c) assess whether and how the contextual (e.g. school regime and environment) and process factors (e.g. publicity, component parts of the workshop) identified through this work influence the intermediary outcomes (e.g. engagement, intervention fidelity, adherence to intervention protocol) as well as the primary and secondary outcomes assessed in the trial. The qualitative process evaluation will be conducted in 8 intervention schools (following completing of follow-up measures), using semi-structured interviews (with n=16 students, n=8 workshop facilitators) and focus groups with school staff (n=8). 7. Sleep quality, measured using the Sleep Condition Indicator (SCI), collected at baseline, and 3 and 6 months post-intervention. 8. Resilience, measured using the Child and Youth Resilience Measure 12 (CYRM-12), collected at

Countries

England, United Kingdom

Contacts

Public ContactJune Brown
june.brown@kcl.ac.uk+44 (0)20 78485004

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Aug 15, 2026