Mental Health, Stigma, Social
Conditions
Keywords
mental health, promotion, prevention, adolescence, school programs, intervention
Brief summary
Objective: To evaluate the efficacy of 3 sensitivity and mental health literacy programs for young students in the increase of mental health knowledge, to help seeking and reducing the stigma in order to prevent mental disorders and to reduce symptoms. Design: Multicenter randomized clinical trial school-based during 12 months follow up. Setting: Educational centers of secondary education (E.S.O) (public or private) of Barcelona. Subjects: 408 students between 13 and 18 years old who attend 3rt ESO in 8 randomized schools of Barcelona. Interventions: 3 intervention groups of ascending intensity: 1) Sensitivity Program Mental Health (SP)(1h); 2) Mental Health Literacy Program (MHLP) (6h); 3) MHLP more Stigma Reduction (ER) ( MHLP+RE)(7h).Control group: waiting List. Measures of results:1) Mental Health Literacy; 2) Stigma associated with mental health; 3) Mental Symptoms and Positive Mental Health (SDQ); 4) Bullying and Ciberbullying; 5) Quality of life (E-5D); 6) Intent to change; 7) Help Seeking (AHSQ); 8) Use of Health Services and Treatment and 9) Satisfaction.
Interventions
OTHEREspaiJove.net mental health literacy program
The EspaiJove.net: a space for mental health (EspaiJove.net) project is a MHL program which aims the promotion of mental health, the prevention of mental disorders, the facilitation of help-seeking behaviors and the eradication of stigma among secoundary students into the Spanish context.
Sponsors
Centre d'Higiene Mental Les Corts
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
13 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Adolescents students who are currently attending the 3rd grade of E.S.O (corresponding to 9th grade in U.S.) in Barcelona, Spain; * Sign the informed consent
Exclusion criteria
* Attending any special education school; * Students with special educational needs who attend any school; * Not understanding Spanish and Catalan language.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Mental Health knowledge | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | This questionnaire is divided by two sections: (a) an identification list of mental disorders from a list of several diseases; (b) 20 questions with 4 possible answer choices which only one is correct. |
| Change in the Scaling Community Attitudes toward the Mentally Ill (CAMI). | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | Behaviour and Attitudes towards Mental health ( stigma) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in the Quality of life | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | We will use a Spanish validated version of the EuroQol 5D-5L questionnaire (EQ-5D-5L) |
| Change in the Intentions to Change | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | We will use the adapted Spanish version of the States of Change Scale (SCS). This is based on the Transtheoretical Change Model developed by J. Prochaska and C. DiClemente to assess the degree intention, disposition or attitude towards change. |
| Change in the Help-seeking | Change from Baseline to 6 months and 12 months after the intervention. | We selected and adapted the first item from the Spanish version of the General Help-Seeking Questionnaire (GHSQ) for measuring help-seeking behaviour in adolescents. |
| Change in the Mental health symptoms and emotional well-being | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | The Strengths and Difficulties Scale (SDQ) will assess mental health symptoms and emotional well-being. |
| Health Benefits Questionnaire | Baseline | We developed a 17-items questionnaire to evaluate family, academic and general health benefits. |
| Acceptability and satisfaction of the intervention | 2 weeks after the intervention | We developed a short questionnaire for assessing acceptability and satisfaction to measure the degree of receptivity of the people to the interventions proposed. |
| Change in the Reported and Intended Behaviour Scale (RIBS) | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | Behaviour and Attitudes towards Mental health ( stigma) |
| Change in the Use of Health Services and Treatment | Change from Baseline to 6 months and 12 months after the intervention. | We developed a 8- ítems questionnaire to evaluate the use of health services and treatment |
| Change in the Bullying and Cyberbullying questionnaire | Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention. | We developed four yes/no questions to ask whether he/she has been a victim or perpetrator of a bullying and/or a cyberbullying experience. |
Countries
Spain
Outcome results
None listed