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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
432
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.
Centre Higiene Mental Les Corts
Barcelona, Spain
Rocio Casañas
Barcelona, Spain
Change in the Mental Health knowledge
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.
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
Change in the Scaling Community Attitudes toward the Mentally Ill (CAMI).
Behaviour and Attitudes towards Mental health ( stigma)
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
Change in the Mental health symptoms and emotional well-being
The Strengths and Difficulties Scale (SDQ) will assess mental health symptoms and emotional well-being.
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
Change in the Bullying and Cyberbullying questionnaire
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.
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
Change in the Quality of life
We will use a Spanish validated version of the EuroQol 5D-5L questionnaire (EQ-5D-5L)
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
Change in the Intentions to Change
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.
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
Change in the Help-seeking
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.
Time frame: Change from Baseline to 6 months and 12 months after the intervention.
Change in the Use of Health Services and Treatment
We developed a 8- ítems questionnaire to evaluate the use of health services and treatment
Time frame: Change from Baseline to 6 months and 12 months after the intervention.
Health Benefits Questionnaire
We developed a 17-items questionnaire to evaluate family, academic and general health benefits.
Time frame: Baseline
Acceptability and satisfaction of 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.
Time frame: 2 weeks after the intervention
Change in the Reported and Intended Behaviour Scale (RIBS)
Behaviour and Attitudes towards Mental health ( stigma)
Time frame: Change from Baseline to 2 weeks after the intervention, 6 months and 12 months after the intervention.
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