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"EspaiJove.Net"- a School-based Intervention Program to Promote Mental Health in Adolescent Population

Not Applicable
Completed
Conditions
Stigma, Social
Mental Health
Interventions
Other: "EspaiJove.net" mental health literacy program
Registration Number
NCT03215654
Lead Sponsor
Centre d'Higiene Mental Les Corts
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
432
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MHL more Stigma Reduction (ER)"EspaiJove.net" mental health literacy programIncludes the six teaching units of MHL and a first contact presentation with lived experience of any mental disorder, who will be delivered by a voluntary member of Activament Catalunya Associació (http://www.activament.org/es), a non-profit group specialized in reducing stigma. Duration 7 hours.
Mental Health Literacy Program (MHL)"EspaiJove.net" mental health literacy programMHL module contents are: 1) Our emotions. Definitions of mental health and mental disorders. Mental health multidisciplinary team network; 2) Healthy and risky behaviors of mental health; 3) Social skills and antisocial behavior, bullying and cyberbullying; 4) Anxiety, depression, self-harm, and suicidal behaviors; 5) Eating and behavioral disorders; 6) Substance abuse (alcohol and cannabis), an psychotic disorder. Duration 6 hours.
Sensitization Program (SP)"EspaiJove.net" mental health literacy programInclude the concepts of mental health and mental disorder, healthy and risky behaviors of mental health, and use of health services. Duration 1 hour.
Primary Outcome Measures
NameTimeMethod
Change in the Mental Health knowledgeChange 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 Outcome Measures
NameTimeMethod
Change in the Use of Health Services and TreatmentChange 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 Intentions to ChangeChange 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-seekingChange 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 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 Quality of lifeChange 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)

Health Benefits QuestionnaireBaseline

We developed a 17-items questionnaire to evaluate family, academic and general health benefits.

Acceptability and satisfaction of the intervention2 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 Mental health symptoms and emotional well-beingChange 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.

Change in the Bullying and Cyberbullying questionnaireChange 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.

Trial Locations

Locations (2)

Rocio Casañas

🇪🇸

Barcelona, Spain

Centre Higiene Mental Les Corts

🇪🇸

Barcelona, Spain

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