Participatory Design and Feasibility of a Multicomponent Intervention to Improve the Well-being of Elementary School Children After the COVID-19 Pandemic
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 170
- 试验地点
- 2
- 主要终点
- Satisfaction assessed by a Likert Survey
研究概览
简要总结
Child mental health (CMH) is crucial for lifelong well-being. Early prevention and intervention are vital for public health, yet Chile faces a high prevalence of CMH issues, particularly in children aged 4 to 11. Schools play a key role in addressing these problems, but there's a lack of coordination within the systems (Schools and Health Centers). This project aims to enhance children's mental health and the school community through a biopsychosocial approach, emphasizing social support.
The intervention consists of two parts:
- Developing an online CMH literacy program for primary school teachers in Public Educational Establishments (EEPs). It's designed through collaboration with stakeholders, focusing on the specific needs of participating schools.
- Enhancing the coordination of the CMH network in Valparaíso, involving community, health, and education stakeholders in two neighborhoods. This will be done by using "ECO Barrio Solidario" program and aligning it with local health initiatives.
The project spans two years and focuses on four EEPs in Valparaíso. In the first year, the literacy intervention is constructed in partnership with each school, including program objectives, methodology, and scope. An online platform with educational videos will be created. The "ECO-Barrio Network" will connect with local agencies involved in child MH. In the second year, the intervention will be implemented in four of the eight recruited schools, while the other four serve as a control group. Subsequently, the remaining four schools will receive the intervention. Evaluation will consider acceptability, feasibility, and effectiveness, assessing faculty CMH knowledge, timely research, and reduced wait times for healthcare and child protection services.
详细描述
This proposal aims to build "school communities" based on Public Schools (PS), with the goal of promoting children's mental health (MH) and detecting early MH issues in students, providing them with initial support and coordinated referrals for treatment.
To achieve this, a participatory multicomponent intervention is proposed to promote the MH of children attending basic education. The components of this grant are: 1) a Child Mental Health (CMH) Literacy program for PS teachers, which will be constructed in a participatory manner with them and other key stakeholders; and 2) the coordination of the local network of child and adolescent mental health care, including various levels of complexity (community, primary care, and specialized care). This network is based on the ECO-BARRIO SOLIDARIO strategy with adaptations according to the new socio-sanitary context.
Given the nature of a pilot project that seeks to evaluate the feasibility of this intervention initially, it is proposed to implement it in two neighborhoods of Valparaíso, with a random selection of 8 PS with primary education in each of these neighborhoods. After the program's implementation, the initial effectiveness of the CMH literacy component will be evaluated with the teachers.
The process of participatory construction of the CMH Literacy program will be developed during the first 12 months of the project. It will involve working with representatives of the academic staff of these EPs (teachers, para-teachers, directors, and others), parents, students, directors of the Local Education Service (SLEP) of Valparaíso, and representatives of the ECO-Barrio network.
Through working groups and individual interviews with key stakeholders, a survey of objectives, methodology, and contents of the CMH Literacy program will be conducted. Due to the health situation resulting from the COVID-19 Pandemic and the current development of Information and Communication Technologies (ICTs), an asynchronous and synchronous online program is proposed. This program will be based on recorded video educational capsules and discussion groups with CMH specialists, respectively. There will be an evaluation at the beginning and at the end of the course to measure acquired knowledge and the level of satisfaction with the methodology and content, among other factors. The course will be free and certified by the Faculty of Medicine of the University of Valparaíso. Certification will be automatic for those who fulfill all the requirements on the online platform, which will be accessible from computers or mobile phones. The total duration of the course should be between 3 to 4 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 22 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All the teachers in the participating schools
- •Both gender
排除标准
- •Lack of informed consent.
- •Teachers who are leaving or not planning to be in the school at any time during 2023
结局指标
主要结局
Satisfaction assessed by a Likert Survey
时间窗: Immediately at the conclusion of each session
Level of satisfaction of teachers with the intervention, an ad hoc survey will be used, with Likert questions for each module of the training course
Feasibility of the intervention assessed by the proportion of teachers who complete the workshop
时间窗: Immediately after the completion of the intervention up to 4 weeks
Level of retention of teachers in the intervention will be estimated through the proportion of teachers who complete the course of all those who started it.
Rate of accuracy for referral of children
时间窗: Between 8 to 16 weeks after the completion of the intervention
with suspected psychiatric disorders from the school to health care. Each "case" referral will apply the Strength and Difficulties Questionnaire (SDQ). 25 items (scale 0-2)
Teachers' level of knowledge about infant mental health
时间窗: Immediately prior to the intervention and after the completion of the intervention up to 4 weeks
Teachers' level of knowledge, using the "Children's Mental Health Questionnaire for Educators," scores range from 0 to 13, with higher scores indicating better knowledge of mental health.
次要结局
- Rates of referral of mental health problems in children(Through study completion, an average of 10 months)
- Waiting time between referral to first attention in the health center(Through study completion, an average of 12 months)
- Level of interest of teachers in the intervention(At the beginning of the intervention, for up to 4 weeks)