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Effectiveness of Integrated Network for Student Psychosocial Intervention, Resilience, and Education (INSPIRE) on Mental Health Outcomes Among Indonesian Adolescents in Bandung

Not Applicable
Not yet recruiting
Conditions
Adolescents
Health Knowledge
Mental Health
Health Literacy
Resilience
Depression
Anxiety
Parents
School Intervention
Registration Number
NCT06942637
Lead Sponsor
National University of Singapore
Brief Summary

The INSPIRE (Integrated Network for Student Psychosocial Intervention, Resilience, and Education) intervention is an 8-week, school-based mental health program designed to enhance adolescents' mental health literacy and resilience while addressing symptoms of depression and anxiety. Implementation is conducted by school counselors who undergo an intensive two-day training program. The intervention is supported by comprehensive curriculum materials including detailed lesson plans, activities, discussion prompts, and instructional slides featuring key concepts, visuals, and explanatory content. Supplementary materials are developed for both participating adolescents and their parents.

The study aims to:

1. Evaluate the usability and feasibility of the INSPIRE intervention within the school environment.

2. Assess the intervention's effectiveness in improving:

* Primary outcome: Mental health knowledge among adolescents

* Secondary outcomes: Attitudes toward mental health, help-seeking behaviors, mental health literacy, resilience, and symptoms of depression and anxiety among adolescents

* Secondary outcomes: mental health knowledge, attitudes, help-seeking behaviors, and mental health literacy among parents

3. Explore the experiences of intervention participants (both adolescents and parents) against the control group to develop comprehensive insights into the psychosocial intervention's impact.

The research hypothesis proposes that the INSPIRE intervention group will demonstrate significantly higher scores in mental health knowledge, more positive attitudes toward mental health, increased help-seeking behaviors, enhanced mental health literacy, and greater resilience, while simultaneously showing reduced symptoms of depression and anxiety compared to the control group receiving standard care. These outcomes will be measured immediately following the intervention (post-test 1) and at one-month follow-up (post-test 2).

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
680
Inclusion Criteria

The inclusion criteria for adolescents are as follows:

  • Unmarried, 13-15 years old, school-going, healthy adolescents enrolled in an Indonesian public junior high school
  • Able to read, understand, and converse in Bahasa Indonesia.

The inclusion criteria for parents are as follows:

  • The biological father, mother, or an adult who fulfils a parental or guardian role for the participating adolescent
  • Able to understand and communicate in Bahasa Indonesia.
Exclusion Criteria
  • Adolescents who are working, clinically diagnosed with severe mental disorders, such as schizophrenia or psychosis, at high risk for mental health disorders (e.g., teenage pregnancy), or are cognitively impaired will be excluded.
  • Parents with severe mental disorders or cognitive impairment that may hinder participation will be excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Adolescents' mental health knowledgeAt one-month follow-up (post-test 2).

13-item mental health knowledge scale. Total scores range from 0 to 13, with higher scores indicating better mental health knowledge.

Secondary Outcome Measures
NameTimeMethod
Adolescents' attitudes towards mental healthAt one-month follow-up (post-test 2).

12-item attitude toward mental health scale. Scores range from 12 to 60, with higher scores indicating more positive attitudes.

Adolescents' attitudes toward help-seeking behaviorsAt one-month follow-up (post-test 2).

5-item attitude toward mental help-seeking behaviors questionnaire. Scores range from 5 to 15, with higher scores indicating more positive attitudes toward help-seeking behaviors.

Adolescents' mental health literacyAt one-month follow-up (post-test 2).

the 50-item Knowledge and Attitudes to Mental Health Scales, with total scores ranging from 0 to 200. Higher scores indicated higher mental health literacy.

Adolescents' resilienceAt one-month follow-up (post-test 2).

the nine-item resilience evaluation scale, with the total scores ranging from 0 to 36. Higher scores indicated higher psychological resilience.

Adolescents' depressionAt one-month follow-up (post-test 2).

the nine-item Patient Health Questionnaire, with total scores ranging from 0 to 27. Higher scores indicate more severe depressive symptoms.

Adolescents' anxietyAt one-month follow-up (post-test 2).

the 7-item Generalized Anxiety Disorder scale, with total scores ranging from 0 to 21. Higher scores indicate more severe anxiety symptoms.

Parents' mental health knowledgeAt one-month follow-up (post-test 2).

13-item mental health knowledge scale. Total scores range from 0 to 13, with higher scores indicating better mental health knowledge.

Parents' attitudes towards mental healthAt one-month follow-up (post-test 2).

12-item attitude toward mental health scale. Scores range from 12 to 60, with higher scores indicating more positive attitudes.

Parents' attitudes toward help-seeking behaviorsAt one-month follow-up (post-test 2).

5-item attitude toward mental help-seeking behaviors questionnaire. Scores range from 5 to 15, with higher scores indicating more positive attitudes toward help-seeking behaviors.

Parents' mental health literacyAt one-month follow-up (post-test 2).

The 16-item Mental Health Literacy Questionnaire, with total scores ranging from 16 to 80. Higher scores indicated higher mental health literacy.

Trial Locations

Locations (1)

Alice Lee Centre for Nursing Studies, National University of Singapore

🇸🇬

Singapore, Singapore

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