The Positive Choices trial is underway to assess the effectiveness of a whole-of-school intervention designed to improve mental health and well-being in adolescents. This phase III randomized controlled trial (RCT) addresses the critical need for scalable and sustainable mental health support within the educational system.
The trial is being conducted across multiple schools, employing a comprehensive intervention strategy that targets students, teachers, and the overall school environment. The primary aim is to reduce psychological distress among adolescents, a significant concern given the rising rates of mental health issues in this age group.
Intervention Components
The Positive Choices intervention includes several key components:
- Student Programs: Evidence-based programs designed to enhance coping skills, resilience, and emotional regulation among students.
- Teacher Training: Professional development for teachers to improve their ability to identify and support students experiencing mental health difficulties.
- School-Wide Initiatives: Activities and policies aimed at creating a positive and supportive school climate that promotes mental health and well-being.
Trial Design and Outcomes
The Positive Choices trial is a cluster RCT, with schools randomized to either the intervention or control condition. Data is collected at baseline, post-intervention, and follow-up to assess changes in psychological distress, well-being, academic outcomes, and school climate. The primary outcome measure is the change in psychological distress symptoms, as measured by a validated assessment tool.
Secondary outcomes include measures of well-being, academic achievement, school connectedness, and teacher mental health. These outcomes will provide a comprehensive understanding of the intervention's impact on the entire school community.
Significance and Implications
The Positive Choices trial has the potential to inform the development and implementation of effective, school-based mental health interventions. By targeting multiple levels within the school system, this approach aims to create a sustainable and scalable model for promoting adolescent mental health and well-being. The results of this trial could have significant implications for policy and practice, guiding efforts to support the mental health needs of young people in educational settings.
