The effectiveness of a “EspaiJove.net”- a school-based intervention programme in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population: a cluster randomised controlled trial

BMC Public Health

Research

Hernán María Sampietro¹  Marta Díez¹  Patricia Siñol²  Raquel Sorli²  Raúl Fernández²  Jesica Barón³  Juan-José Gil³  María Torres-Torres³  Pere Castellvi⁴  Antonia Raya-Tena⁵  Rosa Alvarez⁵  Davinia Vazquez⁵  Francisca Jurado⁵  Sandra Gonzalez⁵  Isaac Amado-Rodriguez⁵  Maria Isabel Fernandez-San Martín⁵  Jordi Alonso⁶  Regina Carreras-Salvador⁷  Luis Miguel Martín- López⁷  Mercè Teixidó⁸  Rocío Casañas⁹  Lluís Lalucat-Jo⁹ 

[1] Activament Catalunya Associació, C/ Rocafort, 242 Bis, 3R B, 08029, Barcelona, Spain;Child and Juvenile Mental Health Centre of Ciutat Vella- Sant Martí, Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, C/ Ramon Turró, 337, 339, 08019, Barcelona, Spain;Child and Juvenile Mental Health Centre of Les Corts- Sarrià Sant Gervasi, Associació Centre Higiene Mental Les Corts, C/Montnegre 21, 3a Planta, 08029, Barcelona, Spain;Department of Medicine, Universitat Internacional de Catalunya, Campus Sant Cugat. C/ Josep Trueta s/n, Sant Cugat del Vallés, 08195, Barcelona, Spain;Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007, Barcelona, Spain;Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), CIBERESP, C/ Dr. Aiguader, 88, 08003, Barcelona, Spain;Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, Passeig Marítim, 25-29, 08003, Barcelona, Spain;Mental Health Area of Les Corts- Sarrià Sant Gervasi, Associació Centre Higiene Mental Les Corts, C/Via Augusta 364-372, 4a Planta, 08017, Barcelona, Spain;Research Department, Associació Centre Higiene Mental Les Corts, C/ Numància, 103-105, Bajos, 08029, Barcelona, Spain;

关键词: Mental health literacy;    Adolescence;    School;    Intervention;    Mental health;    Promotion;    Prevention;    Stigma;   

DOI  :  10.1186/s12889-022-14558-y

 received in 2021-11-29, accepted in 2022-11-07,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe aim of this study is to evaluate the short- and long-term effects of the universal mental health literacy intervention “EspaiJove.net” in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population. We also examine whether these effects depend on the intervention intensity. MethodsA clustered school-based randomised controlled trial (cRCT) design. Subjects: 1,298 secondary pupils aged 13 and 14 were recruited from 18 schools in Barcelona (Spain) between September 2016 and January 2018. Intervention: Three programmes were assessed: 1) Sensitivity Programme (SP; 1 h); 2) Mental Health Literacy (MHL; 6 h); 3) MHL plus a first-person Stigma Reduction Programme (MHL + SR; 7 h); 4) Control group (CG): waiting list. Outcome measures: 1) MHL: EspaiJove.net EMHL Test (First part and Second Part); 2) Stigma: RIBS and CAMI; 3) Help-seeking and use of treatment: GHSQ. Analysis: The data was collected at baseline, post-intervention and 6 and 12 months later. An intention-to-treat analysis and imputation method was used to analyse the missing data. Intervention effects were analysed using multilevel modelling.ResultsOne thousand thirty-two students were included (SP = 225; MHL = 261; MHL + SR = 295 and CG = 251). The MHL and MHL + SR interventions showed short- and long-term an increase in knowledge compared to SP and CG, but no significant change post-intervention or over time (First part p = 0.52 and Second part p = 0.62) between intervention groups and CG. No significant changes were found in stigma scores post-intervention or over time (CAMI p = 0.61 and RIBS p = 0.98) or in help-seeking scores (parent p = 0.69; teacher p = 0.23 and healthcare professional p = 0.75). The MHL + SR intervention was the best valued and recommended (p < 0.005).ConclusionsThe three interventions of the EspaiJove.net programme (SP, MHL and MHL + SR) seem not to be effective in terms MHL, Stigma and help-seeking behaviours. The contact with a person who has experimented mental illness first-hand did not reduce stigma attitudes. Further research should deal with the heterogeneity of MHL interventions (concept, duration and measures) and identify which components of stigma interventions are effective.Trial registrationClinicalTrials.gov identifier: NCT03215654 (registration date 12 July 2017).

【 授权许可】

CC BY   
© The Author(s) 2022

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