Psychoeducational Intervention to Promote Adolescents' Mental Health Literacy in a School Context

Health Literacy Clinical Trial

Official title:

Development and Piloting of a Psychoeducational Intervention to Promote Mental Health Literacy in Adolescents in a School Context

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03872817
• Other study ID #: 71/2015
• Status: Completed
• Phase: N/A
• Start date: February 2, 2016
• Est. completion date: May 31, 2016

Study information

• Verified date: March 2019
• Source: Escola Superior de Enfermagem de Coimbra
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Mental Health Literacy was defined as knowledge and beliefs about mental disorders that aid in its recognition, management or prevention. Portugal is the European country with the highest prevalence of mental illness in the population (22.9%) and anxiety disorders are the most common (16.5%). Approximately 20% of children and adolescents suffer from some mental disorder and about 8% of adolescents aged 13 to 18 years have some anxiety disorders. Portugal School Health Program 2015 evidences the promotion of health literacy and anxiety as areas of intervention in adolescence. The investigators intend to know the feasibility of a psychoeducational intervention to promote adolescents' mental health literacy (MHL) about anxiety in a school context.

Description:

Mental Health Literacy (MHL) was defined as knowledge and beliefs about mental disorders that aid in its recognition, management or prevention and include several components: recognition of disorders to facilitate help-seeking; knowledge of professional help and treatments available; knowledge of effective self-help strategies; knowledge and skills to give first aid and support to others, and knowledge of how to prevent mental disorders. MHL is not simply knowledge of mental health problems, it is knowledge linked to action which can benefit one's own mental health or that of others. Portugal is the European country with the highest prevalence of mental illness in the population (22.9%) and anxiety disorders are the most common (16.5%). Approximately 20% of children and adolescents suffer from some mental disorder and about 8% of adolescents aged 13 to 18 years have some anxiety disorders. In a Portugal recent study, anxiety predominated in 66.3% (930) adolescents between the ages of 13 and 17 who used the urgency of a pediatric hospital from 2011 to 2014. Portugal School Health Program (2015) evidences the promotion of health literacy and anxiety as areas of intervention in adolescence.

The objectives of this study are: identify adolescents' MHL about anxiety in school setting; design an psychoeducational intervention to promote adolescents' MHL about anxiety in school setting; validate the content of that intervention and evaluate its feasibility.

Research Method(s): Medical Research Council's (MRC) framework and CReDECI Checklist were applied on the development and evaluation of complex interventions using quantitative, qualitative and mixed methods. Ethical considerations have taken place.

Implementation Strategies for Findings: Development of psychoeducational intervention to promote adolescents' MHL about anxiety in school setting supported by Health Promotion Model of Pender; Conceptual Model of Health Literacy and Integrative Model of Behavioral Prediction. Systematic reviews about adolescents' MHL and about MHL interventions showed reduced mental health literacy of adolescents and suggest some methods and pedagogical techniques. We designed a mental health literacy psychoeducational intervention about anxiety on adolescents in a school context called "ProLiSMentAl" using different methods and pedagogical techniques, consist of 4 sessions of 90 minutes: 1) Improvement social anxiety recognition; 2) prevention strategies; 3) self-help strategies; 4) knowledge of first aid strategies and 5) knowledge of professionals and treatments available. Contextual factors and determinants of the setting in the modelling of the intervention were given by a focus group with 6 health and education experts and a focus group with 6 adolescents and an e-delphi with 25 experts. After nurses' training and preparation meetings, mixed studies were carried out to model the final intervention and determine feasibility, acceptability and practicability of this complex intervention: 1) feasibility study: pre-experimental, before and after, without control group with 11 adolescents; 2) adolescents', health and education professionals' evaluation; 3) pilot study: quasi-experimental, before, after and 1month follow-up (n=21) with an equivalent control group (n=17).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: May 31, 2016
• Est. primary completion date: March 13, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 14 Years to 17 Years

Eligibility

Inclusion Criteria:

All adolescents', students from 9th grade with informed consent.

Exclusion Criteria:

• students with special needs;

• students of other years of schooling

• students without informed consent.

Related Conditions & MeSH terms

• Health Literacy

Intervention

Other:
• Intervention ProLiSMentAl
Using different methods and pedagogical techniques, mental health literacy psychoeducational intervention called "ProLiSMentAl" consist of 4 sessions of 90 minutes: 1) improvement social anxiety recognition; 2) prevention strategies; 3) self-help strategies; 4) knowledge of first aid strategies and 5) knowledge of professionals and treatments available.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Escola Superior de Enfermagem de Coimbra

References & Publications (6)

Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. Int J Nurs Stud. 2013 May;50(5):587-92. doi: 10.1016/j.ijnurstu.2012.09.010. Epub 2012 Nov 15. — View Citation

Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. "Mental health literacy": a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997 Feb 17;166(4):182-6. — View Citation

Jorm AF. Improving the mental health of the population: where to next? Med J Aust. 2014 Jul 7;201(1):23-4. — View Citation

Jorm AF. Mental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000 Nov;177:396-401. Review. — View Citation

Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012 Apr;67(3):231-43. doi: 10.1037/a0025957. Epub 2011 Oct 31. — View Citation

Loureiro LM. Questionnaire for Assessment of Mental Health Literacy - QuALiSMental: study of psychometric properties. Revista de Enfermagem Referência serIV(4): 79-88, 2015. https://dx.doi.org/10.12707/RIV14031

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Feasibility of a psychoeducational intervention to promote adolescents' mental health literacy about anxiety in school setting using mental health literacy questionnaires.	Improvement and change of adolescents' mental health literacy from baseline, measured before, immediately following the psychoeducational intervention and 1 month follow-up.; Measuring instruments: Mental Health Literacy Questionnaire.; Treatment and analysis of data: content analysis and IBM SPSS Statistics 24.0	Before, immediately following the psychoeducational intervention and 1 month follow-up