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

March 11, 2019 updated by: Tânia Manuel Moço Morgado, Escola Superior de Enfermagem de Coimbra

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

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed 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).

Study Type

Interventional

Enrollment (Actual)

38

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years to 17 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention ProLiSMentAl
Experimental Group receive mental health literacy psychoeducational intervention called "ProLiSMentAl" that consist of 4 sessions of 90 minutes.
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.
No Intervention: Control Group
Control Group receive usual approach.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Feasibility of a psychoeducational intervention to promote adolescents' mental health literacy about anxiety in school setting using mental health literacy questionnaires.
Time Frame: Before, immediately following the psychoeducational intervention and 1 month follow-up

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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Escola Superior de Enfermagem de Coimbra

Investigators

  • Principal Investigator: Tânia Morgado, RN, MSc, CHUC, EPE, EsenfC and UICISA:E

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 2, 2016

Primary Completion (Actual)

March 13, 2016

Study Completion (Actual)

May 31, 2016

Study Registration Dates

First Submitted

February 11, 2019

First Submitted That Met QC Criteria

March 11, 2019

First Posted (Actual)

March 13, 2019

Study Record Updates

Last Update Posted (Actual)

March 13, 2019

Last Update Submitted That Met QC Criteria

March 11, 2019

Last Verified

March 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 71/2015

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Health Literacy

Clinical Trials on Intervention ProLiSMentAl

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Spain

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe