Department of Epidemiology, National Institute of Mental Health And Neuro Sciences, Bangalore, Karnataka, India.
Department of Psychiatric Social Work, National Institute of Mental Health And Neuro Sciences, Bangalore, Karnataka, India.
BMC Public Health. 2021 Nov 6;21(1):2034. doi: 10.1186/s12889-021-12086-9.
There is an increasing need for Mental Health Promotion (MHP) among adolescents, especially in developing countries with limited resources and rapid socio-demographic transition. With the growing burden of mental health problems among adolescents (suicide, depression) and their preferences to seek help from their peers, improving Mental Health Literacy (MHL) and behaviours for First Aid in Mental Health (MH-FA) becomes crucial to promote their mental health.
Schools are ideal settings for reaching the vulnerable adolescents. The proposed study evaluates the effectiveness of a classroom-based teacher-led integrated school mental health intervention called SUMS (MHP + MHL + MH-FA). The study will involve a pragmatic, cluster-randomised waitlist-controlled design to evaluate the effectiveness of SUMS intervention using schools as unit-of-randomisation. The study will be conducted in Srinivaspura taluka (Sub-district) of Kolar district (administrative unit of health) of Karnataka in collaboration with a multi-disciplinary expert team from NIMHANS (National Institute of Mental Health And Neuro Sciences), Bangalore-India and Department of Education, Government of Karnataka, India. A total of 8 schools (400 students studying in 6-8 grade) from Srinivaspura taluka will be randomised into intervention and waitlist control group. The intervention group will receive SUMS intervention through 10-15 h of classroom sessions. The primary outcome is the improvement in positive mental health literacy, as measured by the Mental Health-Promoting Knowledge (MHPK-10) scale. Changes in MH-FA knowledge and intentions, Mental health stigma, help-seeking and resilience are assessed as secondary outcomes. Data will be collected at baseline, 6-weeks, 6-months and 12-months post-intervention. The waitlist-control schools will receive the interventions at the end of the 12-month follow-up assessment in intervention-schools.
This is the first study to integrate Mental Health Literacy with Mental Health Promotion and behaviours for First Aid in Mental Health to promote mental health well-being among adolescent school children in India. With a need to build a more substantial evidence base on School Mental Health Promotion approaches in developing countries, the study findings will have implications for implementing and operationalising Health and Wellness Ambassador initiative in India.
Clinical Trials Registry - India, CTRI/2019/07/020394. Registered prospectively on 29 July 2019. ( ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=35724&EncHid=&userName=sums ).
青少年对心理健康促进（MHP）的需求日益增加，尤其是在资源有限且社会人口快速转型的发展中国家。随着青少年心理健康问题（自杀、抑郁）负担的增加，以及他们倾向于向同龄人寻求帮助，提高心理健康素养（MHL）和心理健康急救（MH-FA）行为对于促进他们的心理健康变得至关重要。
学校是接触弱势青少年的理想场所。拟议的研究评估了一种名为 SUMS（MHP+MHL+MH-FA）的基于课堂的教师主导的综合学校心理健康干预的有效性。该研究将采用实用的、集群随机、等待名单对照设计，使用学校作为随机分组单位来评估 SUMS 干预的效果。该研究将在印度卡纳塔克邦的科拉尔区斯利尼瓦斯普拉塔（分区）与来自印度班加罗尔的 NIMHANS（国家心理健康和神经科学研究所）和印度卡纳塔克邦教育部的多学科专家团队合作进行。来自斯利尼瓦斯普拉塔分区的 8 所学校（400 名 6-8 年级学生）将被随机分为干预组和等待名单对照组。干预组将通过 10-15 小时的课堂课程接受 SUMS 干预。主要结果是积极心理健康素养的改善，用心理健康促进知识量表（MHPK-10）来衡量。MH-FA 知识和意图、心理健康污名、寻求帮助和适应力的变化作为次要结果进行评估。数据将在基线、6 周、6 个月和 12 个月干预后收集。等待名单对照组的学校将在干预学校 12 个月随访评估结束时接受干预。
这是第一项将心理健康素养与心理健康促进和心理健康急救行为相结合，以促进印度青少年学校儿童心理健康的研究。由于需要在发展中国家建立更坚实的学校心理健康促进方法的证据基础，该研究结果将对印度实施和运作健康和健康大使倡议产生影响。
印度临床试验注册处，CTRI/2019/07/020394。于 2019 年 7 月 29 日前瞻性注册。（ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=35724&EncHid=&userName=sums）。
