威尔士 9 年级（13-14 岁）学生中评价“指南威尔士精神卫生知识干预计划”的随机对照试验。
A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13-14) school pupils in Wales.
机构信息
Department of Psychology, School of Psychology, Swansea University, SwanseaWales, SA2 8PP, UK.
Caswell Clinic, Swansea Bay University Health Board, Bridgend, UK.
出版信息
BMC Public Health. 2023 Jun 5;23(1):1062. doi: 10.1186/s12889-023-15922-2.
BACKGROUND
Adolescent mental health has become a public health concern as 10-20% of adolescents have experiences with mental health problems. Improving mental health education is critical to reducing stigma and improving access to appropriate care when needed. Here we examine the impact of a mental health literacy programme (Guide Cymru) in young adolescents in the UK. A randomised controlled trial assessed the effectiveness of the Guide Cymru intervention.
METHOD
A total of 1,926 pupils (860 males and 1066 females) aged 13-14 (year 9) took part in the study. The secondary schools were randomised into the active and control arms of the study. Teachers in the active arm of the study were trained on the Guide Cymru and then delivered the intervention to their pupils. Pupils in the active groups received six modules of mental health literacy (the Guide Cymru), and control schools received teaching as usual. Mental health literacy across several domains (e.g., knowledge, stigma, help-seeking intentions) were assessed both before and after the intervention. Data collection for the randomised controlled trial ran from September 2019 to March 2020. Multi-level modelling analysis was conducted to account for the clustered nature of the design.
RESULTS
All aspects of mental health literacy, including mental health knowledge (g = 0.32), good mental health behaviours (g = 0.22), mental health stigmas (g = 0.16), intentions to seek help (g = 0.15), and avoidant coping (g = 0.14) improved after completing the Guide Cymru programme (ps < .001).
DISCUSSION
The current study presents evidence for the Guide Cymru's effectiveness in improving secondary school pupils' mental health literacy. We demonstrate that providing teachers with appropriate resources and training to deliver the Guide Cymru programme within their classrooms can improve the mental health literacy of pupils. These findings have important implications for the beneficial impacts the secondary school system can have on reducing the burden of mental health problems at a critical point in a young person's life.
TRIAL REGISTRATION
ISRCTN15462041. Registered 03/10/2019.
背景
青少年心理健康已成为公共卫生关注的问题，因为有 10-20%的青少年经历过心理健康问题。改善心理健康教育对于减少污名化和在需要时获得适当的护理至关重要。在这里，我们研究了在英国青少年中进行心理健康素养计划（Guide Cymru）的效果。一项随机对照试验评估了 Guide Cymru 干预的有效性。
方法
共有 1926 名 13-14 岁（9 年级）的学生（860 名男性和 1066 名女性）参与了这项研究。这些中学被随机分为研究的积极组和对照组。积极组的教师接受了 Guide Cymru 的培训，然后向学生传授干预措施。积极组的学生接受了六个模块的心理健康素养教育（Guide Cymru），而对照组学校则接受了常规教学。在干预前后评估了几个领域的心理健康素养（例如，知识、污名、寻求帮助的意图）。随机对照试验的数据收集时间为 2019 年 9 月至 2020 年 3 月。为了考虑到设计的聚类性质，采用多水平建模分析进行分析。
结果
心理健康素养的各个方面都有所提高，包括心理健康知识（g=0.32）、良好的心理健康行为（g=0.22）、心理健康污名（g=0.16）、寻求帮助的意图（g=0.15）和回避应对（g=0.14），在完成 Guide Cymru 计划后都有所提高（p<0.001）。
讨论
目前的研究为 Guide Cymru 提高中学生心理健康素养的有效性提供了证据。我们证明，为教师提供适当的资源和培训，让他们在课堂上实施 Guide Cymru 计划，可以提高学生的心理健康素养。这些发现对于中学系统在年轻人生活的关键时期对减轻心理健康问题负担产生有益影响具有重要意义。
试验注册
ISRCTN86504442。注册于 2019 年 3 月 10 日。
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