Govindan Radhakrishnan, Balamurugan G, Deekshitha T M, Tejashwini R, Nattala Prasanthi, Parthasarathi Rajani, Rajendra K M, Kumar Channaveerachari N
Department of Nursing, NIMHANS, Bengaluru, Karnataka, India.
TeleMANAS Project, National Apex Coordination Centre, NIMHANS, Bengaluru, Karnataka, India.
J Family Med Prim Care. 2025 Apr;14(4):1448-1454. doi: 10.4103/jfmpc.jfmpc_1779_24. Epub 2025 Apr 25.
Teachers are the first line of contact for children for any concerns. They are crucial in identifying all health issues, including mental health issues. However, the teachers may not have adequate knowledge of the concerns with children's and adolescents' mental health in schools. School enrollments have grown in India at every level, from primary to higher secondary, and school dropout rates have steadily declined in recent years. In parallel, from the 2013 fiscal year to 2022, the pupil-teacher ratio consistently improved at all levels. Hence, school teachers play a vital role in students' mental health. The study aims to create a tool teachers may use to screen, identify, refer, and follow-up with adolescents' mental health enrolled in classes.
The present study was carried out in four phases: literature search, focused group discussions with teachers, development and validation of SAMAT. The number of teachers is 110.
The School Adolescents Mental Health Assessment Tool has ten items derived from the thematic analysis of the literature review, focused group discussions with teachers during the training session about general mental health awareness and adolescents' mental health concerns and inputs from 5 mental health professionals. The instrument displayed a high content validity index (S-CVI = 1) and high item-level content validity index (I-CVI: 1). Reliability was calculated using the Cronbach alpha reliability method.
SAMAT has high I-CVI and S-CVI and good Cronbach alpha reliability. This tool will support educators in formally evaluating pupils by assisting with the screening, identification, initial mental health support, referral, and follow-up of adolescents with mental health concerns.
教师是孩子们遇到任何问题时的第一接触人。他们在识别所有健康问题，包括心理健康问题方面至关重要。然而，教师可能对学校中儿童和青少年的心理健康问题了解不足。印度从小学到高中各级的入学人数都有所增加，近年来辍学率稳步下降。与此同时，从2013财年到2022年，各级师生比例持续改善。因此，学校教师在学生心理健康方面发挥着至关重要的作用。本研究旨在创建一种工具，供教师用于对班级中青少年的心理健康进行筛查、识别、转介和跟踪。
本研究分四个阶段进行：文献检索、与教师进行焦点小组讨论、开发和验证青少年心理健康评估工具（SAMAT）。教师人数为110名。
学校青少年心理健康评估工具包含10个项目，这些项目来自文献综述的主题分析、培训期间与教师就一般心理健康意识和青少年心理健康问题进行的焦点小组讨论，以及5名心理健康专业人员的意见。该工具显示出较高的内容效度指数（S-CVI = 1）和较高的项目层面内容效度指数（I-CVI：1）。使用克朗巴赫α信度法计算信度。
SAMAT具有较高的I-CVI和S-CVI以及良好的克朗巴赫α信度。该工具将通过协助对有心理健康问题的青少年进行筛查、识别、初步心理健康支持、转介和跟踪，来支持教育工作者对学生进行正式评估。
