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Casañas R, Castellvi P, Gil JJ, Torres-Torres M, Barón J, Teixidó M, Sampietro HM, Díez M, Fernández R, Sorli R, Siñol P, Jurado F, Carreras-Salvador R, Vazquez D, Gonzalez S, Martín MIFS, Raya-Tena A, Alvarez R, Amado-Rodriguez I, López LMM, Alonso J, Lalucat-Jo L. The effectiveness of a "EspaiJove.net"- a school-based intervention programme in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population: a cluster randomised controlled trial. BMC Public Health 2022; 22:2425. [PMID: 36566192 PMCID: PMC9789578 DOI: 10.1186/s12889-022-14558-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 11/07/2022] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND The aim of this study is to evaluate the short- and long-term effects of the universal mental health literacy intervention "EspaiJove.net" in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population. We also examine whether these effects depend on the intervention intensity. METHODS: A clustered school-based randomised controlled trial (cRCT) design. SUBJECTS 1,298 secondary pupils aged 13 and 14 were recruited from 18 schools in Barcelona (Spain) between September 2016 and January 2018. INTERVENTION Three programmes were assessed: 1) Sensitivity Programme (SP; 1 h); 2) Mental Health Literacy (MHL; 6 h); 3) MHL plus a first-person Stigma Reduction Programme (MHL + SR; 7 h); 4) Control group (CG): waiting list. OUTCOME MEASURES 1) MHL: EspaiJove.net EMHL Test (First part and Second Part); 2) Stigma: RIBS and CAMI; 3) Help-seeking and use of treatment: GHSQ. ANALYSIS The data was collected at baseline, post-intervention and 6 and 12 months later. An intention-to-treat analysis and imputation method was used to analyse the missing data. Intervention effects were analysed using multilevel modelling. RESULTS One thousand thirty-two students were included (SP = 225; MHL = 261; MHL + SR = 295 and CG = 251). The MHL and MHL + SR interventions showed short- and long-term an increase in knowledge compared to SP and CG, but no significant change post-intervention or over time (First part p = 0.52 and Second part p = 0.62) between intervention groups and CG. No significant changes were found in stigma scores post-intervention or over time (CAMI p = 0.61 and RIBS p = 0.98) or in help-seeking scores (parent p = 0.69; teacher p = 0.23 and healthcare professional p = 0.75). The MHL + SR intervention was the best valued and recommended (p < 0.005). CONCLUSIONS The three interventions of the EspaiJove.net programme (SP, MHL and MHL + SR) seem not to be effective in terms MHL, Stigma and help-seeking behaviours. The contact with a person who has experimented mental illness first-hand did not reduce stigma attitudes. Further research should deal with the heterogeneity of MHL interventions (concept, duration and measures) and identify which components of stigma interventions are effective. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT03215654 (registration date 12 July 2017).
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Affiliation(s)
- Rocío Casañas
- grid.466539.b0000 0004 1777 1290Research Department, Associació Centre Higiene Mental Les Corts, C/ Numància, 103-105, Bajos, 08029 Barcelona, Spain
| | - Pere Castellvi
- grid.410675.10000 0001 2325 3084Department of Medicine, Universitat Internacional de Catalunya, Campus Sant Cugat. C/ Josep Trueta s/n, Sant Cugat del Vallés, 08195 Barcelona, Spain
| | - Juan-José Gil
- grid.466539.b0000 0004 1777 1290Child and Juvenile Mental Health Centre of Les Corts- Sarrià Sant Gervasi, Associació Centre Higiene Mental Les Corts, C/Montnegre 21, 3a Planta, 08029 Barcelona, Spain
| | - María Torres-Torres
- grid.466539.b0000 0004 1777 1290Child and Juvenile Mental Health Centre of Les Corts- Sarrià Sant Gervasi, Associació Centre Higiene Mental Les Corts, C/Montnegre 21, 3a Planta, 08029 Barcelona, Spain
| | - Jesica Barón
- grid.466539.b0000 0004 1777 1290Child and Juvenile Mental Health Centre of Les Corts- Sarrià Sant Gervasi, Associació Centre Higiene Mental Les Corts, C/Montnegre 21, 3a Planta, 08029 Barcelona, Spain
| | - Mercè Teixidó
- grid.466539.b0000 0004 1777 1290Mental Health Area of Les Corts- Sarrià Sant Gervasi, Associació Centre Higiene Mental Les Corts, C/Via Augusta 364-372, 4a Planta, 08017 Barcelona, Spain
| | | | - Marta Díez
- Activament Catalunya Associació, C/ Rocafort, 242 Bis, 3R B, 08029 Barcelona, Spain
| | - Raúl Fernández
- grid.418476.80000 0004 1767 8715Child and Juvenile Mental Health Centre of Ciutat Vella- Sant Martí, Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, C/ Ramon Turró, 337, 339, 08019 Barcelona, Spain
| | - Raquel Sorli
- grid.418476.80000 0004 1767 8715Child and Juvenile Mental Health Centre of Ciutat Vella- Sant Martí, Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, C/ Ramon Turró, 337, 339, 08019 Barcelona, Spain
| | - Patricia Siñol
- grid.418476.80000 0004 1767 8715Child and Juvenile Mental Health Centre of Ciutat Vella- Sant Martí, Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, C/ Ramon Turró, 337, 339, 08019 Barcelona, Spain
| | - Francisca Jurado
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Regina Carreras-Salvador
- grid.418476.80000 0004 1767 8715Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, Passeig Marítim, 25-29, 08003 Barcelona, Spain
| | - Davinia Vazquez
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Sandra Gonzalez
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Maria Isabel Fernandez-San Martín
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Antonia Raya-Tena
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Rosa Alvarez
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Isaac Amado-Rodriguez
- grid.22061.370000 0000 9127 6969Gerència d’Atenció Primària Barcelona Ciutat, Institut Català de la Salut (ICS), C/Balmes, 22, 08007 Barcelona, Spain
| | - Luis Miguel Martín- López
- grid.418476.80000 0004 1767 8715Instituto de Neuropsiquiatria y Adicciones del Parc de Salut del Mar (INAD), Consorci Parc de Salut Mar, Passeig Marítim, 25-29, 08003 Barcelona, Spain
| | - Jordi Alonso
- grid.466571.70000 0004 1756 6246Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), CIBERESP, C/ Dr. Aiguader, 88, 08003 Barcelona, Spain
| | - Lluís Lalucat-Jo
- grid.466539.b0000 0004 1777 1290Research Department, Associació Centre Higiene Mental Les Corts, C/ Numància, 103-105, Bajos, 08029 Barcelona, Spain
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