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A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales

NICOLA SIMKISS, Nicola Gray Orcid Logo, Andrew Kemp Orcid Logo, Chris Dunne, Robert J. Snowden Orcid Logo

BMC Public Health, Volume: 23, Issue: 1, Start page: 1062

Swansea University Authors: NICOLA SIMKISS, Nicola Gray Orcid Logo, Andrew Kemp Orcid Logo

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DOI (Published version): 10.1186/s12889-023-15922-2

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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...

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Published in: BMC Public Health
ISSN: 1471-2458
Published: Springer Science and Business Media LLC 2023
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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 &lt; .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. 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spelling v2 63590 2023-06-05 A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales 5b3f9fab1370e9271f28bfddd97307af NICOLA SIMKISS NICOLA SIMKISS true false d3dfb6fa4b6e057dd587f5e9f28a581f 0000-0003-3849-8118 Nicola Gray Nicola Gray true false dfd05900f0e2409d3f67dca227c59a93 0000-0003-1146-3791 Andrew Kemp Andrew Kemp true false 2023-06-05 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. Journal Article BMC Public Health 23 1 1062 Springer Science and Business Media LLC 1471-2458 Adolescents; Avoidant coping; Help-seeking Behaviour; Mental Health; Mental health literacy; Mental health stigma; The Guide. 5 6 2023 2023-06-05 10.1186/s12889-023-15922-2 http://dx.doi.org/10.1186/s12889-023-15922-2 COLLEGE NANME COLLEGE CODE Swansea University SU College/Department paid the OA fee The work was funded by the Welsh Government’s European Social Fund (ESF) convergence programme for West Wales and the Valleys via a Knowledge Economy Skills Scholarship (KESS). Knowledge Economy Skills Scholarships (KESS 2) is a pan-Wales higher-level skills initiative led by Bangor University on behalf of the Higher Education sectors in Wales. It is partly funded by the Welsh Government’s European Social Fund (ESF) convergence programme for West Wales and the Valleys. KESS 2 monitor the student’s progress but did not have a role in the conduct of the study and did not contribute to the preparation of this manuscript. Delivery of the Guide Cymru and the randomised control trial was supported by a grant to Action for Children from the Welsh Government. Welsh Government provided this funding as a Sect. 64 grant as part of their Mental Health and Vulnerable groups workstream to Action for Children. The funder monitored the progress of the research through regular reports but did not have a role in the conduct of the study and did not contribute to the preparation of this manuscript. 2024-02-02T08:55:02.8340250 2023-06-05T16:57:11.7786909 Faculty of Medicine, Health and Life Sciences School of Psychology NICOLA SIMKISS 1 Nicola Gray 0000-0003-3849-8118 2 Andrew Kemp 0000-0003-1146-3791 3 Chris Dunne 4 Robert J. Snowden 0000-0001-9900-480x 5 63590__27734__78e9457f41d3461cb7b0b498d4b206bb.pdf 63590.VOR.pdf 2023-06-07T10:27:53.6407023 Output 1377297 application/pdf Version of Record true © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. true eng http://creativecommons.org/licenses/by/4.0/ 193 true https://data.mendeley.com/datasets/tkb9z7b6jp/1 false
title A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
spellingShingle A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
NICOLA SIMKISS
Nicola Gray
Andrew Kemp
title_short A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
title_full A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
title_fullStr A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
title_full_unstemmed A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
title_sort A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13–14) school pupils in Wales
author_id_str_mv 5b3f9fab1370e9271f28bfddd97307af
d3dfb6fa4b6e057dd587f5e9f28a581f
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author_id_fullname_str_mv 5b3f9fab1370e9271f28bfddd97307af_***_NICOLA SIMKISS
d3dfb6fa4b6e057dd587f5e9f28a581f_***_Nicola Gray
dfd05900f0e2409d3f67dca227c59a93_***_Andrew Kemp
author NICOLA SIMKISS
Nicola Gray
Andrew Kemp
author2 NICOLA SIMKISS
Nicola Gray
Andrew Kemp
Chris Dunne
Robert J. Snowden
format Journal article
container_title BMC Public Health
container_volume 23
container_issue 1
container_start_page 1062
publishDate 2023
institution Swansea University
issn 1471-2458
doi_str_mv 10.1186/s12889-023-15922-2
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
url http://dx.doi.org/10.1186/s12889-023-15922-2
document_store_str 1
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description 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.
published_date 2023-06-05T08:55:02Z
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