Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers

Objective: Teachers can greatly aid the promotion of adolescent mental health. Early intervention is key in reducing morbidity related to mental health conditions among adolescents. This study was undertaken to test the effectiveness of the MHL module among high school teachers. Methods: A parallel...

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Main Authors: Vidya Prabhu, Lena Ashok, Veena Ganesh Kamath, Amitha Puranik, Sebastian Padickaparambil, Nikitha Sibil Rebello, Praveen Arhanthabailu, Varalakshmi Chandrasekaran
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425000351
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author Vidya Prabhu
Lena Ashok
Veena Ganesh Kamath
Amitha Puranik
Sebastian Padickaparambil
Nikitha Sibil Rebello
Praveen Arhanthabailu
Varalakshmi Chandrasekaran
author_facet Vidya Prabhu
Lena Ashok
Veena Ganesh Kamath
Amitha Puranik
Sebastian Padickaparambil
Nikitha Sibil Rebello
Praveen Arhanthabailu
Varalakshmi Chandrasekaran
author_sort Vidya Prabhu
collection DOAJ
description Objective: Teachers can greatly aid the promotion of adolescent mental health. Early intervention is key in reducing morbidity related to mental health conditions among adolescents. This study was undertaken to test the effectiveness of the MHL module among high school teachers. Methods: A parallel stratified cluster randomized controlled trial was conducted among high school teachers between November 2019 to September 2021. Schools were stratified based on the type of school and then randomized. Teachers from 29 schools received intervention and 28 schools were waitlisted and given intervention at the end of the trial. The effectiveness of the module was assessed using a baseline, post-test, and follow-up questionnaire. Repeated measures ANOVA adjusted for cluster effect was used to assess the change in knowledge, management, attitudes and beliefs over time in the intervention arm. Results: Significant improvement was observed in the intervention arm as compared to the control arm across the domains of knowledge and attitudes and beliefs with an increase in mean knowledge score of 3.34 (95 % CI: 2.14 to 4.55 p < 0.001) and an increase in mean attitudes and beliefs score of 0.95 (95 % CI: 0.42 to 1.49 p < 0.001). Conclusion: The present study found that the intervention module was effective in enhancing the MHL of teachers across all the domains, which may facilitate early intervention among adolescents at the school level.The trial has been registered with the Clinical Trials Registry of India prospectively. (CTRI/2017/11/010633)
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spelling doaj-art-7fab651966ab484c9402db14f5f9dbaf2025-01-27T04:21:55ZengElsevierClinical Epidemiology and Global Health2213-39842025-03-0132101946Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachersVidya Prabhu0Lena Ashok1Veena Ganesh Kamath2Amitha Puranik3Sebastian Padickaparambil4Nikitha Sibil Rebello5Praveen Arhanthabailu6Varalakshmi Chandrasekaran7Department of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, LE3 9QP, UKDepartment of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India; Corresponding author.Objective: Teachers can greatly aid the promotion of adolescent mental health. Early intervention is key in reducing morbidity related to mental health conditions among adolescents. This study was undertaken to test the effectiveness of the MHL module among high school teachers. Methods: A parallel stratified cluster randomized controlled trial was conducted among high school teachers between November 2019 to September 2021. Schools were stratified based on the type of school and then randomized. Teachers from 29 schools received intervention and 28 schools were waitlisted and given intervention at the end of the trial. The effectiveness of the module was assessed using a baseline, post-test, and follow-up questionnaire. Repeated measures ANOVA adjusted for cluster effect was used to assess the change in knowledge, management, attitudes and beliefs over time in the intervention arm. Results: Significant improvement was observed in the intervention arm as compared to the control arm across the domains of knowledge and attitudes and beliefs with an increase in mean knowledge score of 3.34 (95 % CI: 2.14 to 4.55 p < 0.001) and an increase in mean attitudes and beliefs score of 0.95 (95 % CI: 0.42 to 1.49 p < 0.001). Conclusion: The present study found that the intervention module was effective in enhancing the MHL of teachers across all the domains, which may facilitate early intervention among adolescents at the school level.The trial has been registered with the Clinical Trials Registry of India prospectively. (CTRI/2017/11/010633)http://www.sciencedirect.com/science/article/pii/S2213398425000351High school teachersAdolescent mental healthEarly interventionMental health literacy
spellingShingle Vidya Prabhu
Lena Ashok
Veena Ganesh Kamath
Amitha Puranik
Sebastian Padickaparambil
Nikitha Sibil Rebello
Praveen Arhanthabailu
Varalakshmi Chandrasekaran
Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers
Clinical Epidemiology and Global Health
High school teachers
Adolescent mental health
Early intervention
Mental health literacy
title Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers
title_full Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers
title_fullStr Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers
title_full_unstemmed Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers
title_short Evaluating the effectiveness of a mental health literacy module - A randomized controlled trial among school teachers
title_sort evaluating the effectiveness of a mental health literacy module a randomized controlled trial among school teachers
topic High school teachers
Adolescent mental health
Early intervention
Mental health literacy
url http://www.sciencedirect.com/science/article/pii/S2213398425000351
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