School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE)
Introduction The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school s...
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BMJ Publishing Group
2019-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/8/e029044.full |
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| author | Jessica Deighton Emily Stapley Neil Humphrey João Santos Praveetha Patalay Jan Rasmus Boehnke Anna Moore Paul Stallard Daniel Hayes Rosie Mansfield Emma Ashworth Eva Bonin Sara Evans-Lacko Bettina Moltrecht Abigail Thompson Kirsty Nisbet Emma Thornton Aurelie Lange |
| author_facet | Jessica Deighton Emily Stapley Neil Humphrey João Santos Praveetha Patalay Jan Rasmus Boehnke Anna Moore Paul Stallard Daniel Hayes Rosie Mansfield Emma Ashworth Eva Bonin Sara Evans-Lacko Bettina Moltrecht Abigail Thompson Kirsty Nisbet Emma Thornton Aurelie Lange |
| author_sort | Jessica Deighton |
| collection | DOAJ |
| description | Introduction The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school settings. This protocol describes a three-arm, parallel group cluster randomised controlled trial, investigating the effectiveness and cost-effectiveness of two interventions, alongside a process and implementation evaluation, to improve mental health and well-being of Year 9 pupils in English secondary schools.Method A three-arm, parallel group cluster randomised controlled trial comparing two different interventions, the Youth Aware of Mental Health (YAM) or the Mental Health and High School Curriculum Guide (The Guide), to Usual Provision. Overall, 144 secondary schools in England will be recruited, involving 8600 Year 9 pupils. The primary outcome for YAM is depressive symptoms, and for The Guide it is intended help-seeking. These will be measured at baseline, 3–6 months and 9–12 months after the intervention commenced. Secondary outcomes measured concurrently include changes to: positive well-being, behavioural difficulties, support from school staff, stigma-related knowledge, attitudes and behaviours, and mental health first aid. An economic evaluation will assess the cost-effectiveness of the interventions, and a process and implementation evaluation (including a qualitative research component) will explore several aspects of implementation (fidelity, quality, dosage, reach, participant responsiveness, adaptations), social validity (acceptability, feasibility, utility), and their moderating effects on the outcomes of interest, and perceived impact.Ethics and dissemination This trial has been approved by the University College London Research Ethics Committee. Findings will be published in a report to the Department for Education, in peer-reviewed journals and at conferences.Trial registration number ISRCTN17631228.Protocol V1 3 January 2019. Substantial changes to the protocol will be communicated to the trials manager to relevant parties (eg, ISRCTN). |
| format | Article |
| id | doaj-art-a48a60dacc5849168538d30403f2be7a |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a48a60dacc5849168538d30403f2be7a2025-08-20T02:48:10ZengBMJ Publishing GroupBMJ Open2044-60552019-08-019810.1136/bmjopen-2019-029044School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE)Jessica Deighton0Emily Stapley1Neil Humphrey2João Santos3Praveetha Patalay4Jan Rasmus Boehnke5Anna Moore6Paul Stallard7Daniel Hayes8Rosie Mansfield9Emma Ashworth10Eva Bonin11Sara Evans-Lacko12Bettina Moltrecht13Abigail Thompson14Kirsty Nisbet15Emma Thornton16Aurelie Lange17Evidence Based Practice Unit, University College London and the Anna Freud National Centre for Children and families, London, UK, London, UKEvidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London, UKManchester Institute of Education, University of Manchester, Manchester, UK1Cancer Gene Therapy Group, Translational Immunology Research Program, University of Helsinki, Helsinki, FinlandUCL MRC Unit for Lifelong Health and Ageing, University College London, London, UKDepartment of Health Sciences, University of York, York, UKEvidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London, UK1 Department for Health, University of Bath, Bath, UKEvidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London, UKInstitute of Education, University of Manchester, Manchester, UKInstitute of Education, University of Manchester, Manchester, UKPersonal Social Services Research Unit, London School of Economics and Political Science, London, UKPersonal Social Services Research Unit, London School of Economics and Political Science, London, UK2 University College London, London, UKEvidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London, UK2 PsychUP for Wellbeing, Psychology and Language Sciences, University College London, London, UKTees Esk and Wear Valleys NHS Foundation Trust, Darlington, UKEvidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London, UKIntroduction The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school settings. This protocol describes a three-arm, parallel group cluster randomised controlled trial, investigating the effectiveness and cost-effectiveness of two interventions, alongside a process and implementation evaluation, to improve mental health and well-being of Year 9 pupils in English secondary schools.Method A three-arm, parallel group cluster randomised controlled trial comparing two different interventions, the Youth Aware of Mental Health (YAM) or the Mental Health and High School Curriculum Guide (The Guide), to Usual Provision. Overall, 144 secondary schools in England will be recruited, involving 8600 Year 9 pupils. The primary outcome for YAM is depressive symptoms, and for The Guide it is intended help-seeking. These will be measured at baseline, 3–6 months and 9–12 months after the intervention commenced. Secondary outcomes measured concurrently include changes to: positive well-being, behavioural difficulties, support from school staff, stigma-related knowledge, attitudes and behaviours, and mental health first aid. An economic evaluation will assess the cost-effectiveness of the interventions, and a process and implementation evaluation (including a qualitative research component) will explore several aspects of implementation (fidelity, quality, dosage, reach, participant responsiveness, adaptations), social validity (acceptability, feasibility, utility), and their moderating effects on the outcomes of interest, and perceived impact.Ethics and dissemination This trial has been approved by the University College London Research Ethics Committee. Findings will be published in a report to the Department for Education, in peer-reviewed journals and at conferences.Trial registration number ISRCTN17631228.Protocol V1 3 January 2019. Substantial changes to the protocol will be communicated to the trials manager to relevant parties (eg, ISRCTN).https://bmjopen.bmj.com/content/9/8/e029044.full |
| spellingShingle | Jessica Deighton Emily Stapley Neil Humphrey João Santos Praveetha Patalay Jan Rasmus Boehnke Anna Moore Paul Stallard Daniel Hayes Rosie Mansfield Emma Ashworth Eva Bonin Sara Evans-Lacko Bettina Moltrecht Abigail Thompson Kirsty Nisbet Emma Thornton Aurelie Lange School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE) BMJ Open |
| title | School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE) |
| title_full | School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE) |
| title_fullStr | School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE) |
| title_full_unstemmed | School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE) |
| title_short | School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England: study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE) |
| title_sort | school based intervention study examining approaches for well being and mental health literacy of pupils in year 9 in england study protocol for a multischool parallel group cluster randomised controlled trial aware |
| url | https://bmjopen.bmj.com/content/9/8/e029044.full |
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