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A randomised controlled feasibility trial for an educational school-based mental health intervention: study protocol

Chisholm, K.; Patterson, P.; Torgerson, C.; Turner, E.; Birchwood, M.

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Authors

K. Chisholm

P. Patterson

E. Turner

M. Birchwood



Abstract

Background: With the burden of mental illness estimated to be costing the English economy alone around £22.5 billion a year [1], coupled with growing evidence that many mental disorders have their origins in adolescence, there is increasing pressure for schools to address the emotional well-being of their students, alongside the stigma and discrimination of mental illness. A number of prior educational interventions have been developed and evaluated for this purpose, but inconsistency of findings, reporting standards, and methodologies have led the majority of reviewers to conclude that the evidence for the efficacy of these programmes remains inconclusive. Methods/Design: A cluster randomised controlled trial design has been employed to enable a feasibility study of 'SchoolSpace', an intervention in 7 UK secondary schools addressing stigma of mental illness, mental health literacy, and promotion of mental health. A central aspect of the intervention involves students in the experimental condition interacting with a young person with lived experience of mental illness, a stigma reducing technique designed to facilitate students' engagement in the project. The primary outcome is the level of stigma related to mental illness. Secondary outcomes include mental health literacy, resilience to mental illness, and emotional well-being. Outcomes will be measured pre and post intervention, as well as at 6 month follow-up. Discussion: The proposed intervention presents the potential for increased engagement due to its combination of education and contact with a young person with lived experience of mental illness. Contact as a technique to reduce discrimination has been evaluated previously in research with adults, but has been employed in only a minority of research trials investigating the impact on youth. Prior to this study, the effect of contact on mental health literacy, resilience, and emotional well-being has not been evaluated to the authors' knowledge. If efficacious the intervention could provide a reliable and cost-effective method to reduce stigma in young people, whilst increasing mental health literacy, and emotional well-being. Trial registration: ISRCTN: ISRCTN07406026

Citation

Chisholm, K., Patterson, P., Torgerson, C., Turner, E., & Birchwood, M. (2012). A randomised controlled feasibility trial for an educational school-based mental health intervention: study protocol. BMC Psychiatry, 12, Article 23. https://doi.org/10.1186/1471-244x-12-23

Journal Article Type Article
Publication Date Mar 22, 2012
Deposit Date Sep 11, 2012
Publicly Available Date Aug 26, 2015
Journal BMC Psychiatry
Publisher BioMed Central
Peer Reviewed Peer Reviewed
Volume 12
Article Number 23
DOI https://doi.org/10.1186/1471-244x-12-23
Keywords Adolescence, Mental health, Stigma, Contact, School, Intervention.

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
© 2012 Chisholm et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.





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