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Effectiveness of a school-based mental health intervention for school teachers in urban Pakistan: a randomized controlled trial
Schools have a major role in promoting children's physical and psychological health and well-being and the mental health literacy of all key stakeholders, especially teachers, is critical to achieving this goal. Teachers' knowledge and beliefs about psychological problems influence the way...
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Published in: | Child and adolescent psychiatry and mental health 2022-05, Vol.16 (1), p.33-33, Article 33 |
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creator | Imran, Nazish Rahman, Atif Chaudhry, Nakhshab Asif, Aftab |
description | Schools have a major role in promoting children's physical and psychological health and well-being and the mental health literacy of all key stakeholders, especially teachers, is critical to achieving this goal. Teachers' knowledge and beliefs about psychological problems influence the way they deal with their students' mental health issues. This study is a preliminary investigation evaluating the effectiveness and feasibility of a School Mental Health Programme (SMHP) developed by the World Health Organization's Eastern Mediterranean Regional Office (WHO-EMRO) in improving mental health literacy and self-efficacy among school teachers in an inner-city area of urban Lahore.
Teachers were randomly assigned to 3 days standardized WHO-EMRO School Mental Health Manual based Intervention (n = 118) or to a wait list delayed intervention control group (n = 113). Teachers were assessed pre and post training and at 3 months follow up using measures for mental health literacy (Primary outcome) and self-efficacy. School Heads completed the WHO School Psychosocial Profile and students reported socioemotional skills and psychological problems using Strengths and Difficulties questionnaire at baseline and 3 months post intervention.
Compared with waitlist group, teachers in intervention group presented a significant increase in mental health literacy (F
= 8.92; P |
doi_str_mv | 10.1186/s13034-022-00470-1 |
format | article |
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Teachers were randomly assigned to 3 days standardized WHO-EMRO School Mental Health Manual based Intervention (n = 118) or to a wait list delayed intervention control group (n = 113). Teachers were assessed pre and post training and at 3 months follow up using measures for mental health literacy (Primary outcome) and self-efficacy. School Heads completed the WHO School Psychosocial Profile and students reported socioemotional skills and psychological problems using Strengths and Difficulties questionnaire at baseline and 3 months post intervention.
Compared with waitlist group, teachers in intervention group presented a significant increase in mental health literacy (F
= 8.92; P < 0.001), as well as better teacher's self-efficacy in classroom management and student engagement (F
= 16.45; P ≤ 0.000 and F
= 4.65; P ≤ 0.011, respectively). Increase confidence in helping students with mental health problems was also noted in the intervention arm (F
= 15.96 P ≤ 0.000). Improvement in overall school environment was also found. No statistical difference in the emotional and behavioural difficulties in students was noticed at 3 months.
This study is one of the first preliminary investigation of WHO-EMRO school mental health intervention in Pakistan. The study showed that intervention led to significant improvement in mental health literacy and self-efficacy among teachers, which was largely sustained over time. Despite a major limitation of lack of clustering and likely contamination affecting follow up outcomes, the study showed promising results in the context of mental health promotion, prevention and early intervention in schools in Lahore, Pakistan. A larger cluster randomised trial is justified, given the level of participant engagement and acceptability by schools.
ClinicalTrials.gov registry (NCT02937714) Registered 13th October 2016, https://register.
gov .</description><identifier>ISSN: 1753-2000</identifier><identifier>EISSN: 1753-2000</identifier><identifier>DOI: 10.1186/s13034-022-00470-1</identifier><identifier>PMID: 35505362</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Child & adolescent mental health ; Child & adolescent psychiatry ; Child psychology ; Children & youth ; Classroom management ; Clinical trials ; Consent ; Contamination ; Curricula ; Emotional behavior ; Health aspects ; Health education ; Health literacy ; Intervention ; Learning ; Literacy ; Mental disorders ; Mental Health ; Mental health care ; Mental health literacy ; Pakistan ; Psychological aspects ; Public health ; Questionnaires ; Schools ; Social behavior ; Students ; Teachers ; Training ; Well being</subject><ispartof>Child and adolescent psychiatry and mental health, 2022-05, Vol.16 (1), p.33-33, Article 33</ispartof><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2022 BioMed Central Ltd.</rights><rights>2022. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c628t-924fd134570929f369ee8d7d049bb83e4de696bc694e1e8812b25c4b3b66e61f3</citedby><cites>FETCH-LOGICAL-c628t-924fd134570929f369ee8d7d049bb83e4de696bc694e1e8812b25c4b3b66e61f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066809/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2666643967?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,25734,27905,27906,36993,36994,44571,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35505362$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imran, Nazish</creatorcontrib><creatorcontrib>Rahman, Atif</creatorcontrib><creatorcontrib>Chaudhry, Nakhshab</creatorcontrib><creatorcontrib>Asif, Aftab</creatorcontrib><title>Effectiveness of a school-based mental health intervention for school teachers in urban Pakistan: a randomized controlled trial</title><title>Child and adolescent psychiatry and mental health</title><addtitle>Child Adolesc Psychiatry Ment Health</addtitle><description>Schools have a major role in promoting children's physical and psychological health and well-being and the mental health literacy of all key stakeholders, especially teachers, is critical to achieving this goal. Teachers' knowledge and beliefs about psychological problems influence the way they deal with their students' mental health issues. This study is a preliminary investigation evaluating the effectiveness and feasibility of a School Mental Health Programme (SMHP) developed by the World Health Organization's Eastern Mediterranean Regional Office (WHO-EMRO) in improving mental health literacy and self-efficacy among school teachers in an inner-city area of urban Lahore.
Teachers were randomly assigned to 3 days standardized WHO-EMRO School Mental Health Manual based Intervention (n = 118) or to a wait list delayed intervention control group (n = 113). Teachers were assessed pre and post training and at 3 months follow up using measures for mental health literacy (Primary outcome) and self-efficacy. School Heads completed the WHO School Psychosocial Profile and students reported socioemotional skills and psychological problems using Strengths and Difficulties questionnaire at baseline and 3 months post intervention.
Compared with waitlist group, teachers in intervention group presented a significant increase in mental health literacy (F
= 8.92; P < 0.001), as well as better teacher's self-efficacy in classroom management and student engagement (F
= 16.45; P ≤ 0.000 and F
= 4.65; P ≤ 0.011, respectively). Increase confidence in helping students with mental health problems was also noted in the intervention arm (F
= 15.96 P ≤ 0.000). Improvement in overall school environment was also found. No statistical difference in the emotional and behavioural difficulties in students was noticed at 3 months.
This study is one of the first preliminary investigation of WHO-EMRO school mental health intervention in Pakistan. The study showed that intervention led to significant improvement in mental health literacy and self-efficacy among teachers, which was largely sustained over time. Despite a major limitation of lack of clustering and likely contamination affecting follow up outcomes, the study showed promising results in the context of mental health promotion, prevention and early intervention in schools in Lahore, Pakistan. A larger cluster randomised trial is justified, given the level of participant engagement and acceptability by schools.
ClinicalTrials.gov registry (NCT02937714) Registered 13th October 2016, https://register.
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Teachers' knowledge and beliefs about psychological problems influence the way they deal with their students' mental health issues. This study is a preliminary investigation evaluating the effectiveness and feasibility of a School Mental Health Programme (SMHP) developed by the World Health Organization's Eastern Mediterranean Regional Office (WHO-EMRO) in improving mental health literacy and self-efficacy among school teachers in an inner-city area of urban Lahore.
Teachers were randomly assigned to 3 days standardized WHO-EMRO School Mental Health Manual based Intervention (n = 118) or to a wait list delayed intervention control group (n = 113). Teachers were assessed pre and post training and at 3 months follow up using measures for mental health literacy (Primary outcome) and self-efficacy. School Heads completed the WHO School Psychosocial Profile and students reported socioemotional skills and psychological problems using Strengths and Difficulties questionnaire at baseline and 3 months post intervention.
Compared with waitlist group, teachers in intervention group presented a significant increase in mental health literacy (F
= 8.92; P < 0.001), as well as better teacher's self-efficacy in classroom management and student engagement (F
= 16.45; P ≤ 0.000 and F
= 4.65; P ≤ 0.011, respectively). Increase confidence in helping students with mental health problems was also noted in the intervention arm (F
= 15.96 P ≤ 0.000). Improvement in overall school environment was also found. No statistical difference in the emotional and behavioural difficulties in students was noticed at 3 months.
This study is one of the first preliminary investigation of WHO-EMRO school mental health intervention in Pakistan. The study showed that intervention led to significant improvement in mental health literacy and self-efficacy among teachers, which was largely sustained over time. Despite a major limitation of lack of clustering and likely contamination affecting follow up outcomes, the study showed promising results in the context of mental health promotion, prevention and early intervention in schools in Lahore, Pakistan. A larger cluster randomised trial is justified, given the level of participant engagement and acceptability by schools.
ClinicalTrials.gov registry (NCT02937714) Registered 13th October 2016, https://register.
gov .</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>35505362</pmid><doi>10.1186/s13034-022-00470-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Child & adolescent mental health Child & adolescent psychiatry Child psychology Children & youth Classroom management Clinical trials Consent Contamination Curricula Emotional behavior Health aspects Health education Health literacy Intervention Learning Literacy Mental disorders Mental Health Mental health care Mental health literacy Pakistan Psychological aspects Public health Questionnaires Schools Social behavior Students Teachers Training Well being |
title | Effectiveness of a school-based mental health intervention for school teachers in urban Pakistan: a randomized controlled trial |
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