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)

Daniel Hayes, Anna Moore, Emily Stapley, Neil Humphrey, Rosie Mansfield, Joao Santos, Emma Ashworth, Praveetha Patalay, Eva-Maria Bonin, Jan Boehnke, Jessica Deighton (Lead / Corresponding author)

    Research output: Contribution to journalArticle

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    Abstract

    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).

    Original languageEnglish
    Article numbere029044
    Pages (from-to)1-9
    Number of pages9
    JournalBMJ Open
    Volume9
    Issue number8
    Early online date3 Sep 2019
    DOIs
    Publication statusPublished - 3 Sep 2019

    Fingerprint

    Health Literacy
    Pupil
    England
    Mental Health
    Randomized Controlled Trials
    Cost-Benefit Analysis
    Arm
    Depression
    First Aid
    Qualitative Research
    Research Ethics Committees
    Ethics
    Curriculum
    Anxiety
    Public Health
    Education

    Keywords

    • adolescent
    • cluster randomised controlled trial
    • mental health
    • teacher
    • well-being
    • young person

    Cite this

    Hayes, Daniel ; Moore, Anna ; Stapley, Emily ; Humphrey, Neil ; Mansfield, Rosie ; Santos, Joao ; Ashworth, Emma ; Patalay, Praveetha ; Bonin, Eva-Maria ; Boehnke, Jan ; Deighton, Jessica. / 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). In: BMJ Open. 2019 ; Vol. 9, No. 8. pp. 1-9.
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    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). / Hayes, Daniel; Moore, Anna; Stapley, Emily; Humphrey, Neil; Mansfield, Rosie; Santos, Joao; Ashworth, Emma; Patalay, Praveetha; Bonin, Eva-Maria; Boehnke, Jan; Deighton, Jessica (Lead / Corresponding author).

    In: BMJ Open, Vol. 9, No. 8, e029044, 03.09.2019, p. 1-9.

    Research output: Contribution to journalArticle

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    T2 - Study Protocol for a Multischool, Parallel Group, Cluster Randomised Controlled Trial (AWARE)

    AU - Hayes, Daniel

    AU - Moore, Anna

    AU - Stapley, Emily

    AU - Humphrey, Neil

    AU - Mansfield, Rosie

    AU - Santos, Joao

    AU - Ashworth, Emma

    AU - Patalay, Praveetha

    AU - Bonin, Eva-Maria

    AU - Boehnke, Jan

    AU - Deighton, Jessica

    N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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