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      “EspaiJove.net”- a school-based intervention programme to promote mental health and eradicate stigma in the adolescent population: study protocol for a cluster randomised controlled trial


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          One half of adults who develop any mental disorder do so during adolescence. Previous literature showed that Mental Health Literacy (MHL) interventions impact mental health knowledge, reduce the associated stigma, and promote help-seeking among the adolescent population. However, evidence for the effectiveness and cost-effectiveness of these programmes remains inconclusive. The aim of this paper is to present a study protocol that evaluates the effectiveness of the “ EspaiJove.net” programme. “ EspaiJove.net” consists of a universal MHL intervention designed to promote mental health knowledge, increase help-seeking, reduce the stigma associated with mental illness, and prevent mental disorders in Spanish school settings.


          A school-based clustered randomised controlled trial (cRCT) design with 12 months of follow-up. Subjects: At least 408 secondary school students who attend the 3rd year of E.S.O (Compulsory secondary education for 13- to 14-year- olds) will be recruited from 8 schools within Barcelona city, Catalonia (Spain). Intervention: A dose-response intervention will be delivered with 4 arms: 1) Sensitivity Programme (SP) in Mental Health (1 h); 2) Mental Health Literacy (MHL) Programme (6 h); 3) MHL plus first-person Stigma Reduction (MHL + SR) (7 h); 4) Control group: waiting list.

          Primary outcomes: 1) MHL: EspaiJove.net MHL Test (EMHLT); 2) Stigma: Reported and Intended Behaviour Scale (RIBS) and Community Attitudes toward the Mentally Ill (CAMI). Others outcomes: 1) Acceptability of intervention; 2) Mental health symptoms and emotional well-being (SDQ); 3) States of Change Scale (SCS); 4) Bullying and Cyberbullying; 5) Quality of life (EQ-5D); 6) Help seeking and use of treatment; 7) Health benefits.


          Results would be informative for efforts to prevent mental disorders and promote mental wellbeing in secondary school students.

          Trial registration

          NCT03215654 (date registration July 12, 2017).

          Electronic supplementary material

          The online version of this article (10.1186/s12889-018-5855-1) contains supplementary material, which is available to authorized users.

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          Most cited references17

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          Stages and processes of self-change of smoking: toward an integrative model of change.

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            Epidemiology of mental disorders in children and adolescents

            This article provides a review of the magnitude of mental disorders in children and adolescents from recent community surveys across the world. Although there is substantial variation in the results depending upon the methodological characteristics of the studies, the findings converge in demonstrating that approximately one fourth of youth experience a mental disorder during the past year, and about one third across their lifetimes. Anxiety disorders are the most frequent conditions in children, followed by behavior disorders, mood disorders, and substance use disorders. Fewer than half of youth with current mental disorders receive mental health specialty treatment. However, those with the most severe disorders tend to receive mental health services. Current issues that are now being identified in the field of child psychiatric epidemiology include: refinement of classification and assessment, inclusion of young children in epidemiologic surveys, integration of child and adult psychiatric epidemiology, and evaluation of both mental and physical disorders in children.
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              Scaling Community Attitudes Toward the Mentally Ill


                Author and article information

                (+34) 934198611 , rocio.casanas@chmcorts.com
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                31 July 2018
                31 July 2018
                : 18
                : 939
                [1 ]Research Department, Associació Centre Higiene Mental Les Corts, Grup CHM Salut Mental, C/ Numància, 103-105, Bajos, 08029 Barcelona, Spain
                [2 ]ISNI 0000 0001 2172 2676, GRID grid.5612.0, Escola Superior Infermeria del Mar (ESIM), , Universitat Pompeu Fabra (UPF), ; C/ Numància, 103-105, Bajos, 08029 Barcelona, Spain
                [3 ]GRID grid.7080.f, Departament of Clinical and Health Psychology, School of Psychology, , Universitat Autònoma de Barcelona (UAB), ; Building B Campus de Bellaterra, 08193 Bellaterra (Cerdanyola del Vallès Barcelona), Barcelona, Spain
                [4 ]ISNI 0000 0001 2096 9837, GRID grid.21507.31, Department of Psychology, Division of Clinical Psychology, , Universidad de Jaen, ; Campus Las Lagunillas, s/n, 23071 Jaén, Spain
                [5 ]Child and Juvenile Mental Health Centre of Les Corts, Associació Centre Higiene Mental Les Corts, Grup CHM Salut Mental, C/Montnegre 21, 3a planta, 08029 Barcelona, Spain
                [6 ]Child and Juvenile Mental Health Centre of Sarria-Sant Gervasi, Associació Centre Higiene Mental Les Corts, Grup CHM Salut Mental, C/ Via Augusta 364-372, 4a planta, 08017 Barcelona, Spain
                [7 ]Fundació Privada Centre Higiene Mental Les Corts, Grup CHM Salut Mental, C/ Numancia, 103-105, Bajos, 08029 Barcelona, Spain
                [8 ]Activament Catalunya Associació, C/ Rocafort, 242 Bis, 3r B, 08029 Barcelona, Spain
                [9 ]Spora Sinergies Consultoria social, C/ Floridablanca, 146, 08011 Barcelona, Spain
                [10 ]ISNI 0000 0004 1767 9005, GRID grid.20522.37, Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), ; C/ Dr. Aiguader, 88, 08003 Barcelona, Spain
                [11 ]ISNI 0000 0001 2172 2676, GRID grid.5612.0, CIBER of Epidemiology and Public Health (CIBERESP) and Dept. Health and Experimental Sciences (DCEXS), , Pompeu Fabra University (UPF), ; C/ Dr. Aiguader, 88, 08003 Barcelona, Spain
                Author information
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                : 12 March 2018
                : 17 July 2018
                Funded by: FundRef http://dx.doi.org/10.13039/501100004587, Instituto de Salud Carlos III;
                Award ID: PI15/01613
                Award Recipient :
                Study Protocol
                Custom metadata
                © The Author(s) 2018

                Public health
                mental health,promotion,prevention,stigma,adolescence,school,intervention,mental health literacy
                Public health
                mental health, promotion, prevention, stigma, adolescence, school, intervention, mental health literacy


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