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Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

A school-based health promotion programme to increase help-seeking for substance use and mental health problems: study protocol for a randomised controlled trial

Authors: Dan I. Lubman, Bonita J. Berridge, Fiona Blee, Anthony F. Jorm, Coralie J. Wilson, Nicholas B. Allen, Lisa McKay-Brown, Jenny Proimos, Ali Cheetham, Rory Wolfe

Published in: Trials | Issue 1/2016

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Abstract

Background

Adolescence is a high-risk time for the development of mental health and substance use problems. However, fewer than one in four 16–24 year-olds with a current disorder access health services, with those experiencing a substance use disorder being the least likely to seek professional help. Research indicates that young people are keeping their problems to themselves or alternatively, turning to peers or trusted adults in their lives for help. These help-seeking preferences highlight the need to build the mental health literacy of adolescents, to ensure that they know when and how to assist themselves and their peers to access support. The MAKINGtheLINK intervention aims to introduce these skills to adolescents within a classroom environment.

Methods/design

This is a cluster randomised controlled trial (RCT) with schools as clusters and individual students as participants from 22 secondary schools in Victoria, Australia. Schools will be randomly assigned to either the MAKINGtheLINK intervention group or the waitlist control group. All students will complete a self-report questionnaire at baseline, immediately post intervention and 6 and 12 months post baseline. The primary outcome to be assessed is increased help-seeking behaviour (from both formal and informal sources) for alcohol and mental health issues, measured at 12 months post baseline.

Discussion

The findings from this research will provide evidence on the effectiveness of the MAKINGtheLINK intervention for teaching school students how to overcome prominent barriers associated with seeking help, as well as how to effectively support their peers. If deemed effective, the MAKINGtheLINK programme will be the first evidence-informed resource that is able to address critical gaps in the knowledge and behaviour of adolescents in relation to help-seeking. It could, therefore, be a valuable resource that could be readily implemented by classroom teachers.

Trial registration

Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12613000235​707. Registered on 27 February 2013.
Appendix
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Literature
1.
go back to reference Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication: Erratum. Arch Gen Psychiatry. 2005;62(7):768.CrossRef Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication: Erratum. Arch Gen Psychiatry. 2005;62(7):768.CrossRef
2.
go back to reference Reavley NJ, Cvetkovski S, Jorm AF, Lubman DI. Help-seeking for substance use, anxiety and affective disorders among young people: results from the 2007 Australian National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry. 2010;44(8):729–35.CrossRefPubMed Reavley NJ, Cvetkovski S, Jorm AF, Lubman DI. Help-seeking for substance use, anxiety and affective disorders among young people: results from the 2007 Australian National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry. 2010;44(8):729–35.CrossRefPubMed
3.
4.
go back to reference White V, Bariola E. Australian secondary school students’ use of tobacco, alcohol, and over-the-counter and illicit substances in 2011. Canberra: National Drug Strategy, Department of Health and Ageing; 2011. White V, Bariola E. Australian secondary school students’ use of tobacco, alcohol, and over-the-counter and illicit substances in 2011. Canberra: National Drug Strategy, Department of Health and Ageing; 2011.
5.
go back to reference AIHW. National Drug Strategy Household Survey detailed report: 2013. Canberra: AIHW; 2014. AIHW. National Drug Strategy Household Survey detailed report: 2013. Canberra: AIHW; 2014.
6.
go back to reference Lubman DI, Hides L, Yucel M, Toumbourou JW. Intervening early to reduce developmentally harmful substance use among youth populations. Med J Aust. 2007;187(7):S22–5.PubMed Lubman DI, Hides L, Yucel M, Toumbourou JW. Intervening early to reduce developmentally harmful substance use among youth populations. Med J Aust. 2007;187(7):S22–5.PubMed
7.
go back to reference Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10(2010):113.CrossRefPubMedPubMedCentral Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10(2010):113.CrossRefPubMedPubMedCentral
8.
go back to reference Jorm AF, Wright A, Morgan AJ. Beliefs about appropriate first aid for young people with mental disorders: findings from an Australian national survey of youth and parents. Early Interv Psychiatry. 2007;1(1):61–70.CrossRefPubMed Jorm AF, Wright A, Morgan AJ. Beliefs about appropriate first aid for young people with mental disorders: findings from an Australian national survey of youth and parents. Early Interv Psychiatry. 2007;1(1):61–70.CrossRefPubMed
9.
go back to reference Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. Mental health literacy: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997;166(4):82. Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. Mental health literacy: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997;166(4):82.
10.
go back to reference Bryant AL, Schulenberg JE, O’Malley PM, Bachman JG, Johnston LD. How academic achievement, attitudes, and behaviors relate to the course of substance use during adolescence: a 6-year, multiwave national longitudinal study. J Res Adolesc. 2003;13(3):361–97.CrossRef Bryant AL, Schulenberg JE, O’Malley PM, Bachman JG, Johnston LD. How academic achievement, attitudes, and behaviors relate to the course of substance use during adolescence: a 6-year, multiwave national longitudinal study. J Res Adolesc. 2003;13(3):361–97.CrossRef
11.
go back to reference Rickwood D, White A, Eckersley R. Overview of current trends in mental health problems for Australia’s youth and adolescents. Clin Psychol. 2007;11(3):72–8.CrossRef Rickwood D, White A, Eckersley R. Overview of current trends in mental health problems for Australia’s youth and adolescents. Clin Psychol. 2007;11(3):72–8.CrossRef
12.
go back to reference Kitchener BA, Jorm AF. Mental health first aid training in a workplace setting: a randomized controlled trial. BMC Psychiatry. 2004;4:23. 1471-244X/4/23.CrossRefPubMedPubMedCentral Kitchener BA, Jorm AF. Mental health first aid training in a workplace setting: a randomized controlled trial. BMC Psychiatry. 2004;4:23. 1471-244X/4/23.CrossRefPubMedPubMedCentral
13.
go back to reference Australian Government. In tune: students participating in drug education. Canberra: Department of Education Science and Training; 2006. Australian Government. In tune: students participating in drug education. Canberra: Department of Education Science and Training; 2006.
14.
go back to reference Department of Education and Training. Creating conversations: talking about drug issues. Melbourne: Office of School Education; 2002. Department of Education and Training. Creating conversations: talking about drug issues. Melbourne: Office of School Education; 2002.
15.
go back to reference Berridge BJ, Hall K, Dillon P, Hides L, Lubman DI. MAKINGtheLINK: a school-based health promotion programme to increase help-seeking for cannabis and mental health issues among adolescents. Early Interv Psychiatry. 2011;5(1):81–8.CrossRefPubMed Berridge BJ, Hall K, Dillon P, Hides L, Lubman DI. MAKINGtheLINK: a school-based health promotion programme to increase help-seeking for cannabis and mental health issues among adolescents. Early Interv Psychiatry. 2011;5(1):81–8.CrossRefPubMed
16.
go back to reference Berridge BJ, Cheetham A, McKay-Brown L, Lubman DI. Improving help-seeking amongst adolescents: a school-based intervention. Australian and New Zealand Journal of Psychiatry. 2015;49(10):945–46.CrossRefPubMed Berridge BJ, Cheetham A, McKay-Brown L, Lubman DI. Improving help-seeking amongst adolescents: a school-based intervention. Australian and New Zealand Journal of Psychiatry. 2015;49(10):945–46.CrossRefPubMed
17.
go back to reference Campbell MK, Elbourne DR, Altman DG. CONSORT Statement: extension to cluster randomised trials. Br Med J. 2004;328(7441):702–8.CrossRef Campbell MK, Elbourne DR, Altman DG. CONSORT Statement: extension to cluster randomised trials. Br Med J. 2004;328(7441):702–8.CrossRef
18.
go back to reference Wilson CJ, Deane FP, Marshall KL, Dalley A. Reducing adolescents’ perceived barriers to treatment and increasing help-seeking intentions: effects of classroom presentations by general practitioners. J Youth Adolesc. 2008;37(10):1257–69.CrossRef Wilson CJ, Deane FP, Marshall KL, Dalley A. Reducing adolescents’ perceived barriers to treatment and increasing help-seeking intentions: effects of classroom presentations by general practitioners. J Youth Adolesc. 2008;37(10):1257–69.CrossRef
19.
go back to reference Jorm AJ, Kitchener BA, Sawyer MG, Scales H, Cvetkovski S. Mental health first aid training for high school teachers: a cluster randomized trial. BMC Psychiatry. 2010;10:51.CrossRefPubMedPubMedCentral Jorm AJ, Kitchener BA, Sawyer MG, Scales H, Cvetkovski S. Mental health first aid training for high school teachers: a cluster randomized trial. BMC Psychiatry. 2010;10:51.CrossRefPubMedPubMedCentral
20.
go back to reference Fisher JD, Fisher WA. The Information-Motivation-Behavioural Skills Model. In: DiClemente R, Kegler C, editors. Emerging theories in health promotion practice and research. 2nd ed. USA: Wiley; 2009. Fisher JD, Fisher WA. The Information-Motivation-Behavioural Skills Model. In: DiClemente R, Kegler C, editors. Emerging theories in health promotion practice and research. 2nd ed. USA: Wiley; 2009.
21.
go back to reference Webb T, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006;132(2):249–68.CrossRefPubMed Webb T, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006;132(2):249–68.CrossRefPubMed
22.
go back to reference Tolan PH, Gorman-Smith D, Henry D, Schoeny M. The benefits of booster interventions: evidence from a family-focused prevention program. Prev Sci. 2009;10(4):287–97.CrossRefPubMed Tolan PH, Gorman-Smith D, Henry D, Schoeny M. The benefits of booster interventions: evidence from a family-focused prevention program. Prev Sci. 2009;10(4):287–97.CrossRefPubMed
23.
go back to reference Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335–43.CrossRefPubMed Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335–43.CrossRefPubMed
24.
go back to reference Antony M, Bieling J, Brian J, Murray W, Richard P. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess. 1998;10(2):176–81.CrossRef Antony M, Bieling J, Brian J, Murray W, Richard P. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess. 1998;10(2):176–81.CrossRef
25.
go back to reference Szabo M. The short version of the Depression Anxiety Stress Scales (DASS-21): factor structure in a young adolescent sample. J Adolesc. 2010;33:1–8.CrossRefPubMed Szabo M. The short version of the Depression Anxiety Stress Scales (DASS-21): factor structure in a young adolescent sample. J Adolesc. 2010;33:1–8.CrossRefPubMed
26.
go back to reference White V, Smith G. Australian secondary school students’ use of tobacco, alcohol, and over-the-counter and illicit substance in 2008. Canberra: National Drug Strategy, Department of Health and Ageing; 2009. White V, Smith G. Australian secondary school students’ use of tobacco, alcohol, and over-the-counter and illicit substance in 2008. Canberra: National Drug Strategy, Department of Health and Ageing; 2009.
27.
go back to reference Prior M, Sanson A, Smart D, Oberklaid F. Pathways from infancy to adolescence: Australian Temperament Project 1983–2000. Melbourne: Australian Institute of Family Studies; 2000. Prior M, Sanson A, Smart D, Oberklaid F. Pathways from infancy to adolescence: Australian Temperament Project 1983–2000. Melbourne: Australian Institute of Family Studies; 2000.
28.
go back to reference Mason A, Toumbourou JW, Herrenkohl TI, Hemphill SA, Catalano RF, Patton GC. Early-age alcohol use and later alcohol problems in adolescents: individual and peer mediators in a bi-national study. Psychol Addict Behav. 2011;25:625–33.CrossRefPubMedPubMedCentral Mason A, Toumbourou JW, Herrenkohl TI, Hemphill SA, Catalano RF, Patton GC. Early-age alcohol use and later alcohol problems in adolescents: individual and peer mediators in a bi-national study. Psychol Addict Behav. 2011;25:625–33.CrossRefPubMedPubMedCentral
29.
go back to reference Wilson CJ, Rickwood DJ, Bushnell JA, Caputi P, Thomas SJ. The effects of need for autonomy and preference for seeking help from informal sources on emerging adults’ intentions to access mental health services for common mental disorders and suicidal thoughts. Adv Mental Health. 2011;10(1):29–38.CrossRef Wilson CJ, Rickwood DJ, Bushnell JA, Caputi P, Thomas SJ. The effects of need for autonomy and preference for seeking help from informal sources on emerging adults’ intentions to access mental health services for common mental disorders and suicidal thoughts. Adv Mental Health. 2011;10(1):29–38.CrossRef
30.
go back to reference Wilson CJ, Deane FP, Ciarrochi J, Rickwood D. Measuring help-seeking intentions: properties of the General Help-Seeking Questionnaire. Can J Couns. 2005;39(1):15–28. Wilson CJ, Deane FP, Ciarrochi J, Rickwood D. Measuring help-seeking intentions: properties of the General Help-Seeking Questionnaire. Can J Couns. 2005;39(1):15–28.
31.
go back to reference Rickwood D, Deane FP, Wilson CJ, Ciarrochi J. Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health. 2005;4(3):251–81. Rickwood D, Deane FP, Wilson CJ, Ciarrochi J. Young people’s help-seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health. 2005;4(3):251–81.
32.
go back to reference Kulh J, Jarkon-Horlick L, Morrissey RF. Measuring barriers to help-seeking behavior in adolescents. J Youth Adolesc. 1997;26:637–50.CrossRef Kulh J, Jarkon-Horlick L, Morrissey RF. Measuring barriers to help-seeking behavior in adolescents. J Youth Adolesc. 1997;26:637–50.CrossRef
33.
go back to reference Yap M, MacKinnon A, Reavley N, Jorm A. The measurement properties of stigmatizing attitudes towards mental disorders: results from two community surveys. Int J Methods Psychiatr Res. 2014;23(1):49–61.CrossRefPubMed Yap M, MacKinnon A, Reavley N, Jorm A. The measurement properties of stigmatizing attitudes towards mental disorders: results from two community surveys. Int J Methods Psychiatr Res. 2014;23(1):49–61.CrossRefPubMed
Metadata
Title
A school-based health promotion programme to increase help-seeking for substance use and mental health problems: study protocol for a randomised controlled trial
Authors
Dan I. Lubman
Bonita J. Berridge
Fiona Blee
Anthony F. Jorm
Coralie J. Wilson
Nicholas B. Allen
Lisa McKay-Brown
Jenny Proimos
Ali Cheetham
Rory Wolfe
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1510-2

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