Delivery of a Mental Health First Aid training package and staff peer support service in secondary schools: a process evaluation of uptake and fidelity of the WISE intervention.
Mental health
Process evaluation
Schools
Teachers
Wellbeing
Journal
Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253
Informations de publication
Date de publication:
26 Aug 2020
26 Aug 2020
Historique:
received:
14
11
2019
accepted:
14
08
2020
entrez:
28
8
2020
pubmed:
28
8
2020
medline:
15
5
2021
Statut:
epublish
Résumé
Improving children and young people's provision for mental health is a current health priority in England. Secondary school teachers have worse mental health outcomes than the general working population, which the Wellbeing in Secondary Education (WISE) cluster randomised controlled trial aimed to improve. The WISE intervention comprised a Mental Health First Aid (MHFA) training package delivered to at least 16% of staff, a short mental health awareness session to all teachers and development of a staff peer support service. Twenty-five schools were randomised to intervention or control arms. This paper reports findings regarding the extent of uptake and fidelity of the intervention. Mixed methods data collection comprised researcher observations of training delivery, training participant evaluation forms, trainer and peer supporter interviews, peer supporter feedback meetings, logs of support provided, and teacher questionnaires. Quantitative data were summarised descriptively, while thematic analysis was applied to the qualitative data. In the 12 schools assigned to the intervention arm, 113 (8.6%) staff completed the 2-day standard MHFA training course, and a further 146 (11.1%) staff completed the 1-day MHFA for schools and colleges training. In seven (58.3%) schools, the required 8% of staff completed the MHFA training packages. A 1-h mental health awareness-raising session was attended by 666 (54.5%) staff. Delivery of the MHFA training package was achieved with high levels of fidelity and quality across schools. All schools set up the peer support service following training, with a majority adhering to most of the operational guidelines developed from the pilot study at the outset. Teachers reported limited use of the peer support service during follow-up. At the 1-year follow-up, only three (25.0%) schools indicated they had re-advertised the service and there was evidence of a reduction in support from senior leadership. The MHFA training package was delivered with reasonably high fidelity, and a staff peer support service was established with general, but not complete, adherence to guidelines. In some schools, insufficient staff received MHFA training and levels of delivery of the peer support service compromised intervention dose and reach. ISRCTN 95909211 . Registered on 15 January 2016.
Sections du résumé
BACKGROUND
BACKGROUND
Improving children and young people's provision for mental health is a current health priority in England. Secondary school teachers have worse mental health outcomes than the general working population, which the Wellbeing in Secondary Education (WISE) cluster randomised controlled trial aimed to improve. The WISE intervention comprised a Mental Health First Aid (MHFA) training package delivered to at least 16% of staff, a short mental health awareness session to all teachers and development of a staff peer support service. Twenty-five schools were randomised to intervention or control arms. This paper reports findings regarding the extent of uptake and fidelity of the intervention.
METHODS
METHODS
Mixed methods data collection comprised researcher observations of training delivery, training participant evaluation forms, trainer and peer supporter interviews, peer supporter feedback meetings, logs of support provided, and teacher questionnaires. Quantitative data were summarised descriptively, while thematic analysis was applied to the qualitative data.
RESULTS
RESULTS
In the 12 schools assigned to the intervention arm, 113 (8.6%) staff completed the 2-day standard MHFA training course, and a further 146 (11.1%) staff completed the 1-day MHFA for schools and colleges training. In seven (58.3%) schools, the required 8% of staff completed the MHFA training packages. A 1-h mental health awareness-raising session was attended by 666 (54.5%) staff. Delivery of the MHFA training package was achieved with high levels of fidelity and quality across schools. All schools set up the peer support service following training, with a majority adhering to most of the operational guidelines developed from the pilot study at the outset. Teachers reported limited use of the peer support service during follow-up. At the 1-year follow-up, only three (25.0%) schools indicated they had re-advertised the service and there was evidence of a reduction in support from senior leadership.
CONCLUSION
CONCLUSIONS
The MHFA training package was delivered with reasonably high fidelity, and a staff peer support service was established with general, but not complete, adherence to guidelines. In some schools, insufficient staff received MHFA training and levels of delivery of the peer support service compromised intervention dose and reach.
TRIAL REGISTRATION
BACKGROUND
ISRCTN 95909211 . Registered on 15 January 2016.
Identifiants
pubmed: 32847622
doi: 10.1186/s13063-020-04682-8
pii: 10.1186/s13063-020-04682-8
pmc: PMC7448323
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
745Subventions
Organisme : Medical Research Council
ID : MR/V027751/1
Pays : United Kingdom
Organisme : Department of Health
ID : 13/164/06
Pays : United Kingdom
Organisme : Public Health Research Programme (GB)
ID : 13/164/06
Organisme : Medical Research Council
ID : MR/K023233/1
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : G108/625
Pays : United Kingdom
Références
Soc Psychiatry Psychiatr Epidemiol. 2011 Feb;46(2):101-10
pubmed: 20033130
J Health Soc Behav. 2011 Jun;52(2):145-61
pubmed: 21673143
Community Ment Health J. 2018 Feb;54(2):127-137
pubmed: 28466237
Community Ment Health J. 2013 Jun;49(3):281-91
pubmed: 23117937
J Affect Disord. 2016 Mar 1;192:76-82
pubmed: 26707351
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
BMC Public Health. 2016 Oct 6;16(1):1060
pubmed: 27716226
Am J Community Psychol. 2008 Jun;41(3-4):327-50
pubmed: 18322790
Pediatrics. 2012 May;129(5):925-49
pubmed: 22473374
Prev Sci. 2003 Mar;4(1):55-63
pubmed: 12611419
BMC Public Health. 2016 Oct 18;16(1):1089
pubmed: 27756268
Behav Ther. 2018 Jul;49(4):494-508
pubmed: 29937253
J Epidemiol Community Health. 2014 Feb;68(2):101-2
pubmed: 24022816
Med J Aust. 2007 Oct 1;187(S7):S26-30
pubmed: 17908021
Lancet. 2008 May 10;371(9624):1595-602
pubmed: 18468543
Trials. 2018 May 4;19(1):270
pubmed: 29728149
Br J Psychiatry. 2013 May;202(5):336-41
pubmed: 23637109
Br J Educ Psychol. 2020 Jun;90 Suppl 1:75-90
pubmed: 31297801
Mindfulness (N Y). 2019 Jun 4;10(2):376-389
pubmed: 31186817
BMC Psychiatry. 2010 Jun 24;10:51
pubmed: 20576158
BMC Psychiatry. 2002 Oct 01;2:10
pubmed: 12359045
J Affect Disord. 2019 Jan 1;242:180-187
pubmed: 30189355
Psychol Med. 2007 Aug;37(8):1119-29
pubmed: 17407618
Hum Vaccin Immunother. 2015;11(12):2895-903
pubmed: 26366978