Nazish Imran|At?f Rahman|Nakhshab Chaudhry|Aftab Asif
Effectiveness of a school-based mental health intervention for school teachers in urban Pakistan: a randomized controlled trial
King Edward Medical University|Mayo Hospital|University of Liverpool|King Edward Medical University|Mayo Hospital|King Edward Medical University
abstract background schools major role promoting childrens physical psychological health wellbeing mental health literacy key stakeholders especially teachers critical achieving goal teachers knowledge beliefs psychological problems influence way deal students mental health issues study preliminary investigation evaluating effectiveness feasibility school mental health programme smhp developed world health organizations eastern mediterranean regional office whoemro improving mental health literacy selfefficacy among school teachers innercity area urban lahore methods teachers randomly assigned 3 days standardized whoemro school mental health manual based intervention n 118 wait list delayed intervention control group n 113 teachers assessed pre post training 3 months follow using measures mental health literacy primary outcome selfefficacy school heads completed school psychosocial profile students reported socioemotional skills psychological problems using strengths difficulties questionnaire baseline 3 months post intervention results compared waitlist group teachers intervention group presented significant increase mental health literacy f 2181 892 p lt 0001 well better teachers selfefficacy classroom management student engagement f 2181 1645 p 0000 f 2181 465 p 0011 respectively increase confidence helping students mental health problems also noted intervention arm f 2181 1596 p 0000 improvement overall school environment also found statistical difference emotional behavioural difficulties students noticed 3 months conclusion study one first preliminary investigation whoemro school mental health intervention pakistan study showed intervention led significant improvement mental health literacy selfefficacy among teachers largely sustained time despite major limitation lack clustering likely contamination affecting follow outcomes study showed promising results context mental health promotion prevention early intervention schools lahore pakistan larger cluster randomised trial justified given level participant engagement acceptability schools trail registration clinicaltrialsgov registry nct02937714 registered 13th october 2016 httpsregisterclinicaltrialsgov