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Grant support

The trial received a research grant from the Carlos III Institute of Health, Ministry of Economy and Competitiveness (Spain).This was awarded in the 2015 call for tenders under the Health Strategy Action 2013-2016, within the National Research Programme aimed at Societal Challenges, within the Technical, Scientific and Innovation Research National Plan 2013-2016, with reference PI15/01613, and was co-funded by the European Union ERDF funds (European Regional Development Fund).This research was also funded by the Department of Health, Government of Catalonia (Spain) in the 2017 call for grants under the Strategic Plan for Research and Innovation in Health (PERIS) 2016-2020, with reference SLT002/16/00202.

Analysis of institutional authors

Raya-Tena, AntoniaAuthor
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The effectiveness of a "EspaiJove.net"- a school-based intervention programme in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population: a cluster randomised controlled trial

Publicated to:Bmc Public Health. 22 (1): 2425- - 2022-12-24 22(1), DOI: 10.1186/s12889-022-14558-y

Authors: Casanas, Rocio; Castellvi, Pere; Gil, Juan-Jose; Torres-Torres, Maria; Baron, Jesica; Teixido, Merce; Maria Sampietro, Hernan; Diez, Marta; Fernandez, Raul; Sorli, Raquel; Sinol, Patricia; Jurado, Francisca; Carreras-Salvador, Regina; Vazquez, Davinia; Gonzalez, Sandra; Isabel Fernandez-San Martin, Maria; Raya-Tena, Antonia; Alvarez, Rosa; Amado-Rodriguez, Isaac; Miguel Martin-Lopez, Luis; Alonso, Jordi; Lalucat-Jo, Lluis

Affiliations

Activament Catalunya Assoc, C Rocaft,242 Bis,3R B, Barcelona 08029, Spain - Author
Assoc Ctr Higiene Mental Les Corts, Mental Hlth Area Les Corts Sarria St Gervasi, C Via Augusta 364-372,4a Planta, Barcelona 08017, Spain - Author
Assoc Ctr Higiene Mental Les Corts, Res Dept, C Numancia 103-105, Barcelona 103105, Spain - Author
Assoc Ctr Higiene Mental LesCorts, Child & Juvenile Mental Hlth Ctr Les Corts Sarria, C Montnegre 21,3a Planta, Barcelona 08195, Spain - Author
CIBERESP, Inst Hosp Mar Invest Med IMIM, C Dr Aiguader 88, Barcelona 08003, Spain - Author
Inst Catala Salut ICS, Gerencia Atencio Primaria Barcelona Ciutat, C Balmes 22, Barcelona 08007, Spain - Author
Inst Neuropsiquiatria & Adicc Parc Salut Mar INAD, Child & Juvenile Mental Hlth Ctr Ciutat Vella St, Consorci Parc Salut Mar,C Ramon Turro 337,339, Barcelona 08019, Spain - Author
Inst Neuropsiquiatria & Adicc Parc Salut Mar INAD, Consorci Parc Salut Mar,Passeig Maritim 25-29, Barcelona 08003, Spain - Author
Univ Int Catalunya, Dept Med, Campus St Cugat,C Josep Trueta S-N, Barcelona 08195, Spain - Author
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Abstract

Background: The aim of this study is to evaluate the short- and long-term effects of the universal mental health literacy intervention "EspaiJove.net " in increasing mental health knowledge, help seeking and reducing stigma attitudes in the adolescent population. We also examine whether these effects depend on the intervention intensity. Methods: A clustered school-based randomised controlled trial (cRCT) design. Subjects: 1,298 secondary pupils aged 13 and 14 were recruited from 18 schools in Barcelona (Spain) between September 2016 and January 2018. Intervention: Three programmes were assessed: 1) Sensitivity Programme (SP; 1 h); 2) Mental Health Literacy (MHL; 6 h); 3) MHL plus a first-person Stigma Reduction Programme (MHL + SR; 7 h); 4) Control group (CG): waiting list. Outcome measures: 1) MHL: EspaiJove.net EMHL Test (First part and Second Part); 2) Stigma: RIBS and CAMI; 3) Help-seeking and use of treatment: GHSQ. Analysis: The data was collected at baseline, post-intervention and 6 and 12 months later. An intention-to-treat analysis and imputation method was used to analyse the missing data. Intervention effects were analysed using multilevel modelling. Results: One thousand thirty-two students were included (SP = 225; MHL = 261; MHL + SR = 295 and CG = 251). The MHL and MHL + SR interventions showed short- and long-term an increase in knowledge compared to SP and CG, but no significant change post-intervention or over time (First part p = 0.52 and Second part p = 0.62) between intervention groups and CG. No significant changes were found in stigma scores post-intervention or over time (CAMI p = 0.61 and RIBS p = 0.98) or in help-seeking scores (parent p = 0.69; teacher p = 0.23 and healthcare professional p = 0.75). The MHL + SR intervention was the best valued and recommended (p < 0.005). Conclusions: The three interventions of the EspaiJove.net programme (SP, MHL and MHL + SR) seem not to be effective in terms MHL, Stigma and help-seeking behaviours. The contact with a person who has experimented mental illness first-hand did not reduce stigma attitudes. Further research should deal with the heterogeneity of MHL interventions (concept, duration and measures) and identify which components of stigma interventions are effective.

Keywords
AdolescenceAdolescentAge-of-onsetCommunity attitudesCurriculumDisordersHealth literacyHumansIllnessImpactInterventionLiteracyMental disordersMental healthMental health literacyPreventionPromotionResourceSchoolSchoolsSocial stigmaStigmaStudents

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Bmc Public Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Public Health, Environmental and Occupational Health.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.27. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 5.16 (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-20, the following number of citations:

  • WoS: 9
  • Scopus: 9
  • Europe PMC: 3
  • OpenCitations: 5
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-20:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 149.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 146 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 4.5.
  • The number of mentions on the social network X (formerly Twitter): 5 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: http://hdl.handle.net/20.500.11797/imarina9290736