Evidence map›Paper›PMID 26895983›Full record

Trial reportBMJ open2016

Impact of contact on adolescents' mental health literacy and stigma: the SchoolSpace cluster randomised controlled trial.

Katharine Chisholm, Paul Patterson, Carole Torgerson, Erin Turner, David Jenkinson, Max Birchwood

Open access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 7 pooled it
11.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 7 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Katharine ChisholmSchool of Psychology, University of Birmingham, Birmingham, UK.
Paul PattersonYouth Programme, Birmingham and Solihull Mental Health NHS Foundation Trust, Research & Innovation, Birmingham, UK.
Carole TorgersonSchool of Education, University of Birmingham, Birmingham, UK.
Erin TurnerEarly Intervention Services, Birmingham and Solihull Mental Health NHS Foundation Trust, Newington Resource Centre, Birmingham, UK.
David JenkinsonSchool of Health and Population Sciences, University of Birmingham, Birmingham, UK.
Max BirchwoodSchool of Psychology, University of Birmingham, Birmingham, UK.
University of Birmingham · GBBirmingham and Solihull Mental Health NHS Foundation Trust · GB

Funding

Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

objectivesTo investigate whether intergroup contact in addition to education is more effective than education alone in reducing stigma of mental illness in adolescents.

designA pragmatic cluster randomised controlled trial compared education alone with education plus contact. Blocking was used to randomly stratify classes within schools to condition. Random allocation was concealed, generated by a computer algorithm, and undertaken after pretest. Data was collected at pretest and 2-week follow-up. Analyses use an intention-to-treat basis.

settingSecondary schools in Birmingham, UK.

participantsThe parents and guardians of all students in year 8 (age 12-13 years) were approached to take part.

interventionsA 1-day educational programme in each school led by mental health professional staff. Students in the 'contact' condition received an interactive session with a young person with lived experience of mental illness. OUTCOMES: The primary outcome was students' attitudinal stigma of mental illness. Secondary outcomes included knowledge-based stigma, mental health literacy, emotional well-being and resilience, and help-seeking attitudes.

resultsParticipants were recruited between 1 May 2011 and 30 April 2012. 769 participants completed the pretest and were randomised to condition. 657 (85%) provided follow-up data. At 2-week follow-up, attitudinal stigma improved in both conditions with no significant effect of condition (95% CI -0.40 to 0.22, p=0.5, d=0.01). Significant improvements were found in the education-alone condition compared with the contact and education condition for the secondary outcomes of knowledge-based stigma, mental health literacy, emotional well-being and resilience, and help-seeking attitudes.

conclusionsContact was found to reduce the impact of the intervention for a number of outcomes. Caution is advised before employing intergroup contact with younger student age groups. The education intervention appeared to be successful in reducing stigma, promoting mental health knowledge, and increasing mental health literacy, as well as improving emotional well-being and resilience. A larger trial is needed to confirm these results. TRIAL REGISTRATION NUMBER: ISRCTN07406026; Results.

Indexed as

Health Knowledge, Attitudes, PracticeHealth LiteracySocial StigmaAdolescentChildChild WelfareHealth EducationHumansMental DisordersSchoolsSimulation TrainingUnited KingdomMENTAL HEALTHPUBLIC HEALTH

Identifiers

PMID26895983
PMCPMC4762080
OpenAlexW2279804233

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.