Trial reportBMJ open2016
Impact of contact on adolescents' mental health literacy and stigma: the SchoolSpace cluster randomised controlled trial.
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.
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.
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.
Who cites it
49 citing papers in PubMed, 7 syntheses or guidelines pooled it, 152 citations in OpenAlex.
- Interventions to Reduce Mental Health Stigma in Young People: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- The impact of universal, school based, interventions on help seeking in children and young people: a systematic literature review.European child & adolescent psychiatry · 2024Pooled it
- Effectiveness of resilience-based interventions in schools for adolescents: a systematic review and meta-analysis.Frontiers in psychology · 2023Pooled it
- Characteristics and practices of school-based cluster randomised controlled trials for improving health outcomes in pupils in the United Kingdom: a methodological systematic review.BMC medical research methodology · 2021Pooled it
- The Long-Term Effectiveness of Interventions Addressing Mental Health Literacy and Stigma of Mental Illness in Children and Adolescents: Systematic Review and Meta-Analysis.International journal of public health · 2021Pooled it
- Interventions to Reduce Stigma Related to Mental Illnesses in Educational Institutes: a Systematic Review.The Psychiatric quarterly · 2020Pooled it
- Pooled it
- A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13-14) school pupils in Wales.BMC public health · 2023Trial
- Trial
- Adolescents' Empowerment for Mental Health Literacy in School: A Pilot Study on ProLiSMental Psychoeducational Intervention.International journal of environmental research and public health · 2021Trial
- Long-term effects of filmed social contact or internet-based self-study on mental health-related stigma: a 2-year follow-up of a randomised controlled trial.Social psychiatry and psychiatric epidemiology · 2019Trial
- A randomised controlled trial of repeated filmed social contact on reducing mental illness-related stigma in young adults.Epidemiology and psychiatric sciences · 2018Trial
- Picture-cum-activity book on mental health care for adolescents: An initial evaluation.Journal of family medicine and primary care · 2026Article
- Effectiveness of resilience-based interventions to promote mental well-being among secondary school children: a systematic review.Frontiers in psychiatry · 2026Review
- Improving Mental Health Literacy Among Iranian Middle School Students: A Quasi-Experimental Intervention.Medical journal of the Islamic Republic of Iran · 2026Article
- Evaluating the Effectiveness of a School-Based Mental Health Training Programme: The Transformative, Resilient, Youth-Led (TRY) Gym.Healthcare (Basel, Switzerland) · 2025Article
- Article
- School-based interventions for resilience in children and adolescents: a systematic review and meta-analysis of randomized controlled trials.Frontiers in psychiatry · 2025Review
- Characteristics of mental health literacy measurement in youth: a scoping review of school-based surveys.Discover mental health · 2024Article
- An exploratory cross-sectional study on Mental health literacy of Spanish adolescents.BMC public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
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.
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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.