Trial reportBMC psychiatry2017
What's wrong with John? a randomised controlled trial of Mental Health First Aid (MHFA) training with nursing students.
Trial report in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 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
25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Mental health first aid training and assessment for healthcare professionals and medical nursing students: a systematic review.BMC psychology · 2025Pooled it
- Mental Health First Aid as a tool for improving mental health and well-being.The Cochrane database of systematic reviews · 2023Pooled it
- The Impact of Mental Health Literacy Training Programs on the Mental Health Literacy of University Students: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2022Pooled it
- Peer Support and Crisis-Focused Psychological Interventions Designed to Mitigate Post-Traumatic Stress Injuries among Public Safety and Frontline Healthcare Personnel: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Interventions to Reduce Stigma Related to Mental Illnesses in Educational Institutes: a Systematic Review.The Psychiatric quarterly · 2020Pooled it
- Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour.PloS one · 2018Pooled it
- The Effectiveness of Mental Health First Aid Training among Undergraduate Students in Switzerland: A Randomized Control Trial.International journal of environmental research and public health · 2023Trial
- teen Mental Health First Aid: 12-month outcomes from a cluster crossover randomized controlled trial evaluation of a universal program to help adolescents better support peers with a mental health problem.BMC public health · 2022Trial
- Confidence and motivation to help those with a mental health problem: experiences from a study of nursing students completing mental health first aid (MHFA) training.BMC medical education · 2020Trial
- Assessment of Knowledge, Attitudes, and Behaviors Toward Others' Mental Disorders to Improve Mental Health First Aid: Cross-Sectional Study in a French Workplace.JMIR public health and surveillance · 2026Article
- Educational interventions to reduce mental health stigma toward patients among healthcare professionals and trainees: a systematic review of randomised controlled trials.Social psychiatry and psychiatric epidemiology · 2026Review
- Student-led implementation of Mental Health First Aid training in undergraduate medical education.Frontiers in psychiatry · 2026Article
- Validation of the Mental Health First Aid Knowledge Questionnaire for use among Chinese non-mental health nurses.BMC psychology · 2025Article
- Article
- Effects of Online Health Promotion Program to Improve the Health and Wellbeing of Healthcare Students: A Feasibility Study.Healthcare (Basel, Switzerland) · 2024Article
- The Relationship Between Health Literacy and Mental Health Attitudes and Beliefs.Health literacy research and practice · 2022Article
- Mental Health First Aid training and assessment in Australian medical, nursing and pharmacy curricula: a national perspective using content analysis.BMC medical education · 2022Article
- Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review.Frontiers in psychiatry · 2022Review
- Evaluation of mental health first aid training for family members of military veterans with a mental health condition.BMC psychiatry · 2021Article
- Review of Australian initiatives to reduce stigma towards people with complex mental illness: what exists and what works?International journal of mental health systems · 2021Article
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of mental health problems have been found to be higher among university students compared to their non-student peers. Nursing students in particular face a range of additional stressors which may impact their undergraduate performance and their careers. Mental Health First Aid (MHFA) aims to increase mental health literacy and to reduce stigma and may positively impact on the student population. This paper describes a MHFA randomised controlled trial targeting nursing students at a large Australian university. This study aimed to measure the impact of the MHFA course on mental health literacy, mental health first aid intentions, confidence in helping someone with a mental health problem and stigmatising attitudes including social distance.
methodsParticipants were first year nursing students (n = 181) randomly allocated to the intervention (n = 92) or control (n = 89) group. Intervention group participants received the standardised MHFA course for nursing students. Online self-report questionnaires were completed at three time intervals: baseline (one week prior to the intervention: T
resultsThere was a significant improvement among intervention compared to control group participants across the three time periods for knowledge scores (p < 0.001), confidence in helping (p < 0.001), mental health first aid intentions (p < 0.001), total personal stigma (p < 0.05), personal dangerous/unpredictable stigma (p < 0.05) and social distance (p < 0.05) scores.
conclusionMHFA is useful training to embed in university courses and has the potential to enhance mental health literacy and reduce stigmatising attitudes and social distance. While this course has particular salience for nursing and other health science students, there are broader benefits to the general university population that should be considered and opportunities accordingly explored for all students to complete the course.
trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12614000861651 . Retrospectively registered 11 August 2014.
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Registered trials
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.