Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2018
Beyond Silence: A Randomized, Parallel-Group Trial Exploring the Impact of Workplace Mental Health Literacy Training with Healthcare Employees.
Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers, 8 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.
Advancing Peer Support Programming to Address PTSD and Trauma Among Canadian Public Safety Personnel and Veterans
PeerOnCall: A Cluster Randomized Trial of a Peer Support Mobile Health Platform in Canadian Fire Service Organizations
Who cites it
23 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Mental health first aid training and assessment for healthcare professionals and medical nursing students: a systematic review.BMC psychology · 2025Pooled it
- Addressing Health Care Workers' Mental Health: A Systematic Review of Evidence-Based Interventions and Current Resources.American journal of public health · 2024Pooled it
- Mental Health First Aid as a tool for improving mental health and well-being.The Cochrane database of systematic reviews · 2023Pooled it
- Individual-level interventions for reducing occupational stress in healthcare workers.The Cochrane database of systematic reviews · 2023Pooled it
- Evidence for the effectiveness of interventions to reduce mental health related stigma in the workplace: a systematic review.BMJ open · 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
- Effects of online stigma-reduction programme for people experiencing mental health conditions: A systematic review and meta-analysis.International journal of mental health nursing · 2021Pooled it
- Corporate Application of Health Literacy.Health literacy research and practice · 2021Pooled it
- Effectiveness of a Brief Internet-Based Workplace Training Program to Support Help Seeking for Mental Ill-Health: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Adoption of App-Based Peer Support by Canadian Health Care Providers: Mixed Methods Organizational Implementation Study.JMIR mHealth and uHealth · 2026Article
- Mental health literacy among Jordanian nurses: a cross-sectional study and scale validation.BMC nursing · 2025Article
- Effects of Interventions to Improve Help-Seeking Related to Mental Health Among Workers: A Systematic Review.Cureus · 2025Review
- A Brief Workplace Training Program to Support Help-Seeking for Mental Ill-Health: Protocol for the Helipad Cluster Randomized Controlled Trial.JMIR research protocols · 2024Article
- Mobilising strategic alliances with community organisations to address work-related mental injury: a qualitative study guided by collaboration theory.BMC public health · 2023Article
- Augmenting mental health literacy of troops in a large military station: A novel approach.Industrial psychiatry journal · 2023Article
- Interventions to reduce the stigma of mental health at work: a narrative review.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2023Review
- Factors Related to Mental Health of Foreign Care Workers in Long-Term Care Facilities in Japan during the COVID-19 Pandemic-A Comparative Study.International journal of environmental research and public health · 2022Article
- Psychological needs of critical care staff and barriers to accessing support: A qualitative study.Nursing & health sciences · 2022Article
- The Effectiveness of Mental Health Literacy Curriculum among Undergraduate Public Health Students.International journal of environmental research and public health · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study sought to evaluate whether a contact-based workplace education program was more effective than standard mental health literacy training in promoting early intervention and support for healthcare employees with mental health issues.
methodA parallel-group, randomised trial was conducted with employees in 2 multi-site Ontario hospitals with the evaluators blinded to the groups. Participants were randomly assigned to 1 of 2 group-based education programs: Beyond Silence (comprising 6 in-person, 2-h sessions plus 5 online sessions co-led by employees who personally experienced mental health issues) or Mental Health First Aid (a standardised 2-day training program led by a trained facilitator). Participants completed baseline, post-group, and 3-mo follow-up surveys to explore perceived changes in mental health knowledge, stigmatized beliefs, and help-seeking/help-outreach behaviours. An intent-to-treat analysis was completed with 192 participants. Differences were assessed using multi-level mixed models accounting for site, group, and repeated measurement.
resultsNeither program led to significant increases in help-seeking or help-outreach behaviours. Both programs increased mental health literacy, improved attitudes towards seeking treatment, and decreased stigmatized beliefs, with sustained changes in stigmatized beliefs more prominent in the Beyond Silence group.
conclusionBeyond Silence, a new contact-based education program customised for healthcare workers was not superior to standard mental health literacy training in improving mental health help-seeking or help-outreach behaviours in the workplace. The only difference was a reduction in stigmatized beliefs over time. Additional research is needed to explore the factors that lead to behaviour change.
Indexed as
Identifiers
What OpenQuestion holds
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.