Trial reportPediatrics2020
A School-Based Intervention for Mental Illness Stigma: A Cluster Randomized Trial.
Trial report in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Interventions to Reduce Mental Health Stigma in Young People: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- School-based Mental Health Interventions Targeting Depression or Anxiety: A Meta-analysis of Rigorous Randomized Controlled Trials for School-aged Children and Adolescents.Journal of youth and adolescence · 2023Pooled it
- School Mental Health Curriculum Effects on Peer Violence Victimization and Perpetration: A Cluster-Randomized Trial.The Journal of school health · 2021Trial
- Breaking barriers: mental health literacy and stigma in Addis Ababa's schools - a qualitative study in Ethiopia.BMJ open · 2026Article
- School-Based Preventive Interventions: A Critical Investment in Our Future and in the Training of Psychiatrists.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- From stigma to support: Assessing the impact of school mental health literacy program in Addis Ababa, Ethiopia.PLOS global public health · 2026Article
- The correlates and experiences of HIV-related intersectional stigma among caregivers of adolescents living with HIV during COVID-19 in KwaZulu-Natal, South Africa: Results from a mixed method study.PLOS global public health · 2026Article
- Factors influencing mental health literacy and its relationship with learning weariness in middle school students: a person-centered latent profile analysis.Frontiers in psychology · 2026Article
- Interventions to improve mental health help-seeking attitudes, intentions and behaviors: A systematic review of recent advances.Global mental health (Cambridge, England) · 2026Review
- Stigma Affects How Parents Respond to their Children's Mental Health, But Does Child Gender Complicate the Story?Stigma and health · 2025Article
- School-Based Mental Health Education: Program Effectiveness and Trends in Help-Seeking.International journal of environmental research and public health · 2025Article
- Variation in and Factors Associated with Youth Self-Harm in College Students - Jiangsu Province, China, 2019-2023.China CDC weekly · 2025Article
- Talking mental health - study protocol for a cluster-randomized controlled trial of mental health prevention in elementary schools in Germany.Frontiers in psychology · 2025Article
- Familial transmission of mental health help-seeking: Does it "run in the family"?SSM - population health · 2024Article
- Pragmatic controlled trial of a school-based emotion literacy program for 8- to 10-year-old children: study protocol.BMC psychiatry · 2024Article
- Inequities Gone or Enduring? Evaluating the Effects of a School-Based Antistigma Intervention on Race/Ethnic and Gender Intersectional Disparities in Mental Illness Stigma.Stigma and health · 2023Article
- The effectiveness of anti-stigma interventions for reducing mental health stigma in young people: A systematic review and meta-analysis.Global mental health (Cambridge, England) · 2023Review
- 'Me' vs. 'Them': How Mental Illness Stigma Influences Adolescent Help-Seeking Behaviors for Oneself and Recommendations for Peers.Stigma and health · 2022Article
- Stigma Towards Mental Illness at an Academic Tertiary Care Center in Lebanon.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2021Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo determine the effectiveness of a school-based curriculum, Eliminating the Stigma of Differences (ESD), in improving attitudinal and/or behavioral contexts regarding mental illness in schools and increasing the likelihood that youth seek treatment for mental health problems when needed.
methodsWe conducted a cluster randomized trial in sixth-grade classes from 14 schools in 2011 and 2012 with follow-up at 6-month intervals through 24 months (2012-2015). Using a fully crossed 2 × 2 × 2 factorial design, we compared ESD to a no-intervention control and to 2 comparator interventions: (1) contact with 2 young adults with a history of mental illness and (2) exposure to antistigma printed materials. We implemented interventions in classrooms in an ethnically and socioeconomically diverse school district. There were 416 youth who participated in the follow-up, and 312 (75%) of these participated for the full 2 years. Outcome measures were knowledge and positive attitudes, social distance from peers with mental illness, and mental health treatment seeking.
resultsYouth assigned to ESD reported greater knowledge and positive attitudes and reduced social distance (Cohen's d = 0.35 and 0.16, respectively) than youth in the comparator interventions and no-intervention groups across the 2-year follow-up. Youth with high levels of mental health symptoms were more likely (odds ratio = 3.51; confidence interval = 1.08-11.31) to seek treatment during follow-up if assigned to ESD than if they were assigned to comparator interventions or no intervention.
conclusionsESD shows potential for improving the social climate related to mental illnesses in schools and increasing treatment seeking when needed. ESD and interventions like it show promise as part of a public mental health response to youth with mental health needs in schools.
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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.