ArticleThe Lancet regional health. Western Pacific2021
A cluster randomised controlled trial of a web-based youth mental health service in Australian schools.
Article in The Lancet regional health. Western Pacific, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
What it found
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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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Information and Communication Technology Interventions to Enhance Mental Health Literacy Among Young Adults and Adolescents: A Meta-Analysis.International journal of nursing practice · 2026Pooled it
- Barriers and facilitators for the implementation of preventative mental health interventions among secondary schools in high-income countries: a systematic review.European child & adolescent psychiatry · 2025Pooled it
- The effect of web-based educational interventions on mental health literacy, stigma and help-seeking intentions/attitudes in young people: systematic review and meta-analysis.BMC psychiatry · 2023Pooled it
- Interventions with Digital Tools for Mental Health Promotion among 11-18 Year Olds: A Systematic Review and Meta-Analysis.Journal of youth and adolescence · 2023Pooled it
- School nurses' perspectives on key features of a mobile app to support early identification of adolescent mental health problems: a qualitative study.BMC nursing · 2026Article
- Stress-diathesis based predictors of depression and anxiety trajectories in adolescence: a population-based longitudinal cohort study.Psychological medicine · 2026Article
- How Australia's social media minimum age law may reshape research recruitment for adolescents under 16.The Lancet regional health. Western Pacific · 2026Review
- Enhancing Youth Mental Health Through Virtual Lifestyle Behavior Change Support: A Pilot Feasibility Trial.Children (Basel, Switzerland) · 2026Article
- Interventions to improve mental health help-seeking attitudes, intentions and behaviors: A systematic review of recent advances.Global mental health (Cambridge, England) · 2026Review
- Optimising the implementation of a universal web-based mental health service for Australian secondary schools: a cluster randomised controlled trial.Child and adolescent psychiatry and mental health · 2025Article
- Efficacy of a school-based, universal prevention programme for depression and anxiety in adolescents (OurFutures Mental Health): a two-arm cluster-randomised controlled trial.EClinicalMedicine · 2025Article
- Article
- The impact of universal mental health screening on stigma in primary schools.Child and adolescent psychiatry and mental health · 2025Article
- Implementation of Primary Psychological Healthcare Policy to Address the Risk of Depression in Underprivileged Children and Adolescents, in the Entire Lower-Middle-Economic-Status City of China: An Observational, Multicenter, and Single-Arm Cohort Study.Depression and anxiety · 2025Observational
- Potential mental health-related harms associated with the universal screening of anxiety and depressive symptoms in Australian secondary schools.Child and adolescent psychiatry and mental health · 2024Article
- Protocol for a randomised controlled trial evaluating the effect of a CBT-I smartphone application (Sleep Ninja®) on insomnia symptoms in children.BMC psychiatry · 2023Article
- Article
- Factors influencing junior high school students' perceptions of attending school in Japan.Child and adolescent psychiatry and mental health · 2023Article
- Digital technologies to support adolescents with depression and anxiety: review.BJPsych advances · 2023Review
- Evaluation of the Use of Digital Mental Health Platforms and Interventions: Scoping Review.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSecondary schools have attempted to address gaps in help-seeking for mental health problems with little success. This trial evaluated the effectiveness of a universal web-based service (Smooth Sailing) for improving help-seeking intentions for mental health problems and other related outcomes among students.
methodsA cluster randomised controlled trial was conducted to evaluate the 12-week outcomes of the Smooth Sailing service among 1841 students from 22 secondary schools in New South Wales, Australia. Assignment was conducted at the school level. The control condition received school-as-usual. The primary outcome was help-seeking intentions for general mental health problems at 12-weeks post-baseline. Secondary outcomes included help-seeking behaviour, anxiety and depressive symptoms, psychological distress, psychological barriers to help-seeking, and mental health literacy. Data were analysed using mixed linear models. This trial was registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12618001539224).
findingsAt 12-weeks post-baseline, there was a marginal statistical difference in the relative means of help-seeking intentions (effect size
interpretationSmooth Sailing led to small improvements in help-seeking intentions. Refinements are needed to improve its effectiveness on other mental health outcomes and to increase student uptake and engagement.
fundingHSBC and Graf Foundation.
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