Evidence map›Paper›PMID 35976200›Full record

ArticleJMIR mental health2022

A Game-Based School Program for Mental Health Literacy and Stigma on Depression (Moving Stories): Cluster Randomized Controlled Trial.

Anouk Tuijnman, Marloes Kleinjan, Merlijn Olthof, Evert Hoogendoorn, Isabela Granic, Rutger Cme Engels

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07366580 (TOUCHMinds), which is not on this map. Cited by 14 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT07366580 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

TOUCHMinds: An RCT on Help-seeking for Adolescent Anxiety

TypeinterventionalSponsorAveiro UniversityRan2026 to 2028Enrolled96ConditionsAnxiety Symptoms, Anxiety DisordersArmsTOUCHminds - Web-Based Intervention
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  13. The Need for a Data Ecosystem for Youth Mental Health in The Netherlands.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anouk TuijnmanBehavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.ORCID https://orcid.org/0000-0003-1003-9841
Marloes KleinjanTrimbos-institute, Utrecht, Netherlands.ORCID https://orcid.org/0000-0002-4545-5549
Merlijn OlthofBehavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.ORCID https://orcid.org/0000-0002-5975-6588
Evert HoogendoornIJsfontein, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0003-0830-7966
Isabela GranicFaculty of Social Sciences, McMaster University, Hamilton, ON, Canada.ORCID https://orcid.org/0000-0002-6213-136X
Rutger Cme EngelsErasmus School of Social and Behavioural Sciences, Erasmus University, Rotterdam, Netherlands.ORCID https://orcid.org/0000-0003-1944-9126

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepressive symptoms are highly prevalent among adolescents in Western countries. However, although treatment for depressive symptoms is available, many adolescents do not seek help when they need it. Important barriers to help-seeking among adolescents include low mental health literacy and high stigma. Therefore, we have developed a game-based school program, Moving Stories, which combines mental health literacy training for depression with contact with someone with lived experience both in the digital and nondigital world.

objectiveThe aim of this study is to conduct a first test of the effectiveness of the newly developed game-based program, Moving Stories, using a cluster randomized controlled trial.

methodsA total of 185 adolescents participated, divided over 10 classes from 4 schools. Half of the classes were randomly selected to follow the Moving Stories program, whereas the other half were in the control group, where no intervention was provided. The adolescents filled out digital questionnaires at 4 time points, with questions on mental health literacy, stigma, depressive symptoms, and the program itself (before the program, after the program, 3-month follow-up, and 6-month follow-up). Using R (R Foundation for Statistical Computing), we ran linear mixed-effects models for all continuous outcome variables and generalized linear mixed-effects models for all binary outcome variables.

resultsCompared with the control group, participants in the Moving Stories group improved after the program in personal stigma (b=-0.53, 95% CI -1.02 to -0.03; t

conclusionsThe results of this study show the potential of Moving Stories as a stigma reduction program. With changes in the program to improve its effects on mental health literacy, Moving Stories could be implemented in schools to improve help-seeking in adolescents and reduce the negative consequences and burden of depressive symptoms.

trial registrationDutch Trial Register NTR7033; https://trialsearch.who.int/Trial2.aspx?TrialID=NTR7033. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/11255.

Indexed as

adolescencedepressiondigital healthhealth literacyhelping behaviorhelp-seeking behaviormental healthsecondary schoolsstigmavideo games

Identifiers

PMID35976200
PMCPMC9434393

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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.