Evidence map›Paper›PMID 36877571›Full record

ArticleJMIR research protocols2023

Improving Mental Health Literacy and Reducing Psychological Problems Among Teachers in Zambia: Protocol for Implementation and Evaluation of a Wellness4Teachers Email Messaging Program.

Belinda Agyapong, Charles Chishimba, Yifeng Wei, Raquel da Luz Dias, Ejemai Eboreime, Eleanor Msidi, Syed Sibte Raza Abidi, Maryn Mutaka-Loongo, James Mwansa, Rita Orji and 2 more

Open access · goldFull text read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. "Global mental health (Cambridge, England) · 2024
    Article
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

12 authors at 3 institutions in 2 countries.

Belinda AgyapongDepartment of Psychiatry, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0001-7633-6529
Charles ChishimbaLusaka Apex Medical University, Lusaka, Zambia.ORCID https://orcid.org/0000-0003-0740-7551
Yifeng WeiDepartment of Psychiatry, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0002-2007-300X
Raquel da Luz DiasDepartment of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID https://orcid.org/0000-0002-6347-4620
Ejemai EboreimeDepartment of Psychiatry, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0001-8277-2570
Eleanor MsidiLusaka Apex Medical University, Lusaka, Zambia.ORCID https://orcid.org/0000-0002-5382-7613
Syed Sibte Raza AbidiFaculty of Computer Sciences, Dalhousie University, Halifax, NS, Canada.ORCID https://orcid.org/0000-0003-3075-7736
Maryn Mutaka-LoongoLusaka Apex Medical University, Lusaka, Zambia.ORCID https://orcid.org/0000-0002-4169-8463
James MwansaLusaka Apex Medical University, Lusaka, Zambia.ORCID https://orcid.org/0000-0003-0726-8889
Rita OrjiFaculty of Computer Sciences, Dalhousie University, Halifax, NS, Canada.ORCID https://orcid.org/0000-0001-6152-8034
John Mathias ZuluLusaka Apex Medical University, Lusaka, Zambia.ORCID https://orcid.org/0000-0003-4849-1462
Vincent Israel Opoku Agyapong *Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID https://orcid.org/0000-0002-2743-0372
Lusaka Apex Medical University · ZMDalhousie University · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary, basic, secondary, and high school teachers are constantly faced with increased work stressors that can result in psychological health challenges such as burnout, anxiety, and depression, and in some cases, physical health problems. It is presently unknown what the mental health literacy levels are or the prevalence and correlates of psychological issues among teachers in Zambia. It is also unknown if an email mental messaging program (Wellness4Teachers) would effectively reduce burnout and associated psychological problems and improve mental health literacy among teachers.

objectiveThe primary objectives of this study are to determine if daily supportive email messages plus weekly mental health literacy information delivered via email can help improve mental health literacy and reduce the prevalence of moderate to high stress symptoms, burnout, moderate to high anxiety symptoms, moderate to high depression symptoms, and low resilience among school teachers in Zambia. The secondary objectives of this study are to evaluate the baseline prevalence and correlates of moderate to high stress, burnout, moderate to high anxiety, moderate to high depression, and low resilience among school teachers in Zambia.

methodsThis is a quantitative longitudinal and cross-sessional study. Data will be collected at the baseline (the onset of the program), 6 weeks, 3 months, 6 months (the program midpoint), and 12 months (the end point) using web-based surveys. Individual teachers will subscribe by accepting an invitation to do so from the Lusaka Apex Medical University organizational account on the ResilienceNHope web-based application. Data will be analyzed using SPSS version 25 with descriptive and inferential statistics. Outcome measures will be evaluated using standardized rating scales.

resultsThe Wellness4Teachers email program is expected to improve the participating teachers' mental health literacy and well-being. It is anticipated that the prevalence of stress, burnout, anxiety, depression, and low resilience among teachers in Zambia will be similar to those reported in other jurisdictions. In addition, it is expected that demographic, socioeconomic, and organizational factors, class size, and grade teaching will be associated with burnout and other psychological disorders among teachers, as indicated in the literature. Results are expected 2 years after the program's launch.

conclusionsThe Wellness4Teachers email program will provide essential insight into the prevalence and correlates of psychological problems among teachers in Zambia and the program's impact on subscribers' mental health literacy and well-being. The outcome of this study will help inform policy and decision-making regarding psychological interventions for teachers in Zambia. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/44370.

Indexed as

Africaanxietyburnoutdecision-makingdepressiondepressiveeducatore-mental healthhealth literacyinterventionmental healthmessagingpsychological issuepsychological problemschoolstressteachertext messagewellnessZambia

Identifiers

PMID36877571
PMCPMC10028515
OpenAlexW4323294029

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read38
Read underepoch 390

Registered trials

None linked

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.