Trial reportBMC public health2023
A randomised controlled trial evaluating the Guide Cymru mental health literacy intervention programme in year 9 (age 13-14) school pupils in Wales.
Trial report in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Promoting Mental Health Literacy of 13-16-Year-Old Students: A Systematic Review.International journal of environmental research and public health · 2025Pooled it
- Strength-based capacity-building interventions to promote adolescents' mental health: A systematic review and meta-analysis.European child & adolescent psychiatry · 2025Pooled it
- Interventions to Reduce Mental Health Stigma in Young People: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Evaluating the effect of mental health curriculum on secondary school students' mental health literacy and knowledge and attitude to mental illness.Scientific reports · 2025Trial
- Effectiveness of a mental health literacy intervention for high school adolescents: a before-and-after study in a school-based setting in France.European child & adolescent psychiatry · 2026Article
- Improving Mental Health Literacy Among Iranian Middle School Students: A Quasi-Experimental Intervention.Medical journal of the Islamic Republic of Iran · 2026Article
- Promoting health equity through health literacy interventions in educational institutions: a scoping review.Frontiers in public health · 2026Article
- Application of the "hospital-school-home-community" integrated mental health service model for primary and secondary school students in Chongqing, China.Frontiers in psychiatry · 2025Article
- Validation and evaluation of school-based mental health literacy training program "The Guide Cymru" in Iranian adolescent students aged 13-15: study protocol.Archives of public health = Archives belges de sante publique · 2024Article
- Assessing the efficacy of the 'Bicho De 7 Cabeças' B-learning school-based program in enhancing mental health literacy and reducing stigma.BMC psychology · 2024Article
- Evaluating the effect of an adapted mental health literacy intervention on mental health related stigma among secondary students in Germany: results of a pre-post evaluation study.BMC public health · 2023Article
- The effects of an adapted mental health literacy curriculum for secondary school students in Germany on mental health knowledge and help-seeking efficacy: results of a quasi-experimental pre-post evaluation study.Frontiers in public health · 2023Article
- Child and youth mental health and wellbeing before and after returning to in-person learning in secondary schools in the context of COVID-19.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescent mental health has become a public health concern as 10-20% of adolescents have experiences with mental health problems. Improving mental health education is critical to reducing stigma and improving access to appropriate care when needed. Here we examine the impact of a mental health literacy programme (Guide Cymru) in young adolescents in the UK. A randomised controlled trial assessed the effectiveness of the Guide Cymru intervention.
methodA total of 1,926 pupils (860 males and 1066 females) aged 13-14 (year 9) took part in the study. The secondary schools were randomised into the active and control arms of the study. Teachers in the active arm of the study were trained on the Guide Cymru and then delivered the intervention to their pupils. Pupils in the active groups received six modules of mental health literacy (the Guide Cymru), and control schools received teaching as usual. Mental health literacy across several domains (e.g., knowledge, stigma, help-seeking intentions) were assessed both before and after the intervention. Data collection for the randomised controlled trial ran from September 2019 to March 2020. Multi-level modelling analysis was conducted to account for the clustered nature of the design.
resultsAll aspects of mental health literacy, including mental health knowledge (g = 0.32), good mental health behaviours (g = 0.22), mental health stigmas (g = 0.16), intentions to seek help (g = 0.15), and avoidant coping (g = 0.14) improved after completing the Guide Cymru programme (ps < .001). DISCUSSION: The current study presents evidence for the Guide Cymru's effectiveness in improving secondary school pupils' mental health literacy. We demonstrate that providing teachers with appropriate resources and training to deliver the Guide Cymru programme within their classrooms can improve the mental health literacy of pupils. These findings have important implications for the beneficial impacts the secondary school system can have on reducing the burden of mental health problems at a critical point in a young person's life.
trial registrationISRCTN15462041. Registered 03/10/2019.
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