Evidence map›Paper›PMID 42683357›Full record

ArticleFrontiers in public health2026

The Mental Health Literacy and Prevention Survey (mHELP): a brief measure for assessing gatekeepers' mental health literacy in prevention research.

Sarah Franke, Isabell Bendl, Sabrina Mittermeier, Carina Sauter, Arne Bürger

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sarah FrankeDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Wuerzburg, Germany.
Isabell BendlDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Wuerzburg, Germany.
Sabrina MittermeierDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Wuerzburg, Germany.
Carina SauterDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Wuerzburg, Germany.
Arne BürgerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Wuerzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Theoretical background: Mental health literacy (MHL) is a key target of prevention efforts to help gatekeepers such as teachers and other professionals recognize and respond to mental health problems in young people. To evaluate such mental health prevention initiatives, instruments that capture the multiple components of MHL in a concise and practical way are crucial. However, existing measures often assess only selected aspects of the construct or have not been comprehensively validated. Building on the established conceptualization of MHL, a brief and multidimensional measure suitable for prevention and implementation research is needed. Methods: The present study reports on the development and validation of the Mental Health Literacy and Prevention Survey (mHELP). Using baseline data from Results: Confirmatory factor analyses provided initial support for the proposed five-factor structure. Reliability was good for the total score as well as for the subscales Knowledge, Self-reported helping behavior, and Emotional understanding, whereas the Stigma and Confidence subscales showed weaker psychometric performance. Test-retest reliability over 6 months was moderate and split-half reliability of the total score was high. Initial evidence of construct validity was provided by expected associations with established measures of mental health knowledge and stigma, while low correlations with symptom measures suggested preliminary evidence of discriminant validity. Discussion: The mHELP represents a brief, multidimensional instrument for assessing MHL among gatekeepers, with the total score currently appearing to be the most robust indicator. At the subscale level, several dimensions showed satisfactory psychometric properties, whereas the Stigma and Confidence subscales require further refinement before separate interpretation can be recommended. By integrating multiple facets of MHL, including emotional understanding as a practice-informed component, the instrument may complement existing approaches while remaining practical for prevention research. Overall, the findings provide initial support for the utility of the mHELP, particularly at the total-score level, although further validation is needed, including refinement of selected subscales, sensitivity to change, and testing in more diverse and international samples.

Indexed as

Health LiteracyMental DisordersMental HealthSchool TeachersAdultFactor Analysis, StatisticalFemaleGermanyHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and Questionnairesgatekeepermental healthmental health literacypreventionvalidation

Identifiers

PMID42683357
PMCPMC13531427

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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.