METHODS: This is a pragmatic mixed-methods hybrid Type II implementation-effectiveness study utilizing a co-design approach. The main study utilize a stepped-wedged trial design with six starting sequences, randomizing three schools to the intervention at each interval, while the remaining act as \"controls\". Other designs include a nested prospective cohort study, case control studies, cross-sectional studies, and qualitative research. Main participants\' outcomes include teachers\' mental health literacy, stigma, and violence towards the school children. Implementation outcomes include detection, reach, sustainability, and service delivery. Child and caregiver outcomes include mental health, mental health literacy, and help-seeking behaviour.
CONCLUSIONS: Based on the results, we will develop sustainable and scalable implementation advice on mental health promotion and draft implementation guidelines in line with current WHO guidelines. This project will generate new knowledge on the structure, organization, delivery, and costs of mental health services in a LMIC setting, as well as new knowledge on the implementation and delivery of new health services.
BACKGROUND: ClinicalTrials, NCT06275672, 28.12.2023, retrospectively registered.
方法:这是一项实用的混合方法混合II型实施-有效性研究,采用共同设计方法。主要研究采用了具有六个起始序列的阶梯式楔形试验设计,在每个间隔随机分配三所学校进行干预,而其余的则充当“控件”。其他设计包括嵌套前瞻性队列研究,病例对照研究,横断面研究,和定性研究。主要参与者的成果包括教师的心理健康素养,污名,对学校儿童的暴力。实施成果包括检测,reach,可持续性和服务交付。儿童和照顾者的结果包括心理健康,心理健康素养,和寻求帮助的行为。
结论:根据结果,我们将制定关于精神卫生促进的可持续和可扩展的实施建议,并根据世卫组织现行指南起草实施指南.这个项目将产生关于结构的新知识,组织,delivery,以及LMIC环境中心理健康服务的成本,以及关于实施和提供新卫生服务的新知识。
背景:临床试验,NCT06275672,28.12.2023,回顾性注册。