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  1. Article ; Online: A systematic literature review of existing conceptualisation and measurement of mental health literacy in adolescent research

    Rosie Mansfield / Praveetha Patalay / Neil Humphrey

    BMC Public Health, Vol 20, Iss 1, Pp 1-

    current challenges and inconsistencies

    2020  Volume 14

    Abstract: Abstract Background With an increased political interest in school-based mental health education, the dominant understanding and measurement of mental health literacy (MHL) in adolescent research should be critically appraised. This systematic literature ...

    Abstract Abstract Background With an increased political interest in school-based mental health education, the dominant understanding and measurement of mental health literacy (MHL) in adolescent research should be critically appraised. This systematic literature review aimed to investigate the conceptualisation and measurement of MHL in adolescent research and the extent of methodological homogeneity in the field for meta-analyses. Methods Databases (PsycINFO, EMBASE, MEDLINE, ASSIA and ERIC) and grey literature were searched (1997–2017). Included articles used the term ‘mental health literacy’ and presented self-report data for at least one MHL domain with an adolescent sample (10–19 years). Definitions, methodological and contextual data were extracted and synthesised. Results Ninety-one articles were identified. There was evidence of conceptual confusion, methodological inconsistency and a lack of measures developed and psychometrically tested with adolescents. The most commonly assessed domains were mental illness stigma and help-seeking beliefs; however, frequency of assessment varied by definition usage and study design. Recognition and knowledge of mental illnesses were assessed more frequently than help-seeking knowledge. A mental-ill health approach continues to dominate the field, with few articles assessing knowledge of mental health promotion. Conclusions MHL research with adolescent samples is increasing. Results suggest that a better understanding of what MHL means for this population is needed in order to develop reliable, valid and feasible adolescent measures, and explore mechanisms for change in improving adolescent mental health. We recommend a move away from ‘mental disorder literacy’ and towards critical ‘mental health literacy’. Future MHL research should apply integrated, culturally sensitive models of health literacy that account for life stage and acknowledge the interaction between individuals’ ability and social and contextual demands.
    Keywords Adolescent ; Mental health literacy ; Systematic literature review ; Conceptualisation ; Measurement ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: ‘Shall We Send a Panda?’ A Practical Guide to Engaging Schools in Research

    Anna Moore / Emma Ashworth / Carla Mason / Joao Santos / Rosie Mansfield / Emily Stapley / Jessica Deighton / Neil Humphrey / Nick Tait / Daniel Hayes

    International Journal of Environmental Research and Public Health, Vol 19, Iss 3367, p

    Learning from Large-Scale Mental Health Intervention Trials

    2022  Volume 3367

    Abstract: The substantial time that children and young people spend in schools makes them important sites to trial and embed prevention and early intervention programmes. However, schools are complex settings, and it can be difficult to maintain school engagement ... ...

    Abstract The substantial time that children and young people spend in schools makes them important sites to trial and embed prevention and early intervention programmes. However, schools are complex settings, and it can be difficult to maintain school engagement in research trials; many projects experience high levels of attrition. This commentary presents learning from two large-scale, mixed-methods mental health intervention trials in English schools. The paper explores the barriers and challenges to engaging schools in promotion or early intervention research and offers detailed recommendations for other researchers.
    Keywords school based ; trials ; barriers ; facilitators ; engagement ; research ; Medicine ; R
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: The impact of the COVID-19 pandemic on adolescent mental health

    Rosie Mansfield / Joao Santos / Jessica Deighton / Daniel Hayes / Tjasa Velikonja / Jan R. Boehnke / Praveetha Patalay

    Royal Society Open Science, Vol 9, Iss

    a natural experiment

    2022  Volume 4

    Abstract: Despite widespread concern about the impact of COVID-19 on adolescent mental health, there remains limited empirical evidence that can causally attribute changes to the pandemic. The current study aimed to overcome existing methodological limitations by ... ...

    Abstract Despite widespread concern about the impact of COVID-19 on adolescent mental health, there remains limited empirical evidence that can causally attribute changes to the pandemic. The current study aimed to overcome existing methodological limitations by exploiting a serendipitously occurring natural experiment within two ongoing, multi-phase cluster randomized controlled trials. Depressive symptoms (primary outcome), externalizing difficulties and life satisfaction (secondary outcomes) were assessed at baseline (phase 1 [pre-COVID-19 group]: September – October 2018, phase 2 [COVID-19 group]: September – October 2019) and 1-year follow-up (pre-COVID-19 group: January – March 2020, COVID-19 group: February – April 2021). Participants in phase 1 (N = 6419) acted as controls. In phase 2, participants (N = 5031) were exposed to the COVID-19 pandemic between the baseline and follow-up assessments providing a natural experimental design. The primary analysis used a random intercept linear multivariable regression model with phase (exposure to the COVID-19 pandemic) included as the key predictor while controlling for baseline scores and individual and school-level covariates. Depressive symptoms were higher and life satisfaction scores lower in the group exposed to the COVID-19 pandemic. Had the COVID-19 pandemic not occurred, we estimate that there would be 6% fewer adolescents with high depressive symptoms. No effect of exposure to the pandemic on externalizing difficulties was found. Exploratory analyses to examine subgroup differences in impacts suggest that the negative impact of the COVID-19 pandemic on adolescent mental health may have been greater for females than males. Given the widespread concern over rising adolescent mental health difficulties prior to the pandemic, this paper quantifies the additional impacts of the pandemic. A properly resourced, multi-level, multi-sector public health approach for improving adolescent mental health is necessary. Following in-principle acceptance, the approved Stage 1 ...
    Keywords COVID-19 pandemic ; adolescence ; mental health ; depression ; externalizing ; wellbeing ; Science ; Q
    Subject code 796
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher The Royal Society
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Promoting mental health and well-being in schools

    Daniel Hayes / Anna Moore / Emily Stapley / Neil Humphrey / Rosie Mansfield / Joao Santos / Emma Ashworth / Praveetha Patalay / Eva-Maria Bonin / Sara Evans-Lacko / Bettina Moltrecht / Kirsty Nisbet / Emma Thornton / Aurelie Lange / Paul Stallard / Abigail Thompson / Jan Rasmus Boehnke / Jessica Deighton

    Trials, Vol 24, Iss 1, Pp 1-

    examining mindfulness, relaxation and strategies for safety and well-being in English primary and secondary schools—study protocol for a multi-school, cluster randomised controlled trial (INSPIRE)

    2023  Volume 4

    Abstract: Abstract There are increasing rates of internalising difficulties, particularly anxiety and depression, being reported in children and young people in England. School-based universal prevention programmes are thought to be one way of helping tackle such ... ...

    Abstract Abstract There are increasing rates of internalising difficulties, particularly anxiety and depression, being reported in children and young people in England. School-based universal prevention programmes are thought to be one way of helping tackle such difficulties. This paper describes an update to a four-arm cluster randomised controlled trial ( http://www.isrctn.com/ISRCTN16386254 ), investigating the effectiveness of three different interventions when compared to usual provision, in English primary and secondary pupils. Due to the COVID-19 pandemic, the trial was put on hold and subsequently prolonged. Data collection will now run until 2024. The key changes to the trial outlined here include clarification of the inclusion and exclusion criteria, an amended timeline reflecting changes to the recruitment period of the trial due to the COVID-19 pandemic and clarification of the data that will be included in the statistical analysis, since the second wave of the trial was disrupted due to COVID-19. Trial registration ISRCTN Registry ISRCTN16386254. Registered on 30 August 2018.
    Keywords Adolescent ; Young person ; Children ; Cluster randomised controlled trial ; Mental health ; Well-being ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Perceived neighbourhood affluence, mental health and wellbeing influence judgements of threat and trust on our streets

    Rhiannon Corcoran / Rosie Mansfield / Christophe de Bezenac / Ellen Anderson / Katie Overbury / Graham Marshall

    PLoS ONE, Vol 13, Iss 8, p e

    An urban walking study.

    2018  Volume 0202412

    Abstract: This study aimed to understand how people respond to different urban neighbourhoods. We explored whether participants' mental health and wellbeing, judgements of resident wealth, family SES and sentiments reflected in descriptions of place features ... ...

    Abstract This study aimed to understand how people respond to different urban neighbourhoods. We explored whether participants' mental health and wellbeing, judgements of resident wealth, family SES and sentiments reflected in descriptions of place features predicted in situ sense of threat and trust. Forty-six student participants walked in groups through 2 urban neighbourhoods, separated by a park, in the North West of England, noting responses at pre-determined stops. Significant differences existed in participants' sense of trust and threat between the 2 neighbourhoods along with differences in perceived resident wealth and sentiments expressed. Participants' levels of persecutory ideas and their sense of residents' wealth predicted in situ trust in both neighbourhoods while level of personal resilience predicted the extent of threat felt in the more deprived neighbourhood. Demonstrating the value of the method, these findings have implications for the governance of urban neighbourhoods whereby obvious cues signalling a harsh environment need to be minimised to create more positive psychological responses to places.
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Places Change Minds

    Rhiannon Corcoran / Rosie Mansfield / Trina Giokas / Amy Hawkins / Lauren Bamford / Graham Marshall

    SAGE Open, Vol

    Exploring the Psychology of Urbanicity Using a Brief Contemplation Method

    2017  Volume 7

    Abstract: An accruing body of research suggests that urban environments negatively affect mental health and well-being. It is thought that some of this so-called “urbanicity effect” can be explained by the perceived quality of the living environment. The two ... ...

    Abstract An accruing body of research suggests that urban environments negatively affect mental health and well-being. It is thought that some of this so-called “urbanicity effect” can be explained by the perceived quality of the living environment. The two studies reported here used online survey methods to explore changes to self-reported psychological mechanisms thought to underpin mental health and well-being before and after participants briefly contemplated urban/rural or desirable/undesirable residential images. Our findings demonstrate that even brief contemplation of places change how we consider our futures and that places deemed relatively undesirable appear to promote a threat-focused anticipatory set. Importantly, these changes were not found to be associated with perceived urbanity but rather with perceived desirability of place. These findings should be considered alongside increasing evidence that urban regeneration and place-making are matters of public health concern.
    Keywords History of scholarship and learning. The humanities ; AZ20-999 ; Social Sciences ; H
    Language English
    Publishing date 2017-05-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Promoting mental health and wellbeing in schools

    Daniel Hayes / Anna Moore / Emily Stapley / Neil Humphrey / Rosie Mansfield / Joao Santos / Emma Ashworth / Praveetha Patalay / Eva-Maria Bonin / Bettina Moltrecht / Jan R. Boehnke / Jessica Deighton

    Trials, Vol 20, Iss 1, Pp 1-

    examining Mindfulness, Relaxation and Strategies for Safety and Wellbeing in English primary and secondary schools: study protocol for a multi-school, cluster randomised controlled trial (INSPIRE)

    2019  Volume 13

    Abstract: Abstract Background There are increasing rates of internalising difficulties, particularly anxiety and depression, being reported in children and young people in England. School-based, universal prevention programmes are thought to be one way of helping ... ...

    Abstract Abstract Background There are increasing rates of internalising difficulties, particularly anxiety and depression, being reported in children and young people in England. School-based, universal prevention programmes are thought to be one way of helping tackle such difficulties. This protocol describes a four-arm cluster randomised controlled trial, investigating the effectiveness of three different interventions when compared to usual provision, in English primary and secondary pupils. The primary outcome for Mindfulness and Relaxation interventions is a measure of internalising difficulties, while Strategies for Safety and Wellbeing will be examined in relation to intended help-seeking. In addition to the effectiveness analysis, a process and implementation evaluation and a cost-effectiveness evaluation will be undertaken. Methods and analysis Overall, 160 primary schools and 64 secondary schools will be recruited across England. This corresponds to 17,600 participants. Measures will be collected online at baseline, 3–6 months later, and 9–12 months after the commencement of the intervention. An economic evaluation will assess the cost-effectiveness of the interventions. Moreover, a process and implementation evaluation (including a qualitative research component) will explore several aspects of implementation (fidelity, quality, dosage, reach, participant responsiveness, adaptations), social validity (acceptability, appropriateness and feasibility), and their moderating effects on the outcomes of interest, and perceived impact. Discussion This trial aims to address important questions about whether schools’ practices around the promotion of mental wellbeing and the prevention of mental health problems can: (1) be formalised into feasible and effective models of school-based support and (2) whether these practices and their effects can be sustained over time. Given the focus of these interventions on mirroring popular practice in schools and on prioritising approaches that present low-burden, ...
    Keywords Adolescent ; Young person ; Children ; Cluster randomised controlled trial ; Mental health ; Wellbeing ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: School-based intervention study examining approaches for well-being and mental health literacy of pupils in Year 9 in England

    Jessica Deighton / Emily Stapley / Neil Humphrey / João Santos / Praveetha Patalay / Jan Rasmus Boehnke / Anna Moore / Paul Stallard / Daniel Hayes / Rosie Mansfield / Emma Ashworth / Eva Bonin / Sara Evans-Lacko / Bettina Moltrecht / Abigail Thompson / Kirsty Nisbet / Emma Thornton / Aurelie Lange

    BMJ Open, Vol 9, Iss

    study protocol for a multischool, parallel group cluster randomised controlled trial (AWARE)

    2019  Volume 8

    Abstract: Introduction The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on ... ...

    Abstract Introduction The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school settings. This protocol describes a three-arm, parallel group cluster randomised controlled trial, investigating the effectiveness and cost-effectiveness of two interventions, alongside a process and implementation evaluation, to improve mental health and well-being of Year 9 pupils in English secondary schools.Method A three-arm, parallel group cluster randomised controlled trial comparing two different interventions, the Youth Aware of Mental Health (YAM) or the Mental Health and High School Curriculum Guide (The Guide), to Usual Provision. Overall, 144 secondary schools in England will be recruited, involving 8600 Year 9 pupils. The primary outcome for YAM is depressive symptoms, and for The Guide it is intended help-seeking. These will be measured at baseline, 3–6 months and 9–12 months after the intervention commenced. Secondary outcomes measured concurrently include changes to: positive well-being, behavioural difficulties, support from school staff, stigma-related knowledge, attitudes and behaviours, and mental health first aid. An economic evaluation will assess the cost-effectiveness of the interventions, and a process and implementation evaluation (including a qualitative research component) will explore several aspects of implementation (fidelity, quality, dosage, reach, participant responsiveness, adaptations), social validity (acceptability, feasibility, utility), and their moderating effects on the outcomes of interest, and perceived impact.Ethics and dissemination This trial has been approved by the University College London Research Ethics Committee. Findings will be published in a report to the Department for Education, in peer-reviewed journals and at conferences.Trial registration number ...
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2019-08-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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