JMIR Publications

ABSTRACT

Background:

In Australia, secondary school educators are well positioned to recognize mental illness among students and provide support. However, many report that they lack the knowledge and confidence to do so, and very few mental health training programs available for educators are evidence-based. To address this gap, the Black Dog Institute developed a web-based training program (Building Educators’ Skills in Adolescent Mental Health; BEAM) that aims to improve mental health knowledge, confidence, and helping behaviors among secondary school educators in leadership positions. A pilot study of the training program found it to be positively associated with increased confidence and helping behaviors among educators and reduced their psychological distress. An adequately powered Randomized Controlled Trial (RCT) is now needed.

Objective:

The primary objective of this cluster RCT is to evaluate the effectiveness of the BEAM program for improving educators’ confidence in managing student mental health. The trial will also evaluate the effect of the BEAM program in increasing educators’ frequency of providing help to students and improving their mental health knowledge, and reducing educators’ psychological distress and stigma towards students with mental health issues.

Methods:

The target sample size is N=234 educators in 47 secondary schools across New South Wales, Australia. Four waves of recruitment and enrolment into the trial are planned. Schools will participate in one wave only and will be randomized to the intervention or waitlist control conditions. Participants from the same school will be assigned to the same condition. Assessments will be conducted at baseline, post-test (10-weeks after baseline) and follow-up (22-weeks after baseline) using the Black Dog Institute e-health research platform. Intervention participants will receive access to the BEAM program for 10-weeks upon completion of baseline and the control condition will receive access for 10-weeks upon completion of the follow-up assessment.

Results:

Recruitment for this trial began on 21st July 2020, with the first baseline assessments occurring on 17th August 2020. To date, 295 participants from 71 schools have completed baseline. Due to the unexpected success of recruitment in the first three waves, the final fourth wave has been abandoned. Intervention participants are currently receiving the program with follow-up due for completion in March 2021.

Conclusions:

This is one of the first RCTs to examine the effectiveness of a web-based, adolescent mental health training program for Australian secondary school educators in leadership positions. If found to be effective, this training program will offer a sustainable and scalable delivery method for upskilling educators in caring for students’ mental health. Clinical Trial: Australian New Zealand Clinical Trials Registry (ACTRN12620000876998; registered 03/09/2020) and Universal Trial Number (U1111-1253-3176).