Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study

Abstract Background Teachers are reported to be at increased risk of common mental health disorders compared to other occupations. Failure to support teachers adequately may lead to serious long-term mental disorders, poor performance at work (presenteeism), sickness absence and health-related exit...

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Main Authors: Judi Kidger, Rhiannon Evans, Kate Tilling, William Hollingworth, Rona Campbell, Tamsin Ford, Simon Murphy, Ricardo Araya, Richard Morris, Bryar Kadir, Aida Moure Fernandez, Sarah Bell, Sarah Harding, Rowan Brockman, Jill Grey, David Gunnell
Format: Article
Language:English
Published: BMC 2016-10-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3756-8
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author Judi Kidger
Rhiannon Evans
Kate Tilling
William Hollingworth
Rona Campbell
Tamsin Ford
Simon Murphy
Ricardo Araya
Richard Morris
Bryar Kadir
Aida Moure Fernandez
Sarah Bell
Sarah Harding
Rowan Brockman
Jill Grey
David Gunnell
author_facet Judi Kidger
Rhiannon Evans
Kate Tilling
William Hollingworth
Rona Campbell
Tamsin Ford
Simon Murphy
Ricardo Araya
Richard Morris
Bryar Kadir
Aida Moure Fernandez
Sarah Bell
Sarah Harding
Rowan Brockman
Jill Grey
David Gunnell
author_sort Judi Kidger
collection DOAJ
description Abstract Background Teachers are reported to be at increased risk of common mental health disorders compared to other occupations. Failure to support teachers adequately may lead to serious long-term mental disorders, poor performance at work (presenteeism), sickness absence and health-related exit from the profession. It also jeopardises student mental health, as distressed staff struggle to develop supportive relationships with students, and such relationships are protective against student depression. A number of school-based trials have attempted to improve student mental health, but these have mostly focused on classroom based approaches and have failed to establish effectiveness. Only a few studies have introduced training for teachers in supporting students, and none to date have included a focus on improving teacher mental health. This paper sets out the protocol (version 4.4 20/07/16) for a study aiming to address this gap. Methods Cluster randomised controlled trial with secondary schools as the unit of randomisation. Intervention schools will receive: i) Mental Health First Aid (MHFA) training for a group of staff nominated by their colleagues, after which they will set up a confidential peer support service for colleagues ii) training in MHFA for schools and colleges for a further group of teachers, which will equip them to more effectively support student mental health iii) a short mental health awareness raising session and promotion of the peer support service for all teachers. Comparison schools will continue with usual practice. The primary outcome is teacher wellbeing measured using the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS). Secondary outcomes are teacher depression, absence and presenteeism, and student wellbeing, mental health difficulties, attendance and attainment. Measures will be taken at baseline, one year follow up (teachers only) and two year follow up. Economic and process evaluations will be embedded within the study. Discussion This study will establish the effectiveness and cost-effectiveness of an intervention that supports secondary school teachers’ wellbeing and mental health, and improves their skills in supporting students. It will also provide information regarding intervention implementation and sustainability. Trial registration International Standard Randomised Controlled Trial Number: ISRCTN95909211 registered 24/03/16
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spelling doaj.art-776ddef3a1cd423faabf0e90f9dcb8e42022-12-21T19:39:53ZengBMCBMC Public Health1471-24582016-10-0116111310.1186/s12889-016-3756-8Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) studyJudi Kidger0Rhiannon Evans1Kate Tilling2William Hollingworth3Rona Campbell4Tamsin Ford5Simon Murphy6Ricardo Araya7Richard Morris8Bryar Kadir9Aida Moure Fernandez10Sarah Bell11Sarah Harding12Rowan Brockman13Jill Grey14David Gunnell15School of Social and Community Medicine, University of BristolDECIPHer, School of Social Sciences, Cardiff UniversitySchool of Social and Community Medicine, University of BristolBristol Randomised Trials Collaboration, School of Social and Community Medicine, University of BristolSchool of Social and Community Medicine, University of BristolUniversity of Exeter Medical SchoolDECIPHer, School of Social Sciences, Cardiff UniversityLondon School of Hygiene and Tropical MedicineSchool of Social and Community Medicine, University of BristolBristol Randomised Trials Collaboration, School of Social and Community Medicine, University of BristolBristol Randomised Trials Collaboration, School of Social and Community Medicine, University of BristolSchool of Social and Community Medicine, University of BristolSchool of Social and Community Medicine, University of BristolSchool of Social and Community Medicine, University of BristolDECIPHer, School of Social Sciences, Cardiff UniversitySchool of Social and Community Medicine, University of BristolAbstract Background Teachers are reported to be at increased risk of common mental health disorders compared to other occupations. Failure to support teachers adequately may lead to serious long-term mental disorders, poor performance at work (presenteeism), sickness absence and health-related exit from the profession. It also jeopardises student mental health, as distressed staff struggle to develop supportive relationships with students, and such relationships are protective against student depression. A number of school-based trials have attempted to improve student mental health, but these have mostly focused on classroom based approaches and have failed to establish effectiveness. Only a few studies have introduced training for teachers in supporting students, and none to date have included a focus on improving teacher mental health. This paper sets out the protocol (version 4.4 20/07/16) for a study aiming to address this gap. Methods Cluster randomised controlled trial with secondary schools as the unit of randomisation. Intervention schools will receive: i) Mental Health First Aid (MHFA) training for a group of staff nominated by their colleagues, after which they will set up a confidential peer support service for colleagues ii) training in MHFA for schools and colleges for a further group of teachers, which will equip them to more effectively support student mental health iii) a short mental health awareness raising session and promotion of the peer support service for all teachers. Comparison schools will continue with usual practice. The primary outcome is teacher wellbeing measured using the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS). Secondary outcomes are teacher depression, absence and presenteeism, and student wellbeing, mental health difficulties, attendance and attainment. Measures will be taken at baseline, one year follow up (teachers only) and two year follow up. Economic and process evaluations will be embedded within the study. Discussion This study will establish the effectiveness and cost-effectiveness of an intervention that supports secondary school teachers’ wellbeing and mental health, and improves their skills in supporting students. It will also provide information regarding intervention implementation and sustainability. Trial registration International Standard Randomised Controlled Trial Number: ISRCTN95909211 registered 24/03/16http://link.springer.com/article/10.1186/s12889-016-3756-8Cluster randomised controlled trialSecondary schoolMental healthWellbeingTeacherAdolescence
spellingShingle Judi Kidger
Rhiannon Evans
Kate Tilling
William Hollingworth
Rona Campbell
Tamsin Ford
Simon Murphy
Ricardo Araya
Richard Morris
Bryar Kadir
Aida Moure Fernandez
Sarah Bell
Sarah Harding
Rowan Brockman
Jill Grey
David Gunnell
Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study
BMC Public Health
Cluster randomised controlled trial
Secondary school
Mental health
Wellbeing
Teacher
Adolescence
title Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study
title_full Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study
title_fullStr Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study
title_full_unstemmed Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study
title_short Protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers – the WISE (Wellbeing in Secondary Education) study
title_sort protocol for a cluster randomised controlled trial of an intervention to improve the mental health support and training available to secondary school teachers the wise wellbeing in secondary education study
topic Cluster randomised controlled trial
Secondary school
Mental health
Wellbeing
Teacher
Adolescence
url http://link.springer.com/article/10.1186/s12889-016-3756-8
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