A pilot randomised controlled study of the mental health first aid eLearning course with UK medical students.
A pilot randomised controlled study of the mental health first aid eLearning course with UK medical students.
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DOI：
10.1186/s12909-018-1154-x
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发表时间：
2018-03-21
影响因子：
3.6
通讯作者：
Glazebrook C
中科院分区：
文献类型：
--
作者：
Davies EB;Beever E;Glazebrook C
医学院学生在寻求心理健康专业帮助方面面临许多障碍，包括与精神疾病有关的耻辱，并且往往更愿意寻求同学的支持和建议。提高医学生的心理健康素养和支持有心理健康问题的人的能力，可以减少寻求帮助和改善这一人群心理健康的障碍。心理健康急救（MHFA）是一种基于证据的干预措施，旨在提高心理健康素养和应对心理健康问题的能力。这项试点随机对照试验旨在评估英国医学生的MHFA电子学习课程。55名医学生被随机分配接受为期六周的MHFA电子学习课程（n = 27）或无访问控制组（n = 28）。两组都完成了基线（随机化前）和随访（随机化后六周）在线问卷调查，测量了对心理健康问题的认识，心理健康急救意图，帮助朋友遇到心理健康问题的信心以及污名化态度。在后续行动中收集了课程反馈。与对照组（21.4%）相比，MHFA组（51.9%）有更多的参与者失访。意向治疗（ITT）和非ITT分析均显示，MHFA干预改善了心理健康急救意向（p = <.001），并降低了对心理健康问题患者的污名化态度（p = .04）。虽然ITT分析没有发现帮助朋友的信心的显著组x时间交互作用，但非ITT分析确实显示干预提高了帮助有心理健康问题的朋友的信心（p = <.001），并提高了心理健康知识（p = .003）。干预组的医学生在随访时报告了更多的实际心理健康急救行动（p = .006）。对MHFA课程的反馈普遍是积极的，参与者表示，这有助于提高他们的知识和信心，以帮助别人。这项试点研究证明了MHFA电子学习课程在提高英国医学生的心理健康急救技能、帮助朋友的信心和污名化态度方面的潜力。它可能有助于支持自己和他人的心理健康，同时学习和未来的医疗保健事业。已注册Retrophoblastoma（ISRCTN11219848）。
Medical students face many barriers to seeking out professional help for their mental health, including stigma relating to mental illness, and often prefer to seek support and advice from fellow students. Improving medical students’ mental health literacy and abilities to support someone experiencing a mental health problem could reduce barriers to help seeking and improve mental health in this population. Mental Health First Aid (MHFA) is an evidence-based intervention designed to improve mental health literacy and ability to respond to someone with a mental health problem. This pilot randomised controlled trial aims to evaluate the MHFA eLearning course in UK medical students. Fifty-five medical students were randomised to receive six weeks access to the MHFA eLearning course (n = 27) or to a no-access control group (n = 28). Both groups completed baseline (pre-randomisation) and follow-up (six weeks post-randomisation) online questionnaires measuring recognition of a mental health problem, mental health first aid intentions, confidence to help a friend experiencing a mental health problem, and stigmatising attitudes. Course feedback was gathered at follow-up. More participants were lost follow-up in the MHFA group (51.9%) compared to control (21.4%). Both intention-to-treat (ITT) and non-ITT analyses showed that the MHFA intervention improved mental health first aid intentions (p = <.001) and decreased stigmatising attitudes towards people with mental health problems (p = .04). While ITT analysis found no significant Group x Time interaction for confidence to help a friend, the non-ITT analysis did show the intervention improved confidence to help a friend with mental health problems (p = <.001), and improved mental health knowledge (p = .003). Medical students in the intervention group reported a greater number of actual mental health first aid actions at follow-up (p = .006). Feedback about the MHFA course was generally positive, with participants stating it helped improve their knowledge and confidence to help someone. This pilot study demonstrated the potential for the MHFA eLearning course to improve UK medical students’ mental health first aid skills, confidence to help a friend and stigmatising attitudes. It could be useful in supporting their own and others’ mental health while studying and in their future healthcare careers. Retrospectively registered (ISRCTN11219848).
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影响因子：
1.4
作者：
Bond, Kathy S.;Jorm, Anthony F.;Reavley, Nicola J.
通讯作者：
Reavley, Nicola J.
影响因子：
10.5
作者：
Jorm, Anthony F.;Wright, Annemarie
通讯作者：
Wright, Annemarie
影响因子：
1.8
作者：
Chan, Wen I.;Batterham, Philip;Galletly, Cherrie
通讯作者：
Galletly, Cherrie
影响因子：
4.5
作者：
Davies EB;Wardlaw J;Morriss R;Glazebrook C
通讯作者：
Glazebrook C
影响因子：
3.6
作者：
Kelly CM;Mithen JM;Fischer JA;Kitchener BA;Jorm AF;Lowe A;Scanlan C
通讯作者：
Scanlan C