Educators and Young People's Mental Health

Study Overview
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Brief Summary
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The aim of the present study is to assess the current state of mental health of educators and young persons at the education centre for health and care professions in St. Gallen (BZGS) by conducting screening instruments. Furthermore, the investigators aim to identify risk and protective factors for the mental health of vocational trainees in health and care professions. These results are both essential for further research and educational practice. Moreover, results may maximise the chances of creating in future meaningful intervention for young persons in this specific setting.

Detailed Description
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Background: Young person's undergoing training in the health or social services sector are confronted with issues such as dying, illness and severe personal tragedies while they are still in the process of their own development. This can have serious effects on their mental health. During this time, vocational school is a central part of young persons' lives. The YouCoMent project will initiate a sustainable promotion and maintenance of mental health and thus preventively counteract the development of mental health conditions. In order to meet the special challenges of vocational schools in the health sector, this study pursues the following objectives: To assess the current state of mental health of young persons at the educational centre. To identify individual risk and protective factors for the mental health of young persons. Methods: This study is the first part of the YouCoMent project, which will be carried out at the education centre for health and care professions in St. Gallen (BZGS), Switzerland between 2023 and 2026.It has approx. 150 educators. The number of trainees in basic training is about 2800. Every person will be asked through the BZGS internal E-Mail distribution lists to participate. Beforehand, between 20 and 24 January 2023. Data collection will be conducted on T1: 26 January 2023 and T2: 24 January 2025. Participation in the study is voluntary. The data collection is going to be carried out using a self-administered online questionnaire. Data collection will be conducted in anonymous form. The quantitative data will be analysed using descriptive and, where appropriate, exploratory statistics, as well as analysed with statistical software (SPSS). The statistical analyses are carried out by researchers at the University of Applied Sciences of Eastern Switzerland in St. Gallen.

Official Title
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Educators and Young People's Mental Health During Their Vocational Education in the Health and Care Professions - a Cross-Sequential Observational Study

Conditions
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Mental Health Issue, Adolescent Development, Mental Health Wellness 1, Mental Health Wellness 2, Mental Disorder in Adolescence, Social Stigma

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All trainees at the centre Exclusion Criteria: under age of 14

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| vocational trainees in health and care professions<br> | |
| vocational educators in health and care professions.<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Patient Health Questionnaire at 2 years | Self-assessment instrument for the screening of the most common mental condition. Somatoform Disorder if >3 of 1a-m bother the patient a lot. Major Depressive Syndrome if 2a or b and >5 of 2a-i are at least More than half the days Other Depressive Syndrome if 2a or b and >4 of 2a-i are at least More than half the days Panic Syndrome if 3a-d are YES and >4 of 4a-k are YES Other Anxiety Syndrome if 5a and >3 of 5b-g are More than half the days Bulimia Nervosa if 6a,b, and c and 8 are YES Binge Eating Disorder the same but 8 is either NO or left blank Alcohol abuse if any of 10a-e are YES Depression Severity. Total score for 9 items ranges from 0 to 27. Higher values indicate higher depressive symptom burden. Somatic Symptom Severity. Total score for 15 items ranges from 0 to 30. Higher values indicate higher somatic symptom burden. Stress. Total score for 10 items ranges from 0 - 20. Higher values indicate higher stress. | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Self-Efficacy Scale at 2 years | The scales can be used to record convictions of subjective controllability or competence expectations in different demanding situations, namely for school and general life. The individual test score is obtained by adding up all ten items resulting in a score between 10 and 40. High values indicate a high general self-efficacy expectation. | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline World Health Organization Disability Assessment Schedule 2.0 at 2 years | A generic assessment instrument for health and disability. The six domain scores are summed and converted into a summary score, which assumes a score between 0 and 100 (where 0 = no disability; 100 = full disability). | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline Stress- and Coping-Inventory at 2 years | The Stress- and Coping-Inventory is a scientific questionnaire used to determine the current perceived stress and stress symptoms as well as to assess how people cope with stress with the help of coping strategies. It comprises 10 scales with 54 items The current perceived stress is measured with 3 scales consisting of 7 items each, ranging from 1 = not stressed to 7 = very stressed. With a range of 7 - 49, higher values indicate higher stress. The scale with the current total stress is the sum of the three stress scales. With a range of 21 - 147, higher values indicate higher stress. The physical and psychological stress symptoms are measured with 13 items from 1 = strongly disagree to 4 = strongly agree. With a range of 13 - 52, higher values indicate higher stress. Coping strategies are assessed with 5 scales of 4 items each, ranging from 1 = strongly disagree to 4 strongly agree. With a range of 4 - 16. Higher values indicate more effective stress coping. | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline World Health Organization - assessment of self-rated health status at 2 years | One question assessing self-rated health status, formulated as In general, how would you rate your health today, with the possible choices being very good (1), good (2), moderate (3), bad (4) or very bad (5) | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline World Health Organization - current use of mental health services at 2 years | One question assessing current use of mental health services, formulated as Have you been in treatment for a mental health condition in the last 12 months? 1 = yes, 2 = no | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline World Health Organization - perceived need for mental health services at 2 years | One question assessing perceived need for mental health services, formulated as During the past 12 months, have you thought you might need help for psychological problems, your emotional problems, or alcohol or drug use? 1 = yes, 2 = no | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline Community-Attitude-toward-the-Mental-Ill (CAMI)-Inventory at 2 years | The Community Attitude to Mental Illness Inventory (CAMI) assess a respondent's attitude toward mental illness. With 40 Likert-scaled items (1 = Strongly agree - 5 = Strongly disagree) resulting in 4 dimensions (exclusion, integration, benevolence, social control). High scores on the subscales integration (10 items) and benevolence (10 items) reflect positive attitudes like support and tolerance, whereas high scores on the sub-dimensions exclusion (10 items) and social control (10 items) indicate stigmatizing attitudes. | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline Sentiments, Attitudes and Concerns about Inclusive Education - Revised at 2 years | The instrument assesses views and concerns about inclusive education with the scales (1) Negative attitudes towards impairment, (2) Positive attitudes towards inclusive education, (3) Concerns about the concrete implementation of inclusive education consisting of each 5 items (1 = strongly disagree to 5 = strongly agree) With a range of 3 - 15. Higher values indicate more positive attitudes. | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 
| Change from Baseline Teacher Effectiveness in Inclusive Education at 2 years | The instrument assesses subjective effectiveness in inclusive education with the scales (1) Efficacy to use inclusive instructions (2) Efficacy in collaboration and (3) Efficacy in managing behaviour consisting of each 6 items (1 = strongly disagree to 6 = strongly agree). With a range of 3 - 18. Higher values indicate higher subjective efficacy for inclusive education. | T1: 20. January - 28. of February 2023 and T2: 24 January 2025 - 28. of February 2025 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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educators, vocational education, health care profession, social care professions, adolescent, health promotion, mental health, schools, health literacy, cross sectional