Clinical trial NCT06942637: Effectiveness of Integrated Network for Student Psychosocial Intervention, Resilience, and Education (INSPIRE) on Mental Health Outcomes Among Indonesian Adolescents in Bandung
Official title: Effectiveness of Integrated Network for Student Psychosocial Intervention, Resilience, and Education (INSPIRE) on Mental Health Outcomes Among Indonesian Adolescents in Bandung: A Randomised Controlled Trial and Process Evaluation
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Adolescents
Health Knowledge
Mental Health
Health Literacy
Resilience
Depression
Anxiety
Parents
School Intervention
Lead sponsor: National University of Singapore
Sponsor class: OTHER
Collaborators: name: Indonesia Endowment Fund for Education (LPDP), Republic of Indonesia
First posted: 2025-04-24
Enrollment: 680
Sex: ALL
Minimum age (years): 13
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Two-group parallel-armed randomized controlled trial (RCT) with a pretest and repeated posttest experimental design
Primary purpose: SUPPORTIVE_CARE

Brief summary: The INSPIRE (Integrated Network for Student Psychosocial Intervention, Resilience, and Education) intervention is an 8-week, school-based mental health program designed to enhance adolescents' mental health literacy and resilience while addressing symptoms of depression and anxiety. Implementation is conducted by school counselors who undergo an intensive two-day training program. The intervention is supported by comprehensive curriculum materials including detailed lesson plans, activities, discussion prompts, and instructional slides featuring key concepts, visuals, and explanatory content. Supplementary materials are developed for both participating adolescents and their parents.

The study aims to:

1. Evaluate the usability and feasibility of the INSPIRE intervention within the school environment.
2. Assess the intervention's effectiveness in improving:

   * Primary outcome: Mental health knowledge among adolescents
   * Secondary outcomes: Attitudes toward mental health, help-seeking behaviors, mental health literacy, resilience, and symptoms of depression and anxiety among adolescents
   * Secondary outcomes: mental health knowledge, attitudes, help-seeking behaviors, and mental health literacy among parents
3. Explore the experiences of intervention participants (both adolescents and parents) against the control group to develop comprehensive insights into the psychosocial intervention's impact.

The research hypothesis proposes that the INSPIRE intervention group will demonstrate significantly higher scores in mental health knowledge, more positive attitudes toward mental health, increased help-seeking behaviors, enhanced mental health literacy, and greater resilience, while simultaneously showing reduced symptoms of depression and anxiety compared to the control group receiving standard care. These outcomes will be measured immediately following the intervention (post-test 1) and at one-month follow-up (post-test 2).


Eligibility criteria: Inclusion Criteria:

The inclusion criteria for adolescents are as follows:

* Unmarried, 13-15 years old, school-going, healthy adolescents enrolled in an Indonesian public junior high school
* Able to read, understand, and converse in Bahasa Indonesia.

The inclusion criteria for parents are as follows:

* The biological father, mother, or an adult who fulfils a parental or guardian role for the participating adolescent
* Able to understand and communicate in Bahasa Indonesia.

Exclusion Criteria:

* Adolescents who are working, clinically diagnosed with severe mental disorders, such as schizophrenia or psychosis, at high risk for mental health disorders (e.g., teenage pregnancy), or are cognitively impaired will be excluded.
* Parents with severe mental disorders or cognitive impairment that may hinder participation will be excluded.

Primary outcomes:
measure: Adolescents' mental health knowledge
timeFrame: Immediately following the intervention (post-test 1)
measure: Adolescents' mental health knowledge
timeFrame: At one-month follow-up (post-test 2).
Secondary outcomes:
measure: Adolescents' attitudes towards mental health
timeFrame: immediately following the intervention (post-test 1)
measure: Adolescents' attitudes towards mental health
timeFrame: At one-month follow-up (post-test 2).
measure: Adolescents' attitudes toward help-seeking behaviors
timeFrame: Immediately following the intervention (post-test 1)
measure: Adolescents' attitudes toward help-seeking behaviors
timeFrame: At one-month follow-up (post-test 2).
measure: Adolescents' mental health literacy
timeFrame: Immediately following the intervention (post-test 1)
measure: Adolescents' mental health literacy
timeFrame: At one-month follow-up (post-test 2).
measure: Adolescents' resilience
timeFrame: Immediately following the intervention (post-test 1)
measure: Adolescents' resilience
timeFrame: At one-month follow-up (post-test 2).
measure: Adolescents' depression
timeFrame: Immediately following the intervention (post-test 1)
measure: Adolescents' depression
timeFrame: At one-month follow-up (post-test 2).
measure: Adolescents' anxiety
timeFrame: Immediately following the intervention (post-test 1)
measure: Adolescents' anxiety
timeFrame: At one-month follow-up (post-test 2).
measure: Parents' mental health knowledge
timeFrame: Immediately following the intervention (post-test 1)
measure: Parents' mental health knowledge
timeFrame: At one-month follow-up (post-test 2).
measure: Parents' attitudes towards mental health
timeFrame: immediately following the intervention (post-test 1)
measure: Parents' attitudes towards mental health
timeFrame: At one-month follow-up (post-test 2).
measure: Parents' attitudes toward help-seeking behaviors
timeFrame: Immediately following the intervention (post-test 1)
measure: Parents' attitudes toward help-seeking behaviors
timeFrame: At one-month follow-up (post-test 2).
measure: Parents' mental health literacy
timeFrame: Immediately following the intervention (post-test 1)
measure: Parents' mental health literacy
timeFrame: At one-month follow-up (post-test 2).
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: Alice Lee Centre for Nursing Studies, National University of Singapore
Study officials:
References: