PMID- 35696337 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220817 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 11 IP - 7 DP - 2022 Jul 29 TI - The World Mental Health International College Student Survey in Canada: Protocol for a Mental Health and Substance Use Trend Study. PG - e35168 LID - 10.2196/35168 [doi] LID - e35168 AB - BACKGROUND: The World Health Organization World Mental Health International College Student (WMH-ICS) initiative aims to screen for mental health and substance use problems among postsecondary students on a global scale as well as to develop and evaluate evidence-based preventive and ameliorative interventions for this population. This protocol paper presents the Canadian version of the WMH-ICS survey, detailing the adapted survey instrument, the unique weekly cross-sectional administration, the multitiered recruitment strategy, and the associated risk mitigation protocols. OBJECTIVE: This paper aims to provide a methodological resource for researchers conducting cross-national comparisons of WMH-ICS data, as well as to serve as a useful guide for those interested in replicating the outlined cross-sectional methodology to better understand how mental health and substance use vary over time among university students. METHODS: The online survey is based on the WMH-ICS survey instrument, modified to the Canadian context by the addition of questions pertaining to Canadian-based guidelines and the translation of the survey to Canadian French. The survey is administered through the Qualtrics survey platform and is sent to an independent stratified random sample of 350 students per site weekly, followed by two reminder emails. Upon survey closure every week, a random subsample of 70 nonresponders are followed up with via phone or through a personal email in an effort to decrease nonresponder bias. The survey is accompanied by an extensive risk mitigation protocol that stratifies respondents by the level of need and provides tailored service recommendations, including a facilitated expedited appointment to student counseling services for those at increased risk of suicide. The anticipated sample size is approximately 5500 students per site per year. RESULTS: In February 2020, the Canadian survey was deployed at the University of British Columbia. This was followed by deployment at Simon Fraser University (November 2020), McMaster University (January 2021), and the University of Toronto (January 2022). Data collection at all 4 sites is ongoing. As of May 6, 2022, 29,503 responses have been collected. CONCLUSIONS: Based on international collaboration, the Canadian version of the WMH-ICS survey incorporates a novel methodological approach centered on the weekly administration of a comprehensive cross-sectional survey to independent stratified random samples of university students. After 27 months of consecutive survey administration, we have developed and refined a survey protocol that has proven effective in engaging students at four Canadian institutions, allowing us to track how mental health and substance use vary over time using an internationally developed university student survey based on the criteria from the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/35168. CI - (c)Laura B Jones, Carolina Judkowicz, Kristen L Hudec, Richard J Munthali, Ana Paula Prescivalli, Angel Y Wang, Lonna Munro, Hui Xie, Krishna Pendakur, Brian Rush, James Gillett, Marisa Young, Diana Singh, Antoaneta A Todorova, Randy P Auerbach, Ronny Bruffaerts, Sarah M Gildea, Irene McKechnie, Anne Gadermann, Chris G Richardson, Nancy A Sampson, Ronald C Kessler, Daniel V Vigo. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 29.07.2022. FAU - Jones, Laura B AU - Jones LB AUID- ORCID: 0000-0002-6387-7542 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Judkowicz, Carolina AU - Judkowicz C AUID- ORCID: 0000-0003-0732-4609 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Hudec, Kristen L AU - Hudec KL AUID- ORCID: 0000-0001-8573-1491 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Munthali, Richard J AU - Munthali RJ AUID- ORCID: 0000-0001-8492-7409 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Prescivalli, Ana Paula AU - Prescivalli AP AUID- ORCID: 0000-0002-4490-7398 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Wang, Angel Y AU - Wang AY AUID- ORCID: 0000-0003-2001-2220 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Munro, Lonna AU - Munro L AUID- ORCID: 0000-0002-8002-8008 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Xie, Hui AU - Xie H AUID- ORCID: 0000-0003-3328-7135 AD - Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada. FAU - Pendakur, Krishna AU - Pendakur K AUID- ORCID: 0000-0001-5773-8266 AD - Department of Economics, Simon Fraser University, Burnaby, BC, Canada. FAU - Rush, Brian AU - Rush B AUID- ORCID: 0000-0002-9289-6072 AD - Social & Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, ON, Canada. FAU - Gillett, James AU - Gillett J AUID- ORCID: 0000-0003-4998-4090 AD - Department of Health, Aging & Society, Faculty of Social Sciences, McMaster University, Hamilton, ON, Canada. FAU - Young, Marisa AU - Young M AUID- ORCID: 0000-0002-8880-7356 AD - Department of Sociology, Faculty of Social Sciences, McMaster University, Hamilton, ON, Canada. FAU - Singh, Diana AU - Singh D AUID- ORCID: 0000-0002-1093-307X AD - Department of Sociology, Faculty of Social Sciences, McMaster University, Hamilton, ON, Canada. FAU - Todorova, Antoaneta A AU - Todorova AA AUID- ORCID: 0000-0002-0791-218X AD - Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. FAU - Auerbach, Randy P AU - Auerbach RP AUID- ORCID: 0000-0003-2319-4744 AD - Department of Psychiatry, Columbia University, New York, NY, United States. FAU - Bruffaerts, Ronny AU - Bruffaerts R AUID- ORCID: 0000-0002-0330-3694 AD - Center for Public Health Psychiatry, Katholieke Universiteit Leuven, Leuven, Belgium. FAU - Gildea, Sarah M AU - Gildea SM AUID- ORCID: 0000-0003-1988-4072 AD - Department of Health Care Policy, Harvard Medical School, Boston, MA, United States. FAU - McKechnie, Irene AU - McKechnie I AUID- ORCID: 0000-0002-7035-239X AD - Okanagan Planning and Institutional Research, University of British Columbia, Kelowna, BC, Canada. FAU - Gadermann, Anne AU - Gadermann A AUID- ORCID: 0000-0001-6947-1052 AD - School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Richardson, Chris G AU - Richardson CG AUID- ORCID: 0000-0002-7641-7027 AD - School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. FAU - Sampson, Nancy A AU - Sampson NA AUID- ORCID: 0000-0003-2971-6072 AD - Department of Health Care Policy, Harvard Medical School, Boston, MA, United States. FAU - Kessler, Ronald C AU - Kessler RC AUID- ORCID: 0000-0003-4831-2305 AD - Department of Health Care Policy, Harvard Medical School, Boston, MA, United States. FAU - Vigo, Daniel V AU - Vigo DV AUID- ORCID: 0000-0002-4445-4122 AD - Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. LA - eng PT - Journal Article DEP - 20220729 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC9377443 OTO - NOTNLM OT - Canada OT - Canadian OT - World Mental Health International College Student Initiative OT - anxiety OT - depression OT - epidemiology OT - mental health OT - online survey OT - questionnaire OT - screen OT - student health OT - substance use OT - survey OT - trend COIS- Conflicts of Interest: CGR reports receiving personal fees from the University of British Columbia during the conduct of this study. In the past 3 years, RCK was a consultant for Datastat, Inc., Holmusk, RallyPoint Networks, Inc., and Sage Therapeutics. He has stock options in Mirah, Prepare Your Mind (PYM), and Roga Sciences. The other authors have no conflicts to declare. EDAT- 2022/06/14 06:00 MHDA- 2022/06/14 06:01 PMCR- 2022/07/29 CRDT- 2022/06/13 12:52 PHST- 2021/11/26 00:00 [received] PHST- 2022/06/03 00:00 [accepted] PHST- 2022/05/13 00:00 [revised] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/06/14 06:01 [medline] PHST- 2022/06/13 12:52 [entrez] PHST- 2022/07/29 00:00 [pmc-release] AID - v11i7e35168 [pii] AID - 10.2196/35168 [doi] PST - epublish SO - JMIR Res Protoc. 2022 Jul 29;11(7):e35168. doi: 10.2196/35168.