PMID- 37796588
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231031
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 12
DP  - 2023 Oct 5
TI  - Improving Children's Mental Health Literacy Through the Cocreation of an 
      Intervention and Scale Validation: Protocol for the CHILD-Mental Health Literacy 
      Research Study.
PG  - e51096
LID - 10.2196/51096 [doi]
LID - e51096
AB  - BACKGROUND: Children's mental health is a public health priority, with 1 in 5 
      European children younger than 12 years having a behavioral, developmental, or 
      psychological disorder. Mental health literacy (MHL) is a modifiable determinant 
      of mental health, promoting psychological well-being and reducing mental health 
      problems. Despite its significance, no interventions or scales currently exist 
      for increasing and measuring MHL in this population. OBJECTIVE: This study has 
      dual objectives: (1) cocreating and evaluating an intervention on children's MHL, 
      and (2) developing and validating a scale that measures children's MHL. METHODS: 
      Our study focuses on children aged 9-11 years attending primary school classes in 
      various settings, including urban and rural areas, and priority education zones 
      within a French department. Using a participatory research approach, we will 
      conduct workshops involving children, parents, teachers, and 1 artist to cocreate 
      an intervention comprising multiple tools (eg, a pedagogical kit and videos). 
      This intervention will undergo initial evaluation in 4 classes through 
      observations, interviews, and satisfaction questionnaires to assess its 
      viability. Concurrently, the artist will collaborate with children to create the 
      initial version of the CHILD-MHL scale, which will then be administered to 300 
      children. Psychometric analyses will validate the scale. Subsequently, we will 
      conduct a cluster randomized controlled trial involving a minimum of 20 classes, 
      using the CHILD-MHL scale scores as the primary end point to evaluate the 
      intervention's efficacy. Additional interviews will complement this mixed methods 
      evaluation. Both the intervention and the scale are grounded in the Child-Focused 
      MHL model. RESULTS: The first tool of the intervention is the pedagogical kit Le 
      Jardin du Dedans, supported by the public organization Psycom Sante Mentale Info 
      and endorsed by UNICEF (United Nations Children's Fund) France. The second tool 
      is a handbook by the Pan American Health Organization and the World Health 
      Organization, which is addressed to teachers to sensitize them to children's 
      mental health problems. The third is a 5-page supplementary leaflet produced by 
      the nongovernmental organization The Ink Link, which teaches children the notion 
      of MHL. Finally, we produced 56 items of the MHL Scale and listed existing 
      education policies for children's mental health. CONCLUSIONS: After its robust 
      evaluation, the intervention could be extended to several schools in France. The 
      scale will be the first in the world to measure children's MHL. It will be used 
      not only to evaluate interventions but also to provide data for decision makers 
      to include MHL in all educational policies. Both the intervention and the scale 
      could be translated into other languages. INTERNATIONAL REGISTERED REPORT 
      IDENTIFIER (IRRID): PRR1-10.2196/51096.
CI  - (c)Florence Francis-Oliviero, Celine Loubieres, Christine Grove, Alexandra 
      Marinucci, Rebecca Shankland, Reda Salamon, Emmanuelle Perez, Laure Garancher, 
      Cedric Galera, Elsa Gaillard, Massimiliano Orri, Juan Luis Gonzalez-Caballero, 
      Ilaria Montagni. Originally published in JMIR Research Protocols 
      (https://www.researchprotocols.org), 05.10.2023.
FAU - Francis-Oliviero, Florence
AU  - Francis-Oliviero F
AUID- ORCID: 0000-0002-5435-5064
AD  - Bordeaux Population Health Research Center, Institut national de la sante et de 
      la recherche medicale U1219, University of Bordeaux, Bordeaux, France.
AD  - Pole de sante publique, Service d'Information Medicale, Centre Hospitalier 
      Universitaire de Bordeaux, Bordeaux, France.
FAU - Loubieres, Celine
AU  - Loubieres C
AUID- ORCID: 0009-0006-0659-039X
AD  - Psycom - Sante mentale Info, Paris, France.
FAU - Grove, Christine
AU  - Grove C
AUID- ORCID: 0000-0002-0528-2620
AD  - School of Curriculum Teaching & Inclusive Education, Monash University, Clayton, 
      Australia.
AD  - Fulbright Association, Science, Technology, Engineering and Mathematics College, 
      Health and Biomedical Sciences, Royal Melbourne Institute of Technology, 
      Canberra, Australia.
FAU - Marinucci, Alexandra
AU  - Marinucci A
AUID- ORCID: 0000-0002-1737-9550
AD  - School of Educational Psychology & Counselling, Monash University, Clayton, 
      Australia.
FAU - Shankland, Rebecca
AU  - Shankland R
AUID- ORCID: 0000-0002-9182-5483
AD  - Laboratory Developpement, Individu, Processus, Handicap, Education, Department of 
      Psychology, Education and Vulnerabilities, Universite Lumiere Lyon 2, Lyon, 
      France.
FAU - Salamon, Reda
AU  - Salamon R
AUID- ORCID: 0000-0002-7563-2868
AD  - Bordeaux Population Health Research Center, Institut national de la sante et de 
      la recherche medicale U1219, University of Bordeaux, Bordeaux, France.
FAU - Perez, Emmanuelle
AU  - Perez E
AUID- ORCID: 0009-0009-8928-4196
AD  - The Ink Link, Nongovernmental organization, Lyon, France.
FAU - Garancher, Laure
AU  - Garancher L
AUID- ORCID: 0000-0003-1150-3044
AD  - The Ink Link, Nongovernmental organization, Paris, France.
FAU - Galera, Cedric
AU  - Galera C
AUID- ORCID: 0000-0003-0549-9608
AD  - Bordeaux Population Health Research Center, Institut national de la sante et de 
      la recherche medicale U1219, University of Bordeaux, Bordeaux, France.
AD  - Charles Perrens Hospital, Bordeaux, France.
FAU - Gaillard, Elsa
AU  - Gaillard E
AUID- ORCID: 0000-0003-1454-5506
AD  - Institute of Global Health, University of Geneva, Geneva, Switzerland.
FAU - Orri, Massimiliano
AU  - Orri M
AUID- ORCID: 0000-0003-1389-2610
AD  - McGill Group for Suicide Studies, Douglas Mental Health University Institute, 
      Department of Psychiatry, McGill University, Montreal, QC, Canada.
AD  - Department of Epidemiology, Biostatistics, and Occupational Health, School of 
      Population and Global Health, McGill University, Montreal, QC, Canada.
FAU - Gonzalez-Caballero, Juan Luis
AU  - Gonzalez-Caballero JL
AUID- ORCID: 0000-0003-3378-5038
AD  - Department of Statistics and Operational Research, University of Cadiz, Cadiz, 
      Spain.
FAU - Montagni, Ilaria
AU  - Montagni I
AUID- ORCID: 0000-0003-0076-0010
AD  - Bordeaux Population Health Research Center, Institut national de la sante et de 
      la recherche medicale U1219, University of Bordeaux, Bordeaux, France.
LA  - eng
PT  - Journal Article
DEP - 20231005
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC10587813
OTO - NOTNLM
OT  - child
OT  - intervention
OT  - literacy
OT  - mental health
OT  - scale
COIS- Conflicts of Interest: None declared.
EDAT- 2023/10/05 12:42
MHDA- 2023/10/05 12:43
PMCR- 2023/10/05
CRDT- 2023/10/05 11:55
PHST- 2023/07/24 00:00 [received]
PHST- 2023/08/01 00:00 [accepted]
PHST- 2023/07/31 00:00 [revised]
PHST- 2023/10/05 12:43 [medline]
PHST- 2023/10/05 12:42 [pubmed]
PHST- 2023/10/05 11:55 [entrez]
PHST- 2023/10/05 00:00 [pmc-release]
AID - v12i1e51096 [pii]
AID - 10.2196/51096 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2023 Oct 5;12:e51096. doi: 10.2196/51096.