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Recruiting NCT07466563

Testing Multi-level Scale-Up Strategies: Ugandan School System

No phase Interventional Mental Health

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Mental Health Evidence-Based Interventions (EBIs)., EBI Support.
Who it may be relevant to
Registry conditions: Mental Health. Basic parameters: 18 years — 65 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Uganda
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

TESTING MULTI-LEVEL SCALE-UP STRATEGIES TO IMPLEMENT A SCHOOL-BASED POPULATION APPROACH OF MENTAL HEALTH PREVENTIVE INTERVENTION: UGANDA

Overview

The overall objective of the project is to address the school mental health evidence-based interventions (EBIs) scale-up and sustainability challenges in low-and-middle-income countries (LMICs) by studying "system level intervention" strategies. The project tests a scale-up model utilizing a two-level train-the-trainer model to support the expansion of an evidence-based intervention (mWEL -Teacher Professional Development; PD) in one LMIC (Uganda). mWEL-PD is the abbreviation of "Promoting Mental Wellbeing \& Empowering Lives of the School Community". mWEL -PD is a teacher intervention that trains teachers to apply evidence-based strategies to engage parents and to promote student's mental health in classroom, as well as to promote teachers' own mental wellbeing. PD has been adapted and tested in Uganda and has demonstrated effectiveness in promoting Ugandan teachers' practices, teacher wellbeing, and students' mental health. Previous studies only applied one-level of the train-the-trainer model. This new study will test a new two-level of the train-the-trainer model that include a digital-learning system to scale PD, so that more teachers can be trained on PD, and more students can benefit from teachers' training and practice changes. Investigators will also test the new EBI/PD scale-up model with and without including additional sustainability strategies (including technical assistance and continuing education strategies). Investigators will carry out an evaluation study (using a cluster-randomized trial design) to understand the impacts of the new two-level training model. The participants of the study will be the trainers and trainees, and the outcomes will be their implementation and practice outcomes.

Interventions

  • Behavioral Mental Health Evidence-Based Interventions (EBIs).
    EBIs addressing mental health.
  • Behavioral EBI Support
    Technical assistance and continuous learning strategies to support sustainable EBI implementation.

Primary outcome measures

  • Teacher Knowledge of Evidence-Based Practice: Teacher Self-Report. [Time frame: Baseline (T1); After Training (T2, 4-5 month after T1)]
  • Teacher Practice Using EBI Strategies [Time frame: Baseline (T1); After Training (T2, 4-5 month after T1), Follow-up (T3, 12 months after T1)]
  • Teacher Stress Management [Time frame: aseline (T1); After Training (T2, 4-5 month after T1), Follow-up (T3, 12 months after T1)]
Secondary outcome measures (3)
  • Teacher Engagement in EBI [Time frame: After training (T2, 5-6 months after T1)]
  • Teacher-Rated Program Acceptability and Usefulness [Time frame: After training (T2, 5-6 months after T1); Follow-up (T3, 12 months after T1)]
  • Teacher-Rated Facilitator Competency [Time frame: After training (T2, 5-6 months after T1); Follow-up (T3, 12 months after T1)]

Eligibility criteria

Inclusion criteria

TTCs and tutors:

  • 12 TTCs (out of a total 26 TTCs) will be selected.
  • All tutors will be aged 18-65, and currently employed under the educational system.
  • Tutors from each TTC will be recruited and trained in EBI implementation and management

Schools:

  • 10 public schools (5 match pairs, match in size) under each TTC will be selected, and Principals of public schools will be invited to attend information sessions.
  • All principals will be aged 18-65, and currently employed under the educational system.

PTTs and teachers:

  • All pre-primary teachers serving students between the ages of 3 and 12 years at the 120 study schools will be eligible to participate.
  • All teachers will be aged 18-65, and currently employed under the educational system.

Exclusion criteria

  • Inability to provide informed consent
  • Teachers who are not teaching students in the selected schools or not within the TTC service region.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Supportive care

Study locations

Uganda · 2 centers
  • Uganda Ministry of Education (MOE)/District Education Office (DEO) Schools — Kampala Region
  • Ministry of Education (MOE)/District Education Office (DEO) — Nakaseke

Identifiers

NCT: NCT07466563 · 24-00477

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗