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Table 2 Measures used at baseline and one year follow-up to assess student outcomes

From: teen Mental Health First Aid: 12-month outcomes from a cluster crossover randomized controlled trial evaluation of a universal program to help adolescents better support peers with a mental health problem

Outcome

Survey measure

Response

Example

Scores range and reliability statistics

Measures of Mental Health First Aid

 Quality of first aid intentions

If John/Jeanie was a friend I would…

Choose any of 13 possibilities:

6 consistent with Action Plan

6 discordant with Action Plan

Other (please specify)

Helpful—Tell John I have noticed something seems wrong, and I want to make sure he is okay

Harmful/unhelpful—Ignore Jeanie because she is attention-seeking

Helpful intentions subscale, total score on

6 items: 0 to 6

John ω = .84

Jeanie ω = .85

Unhelpful intentions subscale, total score on 6 items 0 to 6

John ω = .76

Jeanie ω = .78

 Confidence

If John/Jeanie was a friend, how confident would you feel in helping him/her

5-point Likert scale

1 = Not at all

5 = Extremely

 

Test–retest for PFA students (apx 4 weeks apart)

John r = .52

Jeanie r = .48

 Quality of first aid behaviours (among those reporting contact with a peer with a mental health problem/crisis)

In the last 12 months have you had contact with anyone about your age (i.e. between

13–18 years old) who you thought might have a mental health problem or has experienced a mental health crisis?

Yes, No, Not sure,

I do not want to answer

If yes/not sure – Please tell us how many people about your age you had contact with who you

thought might have a mental health problem or experienced a mental health crisis; did you offer any help?; What did you do to help the person?

Choose any of 12 possibilities:

6 consistent with Action Plan

6 discordant with Action Plan

Other (please specify)

Helpful – Invited them to hang out and do something fun with me

Unhelpful – Avoided talking about suicide because it might put the idea in their head

Helpful behaviours subscale, total score on

6 items: 0 to 6

ω = .73

Unhelpful behaviours subscale, total score on 6 items 0 to 6

ω = .64

 Quality of first aid received from a peer (among those self-reporting a mental health problem/crisis)

In the last 12 m has anyone tried to support or assist you with this mental health problem or crisis?

Yes, No, Not sure

If yes/not sure—Who provided support or assistance for the problem? [friend, parent, other family member, health professional, teacher, other]

If friend – What did your friend do to help you?

Choose any of 10 possibilities:

6 consistent with Action Plan

4 discordant with Action Plan

Other (please specify)

Helpful – Told me they noticed something seems wrong and wanted to make sure I was ok

Harmful/Unhelpful – Told me what to do to fix my problems

Helpful behaviours received subscale, total score on

6 items: 0 to 6

ω = .71

Unhelpful behaviours received subscale, total score on 4 items 0 to 4

ω = .67

Measures of Mental Health Literacy

 Beliefs about helpfulness of adult help

Which of the following people do you think would be helpful, harmful, or neither for John/Jeanie’s problem?

Helpful, Neither, Harmful

Counsellor

General Practitioner (GP) or family doctor

Parent

Teacher

School Counsellor/Welfare coordinator

Minister or Priest

Total number of adults endorsed as helpful: 0 to 6

Test–retest for PFA students (apx 4 weeks apart)

John r = .55

Jeanie r = .58

 Help seeking intentions

If I had a problem right now like John’s/Jeanie’s I would…

 

Talk to a friend about it

Improve my diet

Total score on 5 items: 0 to 5

John ω = .76

Jeanie ω = .72

Measures of Stigma

 Social Distance

Would you be happy to:

4-point Likert scale

1 = Yes definitely

4 = Definitely not

Develop a close friendship with John/Jeanie

Go out with John/Jeanie on the weekend

Total score on 5 items: 5 to 20

John ω = .91

Jeanie ω = .94

 Weak-not-sick

Please indicate how strongly you personally agree or disagree with each statement

5-point Likert scale

1 = Strongly disagree

5 = Strongly agree

A problem like John/Jeanie’s is a sign of personal weakness

John/Jeanie’s problem is a real medical illness

People with a problem like John/Jeanie’s could snap out of it if they wanted

It is best to avoid people with a problem like John/Jeanie’s so you don’t develop this problem

Mean score of 4 items

John ω = .77

Jeanie ω = .78

 Dangerous/Unpredictable

Please indicate how strongly you personally agree or disagree with each statement

5-point Likert scale

1 = Strongly disagree

5 = Strongly agree

People with a problem like John’s/Jeanie’s are dangerous

People with a problem like John/Jeanie’s are unpredictable

It is best to avoid people with a problem like John/Jeanie’s so you don’t develop this problem

Mean score of 3 items

John ω = .59

Jeanie ω = .77

 Would not tell anyone

Please indicate how strongly you personally agree or disagree with each statement

5-point Likert scale

1 = Strongly disagree

5 = Strongly agree

If I had a problem like John’s/Jeanie’s I would not tell anyone

Test–retest for PFA students

John r = .54

Jeanie r = .50

  1. ω = Revelle’s omega total for total scores and subscales. Omega is considered acceptable when above 0.70
  2. r = was calculated based on the control condition measures taken at baseline and post-training which occurred approximately 4 weeks apart. Given that an intervention was provided in between the measurement occasions, this may have led to lower reliability estimates than would be reported by a training-naive sample. Other test–retest reliability data on these instruments has not been previously developed, as this was the first implementation of the John and Jeanie vignettes in a tMHFA-naive sample