Improving support for people with mental health problems in China: a cluster randomised controlled trial of culturally adapted Mental Health First Aid training

作者：Nicola Reavley, Amy J. Morgan, Anthony F. Jorm, Betty A. Kitchener, Yan Wang, Shurong Lu, Wenjing Li, Claire M. Kelly, Brian Oldenburg, Min Zhao, Yanling He · 发表于：The Lancet Regional Health - Western Pacific · 年份：2025 · DOI：10.1016/j.lanwpc.2025.101698 · 被引用次数：2 · 研究领域：Mental Health Treatment and Access、Family Caregiving in Mental Illness、Child and Adolescent Psychosocial and Emotional Development

Background: Culturally appropriate interventions that teach members of the public to provide early help towards a person developing a mental health problem or in a mental health crisis may improve access to services, social support, and mental health outcomes. This is the first study to evaluate the effectiveness of culturally adapted Mental Health First Aid (MHFA) Training for China. Methods: A two-arm wait-list pilot cluster randomised controlled trial (cRCT) was conducted in 3 settings in Shanghai (health services, workplaces and community settings). Intervention settings were paired according to type and one of each pair was randomly allocated to the intervention (MHFA Training for China) or the wait-list control group, with a 1:1 allocation. Participants were invited by the trial coordinators in each setting. They were asked to complete questionnaires at baseline (T1) and 1 month (T2) and 7 months after training (T3). Control group participants were asked to complete questionnaires at corresponding times. The primary outcome was participant intended actions (recommended or not recommended) towards a person experiencing a mental health problem or in a mental health crisis. Secondary outcomes included recognition of depression in a vignette; beliefs about the helpfulness of health professionals and interventions; helping actions; confidence in providing mental health first aid; and stigmatising attitudes. Findings: Between April and May 2024, 6 clusters were recruited and ...