An interventional study of Mental Health Education Session and Printed Mental Health Leaflet in Mental Health Literacy, Health Literacy and Mental Health, sponsored by Tanjungpura University. Completed at 1 site in Indonesia. Per ClinicalTrials.gov, last updated 2026-11-03.
Sponsored by Tanjungpura University · Not applicable, Interventional, and Prevention
The goal of this clinical trial was to learn whether a single interactive mental health education session improves mental health literacy among senior high school students in a remote area on the Indonesia-Malaysia land border (Sambas Regency, West Kalimantan, Indonesia). The main question was whether students who attended the session would score higher on the Mental Health Knowledge Questionnaire immediately afterwards than students who received a printed leaflet, after accounting for their scores before the activity.
Researchers compared intact classes that attended the session with classes that received a printed mental health leaflet. Participants completed the questionnaire before the activity, then either attended one face-to-face session of about 60 minutes or received the leaflet, and completed the same questionnaire again immediately afterwards on the same day. This record was registered after data collection had been completed.
Design. Non-randomized controlled trial with a non-equivalent control group pretest-posttest design, reported according to the TREND statement. Individual randomization was not feasible because students learn in fixed classes, so intact grade 10 and grade 11 classes at one public senior high school in Sajingan Besar District were assigned by the school to the intervention or control condition.
Intervention. A face-to-face session titled "Kenali Jiwamu, Jaga Dirimu, Bantu Temanmu" (Know your mind, look after yourself, help your friend) was delivered in one meeting of about 60 minutes by nurse researchers together with the school's guidance and counselling teacher, using a 19-slide presentation in Indonesian. Its four parts covered understanding mental health, correcting misconceptions about causes, recovery, long-term treatment and who can be affected, risk and protective factors, and seeking and giving help. Each misconception was stated neutrally and then explained, students responded to questions to the class within agreed ground rules, and each student chose one protective habit to practise for a week.
Comparator. Control classes received a printed leaflet on mental health during the same period and were offered the full session after data collection ended.
Measures. Mental health literacy was measured with an Indonesian version of the 20-item Mental Health Knowledge Questionnaire (16 knowledge items scored against a key and 4 awareness items on international mental health awareness days; total score 0 to 20). Help-seeking intentions toward ten sources (1 to 7, General Help-Seeking Questionnaire format) and student and family characteristics were recorded at baseline only. All measures were collected through online forms.
Sample size and analysis. The study plan targeted at least 40 students per group plus 10% for attrition. The primary analysis was ANCOVA of the posttest total score with group as the factor and the pretest total score as the covariate. Sensitivity analyses comprised ANCOVA restricted to grade 10 students, ANCOVA adjusted for grade and family history of psychological disorder, Mann-Whitney U tests on change scores and normalized gain, and ANCOVA on all valid pairs, and item-level change was explored with exact McNemar tests.
Ethics. The school granted permission for the study, and the ethics committee approved a procedure in which students gave assent through a statement at the start of the online form.
Registration timing and changes from the funding proposal. This trial was registered retrospectively, after data collection on 26 August 2026 had been completed. The original funding proposal planned four 90-minute sessions integrating West Kalimantan local wisdom, a control group at a second school, a modified Mental Health Literacy Scale, and stigma as an additional outcome. The study as conducted used a single session of core mental health literacy content, intervention and control classes within one school, and the Mental Health Knowledge Questionnaire, and stigma was not measured.
481 studies on the registry are indexed under Health Education; 110 are open to participants now.
This study's enrollment of 82 is below the median of 132 across 450 interventional studies indexed under Health Education.
Browse Health Education studies →Tanjungpura University is the lead sponsor of 2 studies on the registry; 1 is open to participants now.
Compared within Health Education, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Psychological Well-Being. The counts are of registry records indexed under each term, refreshed daily. How we classify →
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Exclusion Criteria:
Intact classes that attended one face-to-face interactive mental health education session of about 60 minutes.
Behavioral: Mental Health Education Session
Intact classes that received a printed mental health leaflet during the same period and were offered the session after data collection ended.
Behavioral: Printed Mental Health Leaflet
One face-to-face session of about 60 minutes delivered by nurse researchers with the school's guidance and counselling teacher, using a 19-slide presentation in Indonesian. Four parts covered understanding mental health, correcting common misconceptions, risk and protective factors, and seeking and giving help, using questions to the class, agreed ground rules, a neutral statement and explanation of each misconception, and a one-week protective habit challenge.
Also known as: Kenali Jiwamu, Jaga Dirimu, Bantu Temanmu
A printed leaflet with general information on mental health, given to students in the control classes during the same period as the session, without facilitated discussion.
Mental Health Literacy Total Score
Total score of the Indonesian version of the Mental Health Knowledge Questionnaire (20 items; 16 knowledge items scored 1 when the response matches the key and 4 awareness items scored 1 for yes; other responses, including don't know, scored 0). Range 0 to 20; higher scores indicate better mental health literacy. Posttest scores were compared between groups adjusting for pretest scores.
Time frame: Baseline (Day 1, pre-intervention) and Day 1, within 30 minutes post-intervention
Mental Health Knowledge Subscale Score
Sum of knowledge items 1 to 16 of the Mental Health Knowledge Questionnaire. Range 0 to 16; higher scores indicate better knowledge.
Time frame: Baseline (Day 1, pre-intervention) and Day 1, within 30 minutes post-intervention
Mental Health Promotion Awareness Subscale Score
Sum of awareness items 17 to 20 of the Mental Health Knowledge Questionnaire, asking whether the student has heard of World Mental Health Day, the International Day Against Drug Abuse and Illicit Trafficking, World Suicide Prevention Day and World Sleep Day. Range 0 to 4; higher scores indicate greater awareness.
Time frame: Baseline (Day 1, pre-intervention) and Day 1, within 30 minutes post-intervention
Plan to share: Yes — De-identified individual participant data underlying the published results, together with the analysis syntax, will be available from the principal investigator on reasonable request.
Supporting information: Analytic code
Time frame: From publication of the primary results
Access criteria: Researchers who submit a reasonable request to the principal investigator. Because participants were minors, data will be shared only in de-identified form.
No publications or documents are linked to this record.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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Tanjungpura University