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The Impact of Mental Health Literacy Training Programs on the Mental Health Literacy of University Students: a Systematic Review

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Abstract

Student mental health is of growing concern for the university education sector. Supporting opportunities to increase mental health literacy of students is one strategy in which universities and colleges are actively investing to support students build their capacity to be well. This study is a systematic review of mental health literacy training (MHLT) programs, other than Mental Health First Aid training, to examine their impact on the mental health literacy of university students. The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) (Online Resource 1) and A Measurement Tool to Assess Systematic Reviews (AMSTAR2) guidelines. Search terms related to mental health literacy concepts, mental health literacy training and university students were used in four major databases (i.e. EBSCOhost, Ovid, ProQuest and Web of Science), retrieving a total of 1219 articles, with 44 studies selected for full-text review, and a final number of 24 studies included for review based on pre-determined eligibility criteria. Results were reported against three main themes: types of MHLT offered; common practices, processes and implementation elements; and effectiveness of intervention. Results indicate a high level of variability in approaches to mental health literacy interventions and measures of assessment and reporting. Additionally, reported benefits to mental health literacy failed to report on comparable units of improvement or the sustainability of benefits. Although it is in the best interest of universities to prioritise early intervention programs to address mental health and improve wellbeing, more robust data is required to establish the effectiveness of MHLT programs in achieving this aim.

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References

  • Akhtar, P., Ma, L., Waqas, A., Naveed, S., Li, Y., Rahman, A., & Wang, Y. (2020). Prevalence of depression among university students in low and middle income countries (LMICs): A systematic review and meta-analysis. Journal of Affective Disorders, 274, 911–919.

    Article  Google Scholar 

  • American College Health Association. (2019). American College Health Association National College Health Assessment II: Reference Group Executive Summary Spring 2019. American College Health Association.

  • Anderson, R. J., & Pierce, D. (2012). Assumptions associated with mental health literacy training – Insights from initiatives in rural Australia. Advances in Mental Health, 10, 258–267.

    Article  Google Scholar 

  • Ashoorian, D., Albrecht, K. L., Baxter, C., Giftakis, E., Clifford, R., Greenwell-Barnden, J., & Wylde, T. (2019). Evaluation of mental health first aid skills in an Australian university population. Early Intervention in Psychiatry, 13, 1121–1128.

    Article  Google Scholar 

  • Beks, T. A., Cairns, S. L., Smygwaty, S., Miranda Osorio, O. A., & Hill, S. J. (2018). Counsellor-in-residence: Evaluation of a residence-based initiative to promote student mental health. Canadian Journal of Higher Education/revue Canadienne D’enseignement Supérieur, 48, 55–73.

    Google Scholar 

  • Bentley, C., Gratwick-Sarll, K., & Mond, J. (2015). Perceived psychosocial impairment associated with eating disorder features: Responses to a mental health literacy intervention. Journal of Eating Disorders, 3, 1-7. https://doi.org/10.1186/s40337-015-0084-9

  • Burns, S., Crawford, G., Hallett, J., Hunt, K., Chih, H. J., & Tilley, P. J. M. (2017). What’s wrong with John? a randomised controlled trial of Mental Health First Aid (MHFA) training with nursing students. BMC Psychiatry, 17, 111.

    Article  Google Scholar 

  • Casas, R. N., Gonzales, E., Aldana-Aragon, E., del Carmen Lara-Munoz, M., Kopelowicz, A., Andrews, L., & Lopez, S. R. (2014). Toward the early recognition of psychosis among Spanish-speaking adults on both sides of the U.S.-Mexico border. Psychological Services, 11, 460–469.

    Article  Google Scholar 

  • Clough, B. A., Nazareth, S. M., & Casey, L. M. (2020). Making the grade: A pilot investigation of an e-intervention to increase mental health literacy and help-Seeking intentions among international university students. British Journal of Guidance & Counselling, 48, 347–359.

    Article  Google Scholar 

  • Clough, B. A., Nazareth, S. M., & Casey, L. M. (2019). Making the grade: A pilot investigation of an e-intervention to increase mental health literacy and help-Seeking intentions among international university students. British Journal of Guidance & Counselling, 48(3), 347-359. https://doi.org/10.1080/03069885.2019.1673312

  • Cvetkovski, S., Jorm, A. F., & Mackinnon, A. J. (2019). An analysis of the mental health trajectories of university students compared to their community peers using a national longitudinal survey. Studies in Higher Education, 44, 185–200.

    Article  Google Scholar 

  • Davies, E. B., Wardlaw, J., Morriss, R., & Glazebrook, C. (2016). An experimental study exploring the impact of vignette gender on the quality of university students’ mental health first aid for peers with symptoms of depression. BMC Public Health, 16, 187.

    Article  Google Scholar 

  • De Silva, E., Bowerman, L., & Zimitat, C. (2015). A suicide awareness and intervention program for health professional students. Education for Health, 28(3), 201-204. https://doi.org/10.4103/1357-6283.178597

  • Ebert, D. D., Franke, M., Kahlke, F., Kuchler, A. M., Bruffaerts, R., Mortier, P., Karyotaki, E., Alonso, J., Cuijpers, P., Berking, M., Auerbach, R. P., Kessler, R. C., Baumeister, H., & On behalf of the, W. H. O. W. M. H. I. C. S. C. (2019). Increasing intentions to use mental health services among university students. Results of a pilot randomized controlled trial within the World Health Organization's World Mental Health International College Student Initiative. International Journal of Methods in Psychiatric Research June, 28, 2.

  • Ekore, R. I., Ajuwon, A. J., Abdulmalik, J. O., Omigbodun, O. O., & Bella-Awusah, T. T. (2016). Developing mental health peer counselling services for undergraduate students of a nigerian university: A pilot study. IFE PsychologIA, 24(2), 246-258.

  • El-Den, S., Moles, R., Choong, H. J., & O’Reilly, C. (2020). Mental Health First Aid training and assessment among university students: A systematic review. Journal of the American Pharmacists Association: Japha, 01, 01.

    Google Scholar 

  • Evans, T. M., Bira, L., Gastelum, J. B., Weiss, L. T., & Vanderford, N. L. (2018). Evidence for a mental health crisis in graduate education. Nature Biotechnology, 36, 282.

    Article  CAS  Google Scholar 

  • Friedrich, B., Evans-Lacko, S., London, J., Rhydderch, D., Henderson, C., & Thornicroft, G. (2013). Anti-stigma training for medical students: The Education Not Discrimination project. British Journal of Psychiatry, 202(Suppl 55), s89-s94.

  • Funkhouser, C. J., Zakriski, A. L., & Spoltore, J. D. (2017). Evaluating peer-peer depression outreach: College students helping peers approach and respond to students in crisis. Psi Chi Journal of Psychological Research, 22, 19–28.

    Article  Google Scholar 

  • Gilham, C., Austen, E. L., Wei, Y., & Kutcherb, S. (2018). Improving mental health literacy in post-secondary students: Field testing the feasibility and potential outcomes of a peer-led approach. Canadian Journal of Community Mental Health, 37, 1.

    Article  Google Scholar 

  • Gratwick-Sarll, K., & Bentley, C. (2014). Improving eating disorders mental health literacy: A preliminary evaluation of the "Should I Say Something?" workshop. Eating Disorders, 22(5), 405-419. https://doi.org/10.1080/10640266.2014.925764

  • Hadlaczky, G., Hökby, S., Mkrtchian, A., Carli, V., & Wasserman, D. (2014). Mental Health First Aid is an effective public health intervention for improving knowledge, attitudes, and behaviour: A meta-analysis. International Review of Psychiatry, 26(4), 467–475.

    Article  Google Scholar 

  • Han, J., Batterham, P. J., Calear, A. L., Wu, Y., Xue, J., & van Spijker, B. A. J. (2018). Development and pilot evaluation of an online psychoeducational program for suicide prevention among university students: A randomised controlled trial. Internet Interventions-the Application of Information Technology in Mental and Behavioural Health, 12, 111–120.

    Google Scholar 

  • Hankir, A., Zaman, R., Geers, B., Rosie, G., Breslin, G., Barr, L., et al. (2017). The Wounded Healer film: A London college of Communication event to challenge mental health stigma through the power of motion picture. Psychiatria Danubina, 29(Suppl 3), 307-312.

  • Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46, 3–10.

    Article  Google Scholar 

  • Hunt, S., Wei, Y., & Kutcher, S. (2019). Addressing Mental Health Literacy in a UK university campus population: Positive replication of a Canadian intervention. Health Education Journal, 78(5), 537-544.

  • Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400.

    Article  Google Scholar 

  • Joanne Briggs Institute. (2017). Critical appraisal tools. Retrieved July 2020 from https://joannabriggs.org/critical-appraisal-tools

  • Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). “Mental health literacy”: A survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166, 182–186.

    Article  CAS  Google Scholar 

  • Kelly, J., & Birks, M. (2017). ‘It’s the simple things you do first that start the process of help’: Undergraduate nursing and midwifery students’ experiences of the Mental Health First Aid course. Collegian, 24, 275–280.

    Article  Google Scholar 

  • Khawaja, N. G., & Stallman, H. M. (2011). Understanding the coping strategies of international students: A qualitative approach. Australian Journal of Guidance and Counselling, 21, 203–224.

    Article  Google Scholar 

  • Kitchener, B. A., & Jorm, A. F. (2017). The role of Mental Health First Aid training in nursing education: A response to Happell, Wilson & McNamara (2015). Collegian, 24, 313–315.

    Article  Google Scholar 

  • Kutcher, S., Wei, Y., & Coniglio, C. (2016). Mental health literacy: Past, present, and future. The Canadian Journal of Psychiatry, 61, 154–158.

    Article  Google Scholar 

  • Leahy, C. M., Peterson, R. F., Wilson, I. G., Newbury, J. W., Tonkin, A. L., & Turnbull, D. (2010). Distress levels and self-reported treatment rates for medicine, law, psychology and mechanical engineering tertiary students: Cross-sectional study. Australian & New Zealand Journal of Psychiatry, 44, 608–615.

    Article  Google Scholar 

  • Lintvedt, O. K., Griffiths, K. M., Sorensen, K., Ostvik, A. R., Wang, C. E. A., Eisemann, M., et al. (2013). Evaluating the effectiveness and efficacy of unguided internet-based self-help intervention for the prevention of depression: A randomized controlled trial. Clinical Psychology & Psychotherapy, 20(1), 10-27. https://doi.org/10.1002/cpp.770

  • Lo, K., Gupta, T., & Keating, J. L. (2018). Interventions to promote mental health literacy in university students and their clinical educators. A systematic review of randomised control trials. Health Professions Education, 4, 161–175.

    Article  Google Scholar 

  • McLean, K. B. A., & Swanbrow Becker, M. A. P. (2018). Bridging the Gap: Connecting Resident Assistants and Suicidal Residents Through Gatekeeper Training. Suicide and Life-Threatening Behavior, 48(2), 218-229.

  • Mental Health First Aid Australia. (2020). Our impact. Retrieved 8 March from https://mhfa.com.au/our-impact/our-global-impact

  • Mesidor, J. K., & Sly, K. F. (2016). Factors that contribute to the adjustment of international students. Journal of International Students, 6, 262–282.

    Article  Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Prisma Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med, 6, e1000097.

  • Moll, S. E., Patten, S., Stuart, H., MacDermid, J. C., & Kirsh, B. (2018). Beyond silence: A randomized, parallel-group trial exploring the impact of workplace mental health literacy training with healthcare employees. The Canadian Journal of Psychiatry, 63, 826–833.

    Article  Google Scholar 

  • Morgan, A. J., Ross, A., & Reavley, N. J. (2018). Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour. PLoS One, 13, e0197102.

  • Nozawa, H., Ikegami, K., Michii, S., Sugano, R., Ando, H., Kitamura, H., & Ogami, A. (2019). Peer counseling for mental health in young people—Randomized clinical trial –. Mental Health and Prevention, 14.

  • O’Connell, J., Pote, H., & Shafran, R. (2021). Child mental health literacy training programmes for professionals in contact with children: A systematic review. Early Intervention in Psychiatry, 15, 234–247.

    Article  Google Scholar 

  • O’Reilly, C. L., Bell, J. S., & Chen, T. F. (2012). Mental health consumers and caregivers as instructors for health professional students: A qualitative study. Social Psychiatry and Psychiatric Epidemiology, 47(4), 607-613. https://doi.org/10.1007/s00127-011-0364-x

  • Orygen. (2017). Under the radar. The mental health of Australian university students. T. N. C. o. E. i. Y. M. H. Orygen.

  • Patalay, P., Annis, J., Sharpe, H., Newman, R., Main, D., Ragunathan, T., Parkes, M., & Clarke, K. (2017). A pre-post evaluation of OpenMinds: A sustainable, peer-led mental health literacy programme in universities and secondary schools. Prevention Science, 18, 995–1005.

    Article  Google Scholar 

  • Pearce, K., Rickwood, D., & Beaton, S. (2003). Preliminary evaluation of a university-based suicide intervention project: Impact on participants. Australian E-Journal for the Advancement of Mental Health, 2(1), 25-35.

  • Reavley, N. J., McCann, T. V., & Jorm, A. F. (2012). Mental health literacy in higher education students. Early Intervention in Psychiatry, 6, 45–52.

    Article  Google Scholar 

  • Reavley, N. J., McCann, T. V., Cvetkovski, S., & Jorm, A. F. (2014). A multifaceted intervention to improve mental health literacy in students of a multicampus university: A cluster randomised trial. Social Psychiatry and Psychiatric Epidemiology, 49(10), 1655-1666. https://doi.org/10.1007/s00127-014-0880-6

  • Saleh, D., Camart, N., Sbeira, F., & Romo, L. (2018). Can we learn to manage stress? A randomized controlled trial carried out on university students. PLoS One, 13, 1–20.

    CAS  Google Scholar 

  • Sawir, E., Marginson, S., Deumert, A., Nyland, C., & Ramia, G. (2008). Loneliness and international students: An Australian study. Journal of Studies in International Education, 12, 148–180.

    Article  Google Scholar 

  • Sharp, W., Hargrove, D. S., Johnson, L., & Deal, W. P. (2006). Mental health education: An evaluation of a classroom based strategy to modify help seeking for mental health problems. Journal of College Student Development, 47(4), 419-438.

  • Shea, B. J., Reeves, B. C., Wells, G., Thuku, M., Hamel, C., Moran, J., Moher, D., Tugwell, P., Welch, V., & Kristjansson, E. (2017). AMSTAR 2: A critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 358, j4008.

  • Skopec, M., Issa, H., Reed, J., & Harris, M. (2020). The role of geographic bias in knowledge diffusion: A systematic review and narrative synthesis. Research Integrity and Peer Review, 5, 2.

    Article  Google Scholar 

  • Storrie, K., Ahern, K., & Tuckett, A. (2010). A systematic review: Students with mental health problems—A growing problem. International Journal of Nursing Practice, 16, 1–6.

    Article  Google Scholar 

  • Sullivan, C., & Kashubeck-West, S. (2015). The interplay of international students’ acculturative stress, social support, and acculturation modes. Journal of International Students, 5, 1–11.

    Article  Google Scholar 

  • Tabor, E., Patalay, P., & Bann, D. (2021). Mental health in higher education students and non-students: Evidence from a nationally representative panel study. Social Psychiatry and Psychiatric Epidemiology, 1–4.

  • Thombs, D. L., Gonzalez, J. M. R., Osborn, C. J., Rossheim, M. E., & Suzuki, S. (2015). Resident assistant training program for increasing alcohol, other drug, and mental health first-aid efforts. Prevention Science, 16, 508–517.

    Article  Google Scholar 

  • Thorley, C. (2017). Not By Degrees: Improving student mental health in the UK's Universities. IPPR. http://www.ippr.org/research/publications/not-by-degrees

  • Wei, Y., Carr, W., Alaffe, R., & Kutcher, S. (2020). Mental Health Literacy Development: Application of Online and In-Person Professional Development for Preservice Teachers to Address Knowledge, Stigma, and Help-Seeking Intentions. [Article]. Canadian Journal of Behavioural Science, 52(2), 107-114. https://doi.org/10.1037/cbs0000164

  • Wyatt, T., & Oswalt, S. B. (2013). Comparing mental health issues among undergraduate and graduate students. American Journal of Health Education, 44, 96–107.

    Article  Google Scholar 

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Correspondence to Arianne C. Reis.

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Reis, A.C., Saheb, R., Moyo, T. et al. The Impact of Mental Health Literacy Training Programs on the Mental Health Literacy of University Students: a Systematic Review. Prev Sci 23, 648–662 (2022). https://doi.org/10.1007/s11121-021-01283-y

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