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A Game-Based School Program for Mental Health Literacy and Stigma on Depression (Moving Stories): Cluster Randomized
Anouk Tuijnman1,2, Marloes Kleinjan2,3, Merlijn Olthof1
1Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.
JMIR Mental Health
|August 17, 2022
Summary
The Moving Stories game program reduced personal stigma in adolescents with depressive symptoms. This game-based intervention shows potential for improving mental health literacy and help-seeking behaviors in schools.
Area of Science:
- Adolescent mental health research
- Digital health interventions
- School-based mental health programs
Background:
- Depressive symptoms are common in adolescents, yet many do not seek help due to low mental health literacy and high stigma.
- The Moving Stories program was developed to address these barriers by combining mental health literacy training with lived experience contact.
- This intervention aims to improve help-seeking behaviors among adolescents experiencing depressive symptoms.
Purpose of the Study:
- To evaluate the effectiveness of the novel game-based program, Moving Stories.
- To conduct a cluster randomized controlled trial to test the program's impact on adolescent mental health.
- To assess changes in mental health literacy, stigma, and depressive symptoms.
Main Methods:
- A cluster randomized controlled trial involving 185 adolescents across 10 classes in 4 schools.
- Intervention group received the Moving Stories program; control group received no intervention.
- Digital questionnaires collected data at baseline, post-intervention, and at 3- and 6-month follow-ups.
Main Results:
- Participants in the Moving Stories group showed a significant reduction in personal stigma compared to the control group (P=.04).
- These positive effects on personal stigma were sustained at the 3-month follow-up (P=.04).
- High program engagement was observed, with 98% participating in the introduction and 92% recommending the game.
Conclusions:
- The Moving Stories program demonstrates potential as an effective strategy for stigma reduction among adolescents.
- Further program enhancements could improve mental health literacy, supporting its implementation in schools.
- The intervention may help improve adolescent help-seeking and mitigate the burden of depressive symptoms.
Keywords:
adolescencedepressiondigital healthhealth literacyhelp-seeking behaviorhelping behaviormental healthsecondary schoolsstigmavideo gamesMore Related Videos
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