2026-04-14T04:12:25Zhttps://recercat.cat/oai/request

oai:recercat.cat:10256/265442025-12-05T12:50:26Zcom_2072_452955com_2072_2054col_2072_453068

Impact of Mental Health Literacy on Improving Quality of Life Among Adolescents in Barcelona Amado Rodríguez, Isaac Daniel Casañas Sánchez, Rocío Juan-Parra, Jaume Roldán Merino, Juan-Francisco Lalucat-Jo, Lluís Fernández San Martin, Maria Isabel Adolescents -- Salut mental Teenagers -- Mental health Qualitat de vida Quality of life Alfabetització per a la salut Health literacy Background/Objectives: We aim to assess the effect of the Espaijove.net mental health literacy program on adolescents' quality of life (QOL). Additionally, we aim to describe their QOL and mental well-being. Methods: A multicenter, randomized, controlled trial was conducted, with pre- and post-intervention assessments and 6- and 12-month follow-ups. A total of 1032 students aged 13-14 from 18 schools in Barcelona participated in one of the three following mental health literacy (MHL) programs or were placed in a control group (CG): (1) a 1 h awareness session (G1h); (2) a 6 h MHL program (G6h); (3) a 7 h MHL program with stigma reduction (G7h). Measures: (1) Mental well-being: Strengths and Difficulties Questionnaire (SDQ); (2) QOL: EuroQol 5D-5L with its two parts: the EuroQol 5D-5L Index (0-1) and EuroQol 5D-5L visual analog scale (EQ-VAS) (0-100). Analyses were conducted on an intention-to-treat basis, using data imputation methods for missing data. Intervention effects were assessed using multilevel models. Results: Baseline EQ-VAS and EQ-5D-5L index scores were 77.84 (CI = 76.77-78.91) and 0.91 (CI = 0.90-0.92), respectively. Boys reported higher QOL and SDQ scores (p < 0.001), whereas participants of foreign nationality showed lower scores in QOL (EQ-VAS; p = 0.039) and mental well-being (p < 0.001). Post-intervention, all groups (intervention and control), except G6h, showed QOL improvements. However, in the 6-month follow-up, the CG outperformed the other groups. At 12 months, G7h achieved the highest EQ-VAS scores compared to the other groups. Conclusions: MHL-based interventions improved short-term QOL but failed to sustain these improvements over time. Groups with lower QOL and SDQ scores included girls and adolescents of foreign nationality 2025-02-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion peer-reviewed http://hdl.handle.net/10256/26544 40003337 PMC11854190 eng info:eu-repo/semantics/altIdentifier/doi/10.3390/children12020235 info:eu-repo/semantics/altIdentifier/issn/2227-9067 info:eu-repo/semantics/altIdentifier/eissn/2227-9067 Reconeixement-NoComercial-SenseObraDerivada 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess application/pdf Children-Basel, 2025, vol. 12, núm. 2, p. 235 Articles publicats (D-I) Amado Rodríguez, Isaac Daniel Casañas, Rocio Juan-Parra, Jaume Roldán Merino, Juan-Francisco Lalucat-Jo, Lluís Fernández San Martin, Maria Isabel 2025 Impact of Mental Health Literacy on Improving Quality of Life Among Adolescents in Barcelona Children-Basel 12 2 235