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Effectiveness of Integrated Network for Student Psychosocial Intervention, Resilience, and Education (INSPIRE) on Mental Health Outcomes Among Indonesian Adolescents in Bandung

NCT ID: NCT06942637

Last Updated: 2025-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

680 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-28

Study Completion Date

2026-03-31

Brief Summary

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The INSPIRE (Integrated Network for Student Psychosocial Intervention, Resilience, and Education) intervention is an 8-week, school-based mental health program designed to enhance adolescents' mental health literacy and resilience while addressing symptoms of depression and anxiety. Implementation is conducted by school counselors who undergo an intensive two-day training program. The intervention is supported by comprehensive curriculum materials including detailed lesson plans, activities, discussion prompts, and instructional slides featuring key concepts, visuals, and explanatory content. Supplementary materials are developed for both participating adolescents and their parents.

The study aims to:

1. Evaluate the usability and feasibility of the INSPIRE intervention within the school environment.
2. Assess the intervention's effectiveness in improving:

* Primary outcome: Mental health knowledge among adolescents
* Secondary outcomes: Attitudes toward mental health, help-seeking behaviors, mental health literacy, resilience, and symptoms of depression and anxiety among adolescents
* Secondary outcomes: mental health knowledge, attitudes, help-seeking behaviors, and mental health literacy among parents
3. Explore the experiences of intervention participants (both adolescents and parents) against the control group to develop comprehensive insights into the psychosocial intervention's impact.

The research hypothesis proposes that the INSPIRE intervention group will demonstrate significantly higher scores in mental health knowledge, more positive attitudes toward mental health, increased help-seeking behaviors, enhanced mental health literacy, and greater resilience, while simultaneously showing reduced symptoms of depression and anxiety compared to the control group receiving standard care. These outcomes will be measured immediately following the intervention (post-test 1) and at one-month follow-up (post-test 2).

Detailed Description

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Pilot Study The pilot study was conducted as a two-centre, two-arm cluster randomised controlled trial with a pre-test-post-test design and a 1:1 allocation ratio. Randomisation was performed at the school (cluster) level to minimise contamination. The pilot phase was implemented from 28 April to July 2025.

Randomised Controlled Trial (RCT) The full-scale randomised controlled trial expanded to a multi-centre design involving five centres, maintaining a two-arm cluster randomised structure with school-level allocation. The RCT commenced in September 2025 and is currently ongoing.

Conditions

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Adolescents Health Knowledge Mental Health Health Literacy Resilience Depression Anxiety Parents School Intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two-group parallel-armed randomized controlled trial (RCT) with a pretest and repeated posttest experimental design. Sample size was determined via power analyses informed by three adolescent mental health intervention studies (Casañas et al., 2022; Kaligis et al., 2023; Liddle et al., 2021). Reported effects ranged from small-to-medium (d = 0.26; Liddle) to medium-to-large (d = 0.64; Kaligis), with Casañas reporting 0.382-0.705. To ensure conservative estimates, calculations used the smallest effect (d = 0.26). A two-tailed test (α = 0.05, power = 0.80) indicated 230 participants per arm. Adjusting for 32% attrition, the final target sample size was set at 340 per arm (N = 680).
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard school health routine care

Group Type NO_INTERVENTION

No interventions assigned to this group

INSPIRE Intervention

Receive an 8-week school-based program aimed at enhancing adolescent mental health, attitudes towards mental health and help-seeking behaviors, mental health literacy, resilience and addressing depression and anxiety.

Group Type EXPERIMENTAL

INSPIRE (Integrated Network for Student Psychosocial Intervention, Resilience, and Education)

Intervention Type BEHAVIORAL

The INSPIRE intervention is an 8-week school-based program aimed at enhancing adolescent mental health, attitudes towards mental health and help-seeking behaviors, mental health literacy, resilience and addressing depression and anxiety. Trained school counsellors deliver this structured curriculum using comprehensive materials including lesson plans, activities, and visual aids. the program provides supplementary resources for both participating students and their parents .

Interventions

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INSPIRE (Integrated Network for Student Psychosocial Intervention, Resilience, and Education)

The INSPIRE intervention is an 8-week school-based program aimed at enhancing adolescent mental health, attitudes towards mental health and help-seeking behaviors, mental health literacy, resilience and addressing depression and anxiety. Trained school counsellors deliver this structured curriculum using comprehensive materials including lesson plans, activities, and visual aids. the program provides supplementary resources for both participating students and their parents .

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Unmarried, 13-15 years old, school-going, healthy adolescents enrolled in an Indonesian public junior high school
* Able to read, understand, and converse in Bahasa Indonesia.


* The biological father, mother, or an adult who fulfils a parental or guardian role for the participating adolescent
* Able to understand and communicate in Bahasa Indonesia.

Exclusion Criteria

* Adolescents who are working, clinically diagnosed with severe mental disorders, such as schizophrenia or psychosis, at high risk for mental health disorders (e.g., teenage pregnancy), or are cognitively impaired will be excluded.
* Parents with severe mental disorders or cognitive impairment that may hinder participation will be excluded.
Minimum Eligible Age

13 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Indonesia Endowment Fund for Education (LPDP), Republic of Indonesia

UNKNOWN

Sponsor Role collaborator

National University of Singapore

OTHER

Sponsor Role lead

Responsible Party

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Shefaly Shorey

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Alice Lee Centre for Nursing Studies, National University of Singapore

Singapore, Singapore, Singapore

Site Status

Countries

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Singapore

Other Identifiers

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241/UN6.KEP/EC/2025

Identifier Type: -

Identifier Source: org_study_id