Cluster randomised controlled trial of a problem-solving, Story-bridge mental health literacy programme for improving Ghanaian community leaders’ knowledge of depression

Abstract

Background Low levels of mental health literacy about depression in the community impact negatively on attitudes towards people with the disorder and their help-seeking. Aims The aim of this study was to assess the effectiveness of a problem-solving, Story-bridge mental health literacy programme, in improving community leaders’ knowledge about helpful interventions for, and recognition of, depression. Methods A cluster randomised controlled trial involving 140 assembly members, intervention (n = 70) and control (n = 70) groups. The intervention group received a three-hour mental health literacy programme. The control group received a plain language basic brochure about mental health issues. Data were collected at baseline and 12-week follow-up. Results The intervention group demonstrated greater improvement in knowledge about helpful interventions for, and recognition of, depression compared to the control group at follow-up; however, the differences in both measures were small and not statistically significant. Conclusion The programme has the potential to improve participants’ knowledge about helpful interventions for, and recognition of, depression. Positive outcomes have public mental health implications as they might enhance early help-seeking and contribute to better outcomes for individuals with mental health problems. Trial registration ACTRN12617000033347. Date of registration – 9 January 2017.