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

NCT06942637 | Active Not Recruiting

• 1 other identifier: 241/UN6.KEP/EC/2025
• Study Type: interventional
• Target: 680
• Locations: 1 country
• Sites: 1

Brief Summary

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:

• 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
• Explore the experiences of intervention participants (both adolescents and parents) against the control group to develop comprehensive insights into the psychosocial intervention's impact.

Conditions

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

Outcome Measures

Primary Outcomes (2)

• Adolescents' mental health knowledge

  13-item mental health knowledge scale. Total scores range from 0 to 13, with higher scores indicating better mental health knowledge.

  Immediately following the intervention (post-test 1)

• Adolescents' mental health knowledge

  13-item mental health knowledge scale. Total scores range from 0 to 13, with higher scores indicating better mental health knowledge.

  At one-month follow-up (post-test 2).

Secondary Outcomes (20)

• Adolescents' attitudes towards mental health

  immediately following the intervention (post-test 1)

• Adolescents' attitudes towards mental health

  At one-month follow-up (post-test 2).

• Adolescents' attitudes toward help-seeking behaviors

  Immediately following the intervention (post-test 1)

• Adolescents' attitudes toward help-seeking behaviors

  At one-month follow-up (post-test 2).

• Adolescents' mental health literacy

  Immediately following the intervention (post-test 1)

Study Arms (2)

Standard school health routine care

NO INTERVENTION

INSPIRE Intervention

EXPERIMENTAL

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.

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

Interventions

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

INSPIRE Intervention

Eligibility Criteria

• Age: 13 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• 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.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Indonesia Endowment Fund for Education (LPDP), Republic of Indonesia: collaborator
• National University of Singapore: lead

Study Sites (1)

Bandung City Education Office and Junior high schools (Sekolah Menengah Pertama)

Bandung, West Java, Indonesia

Location

MeSH Terms

Conditions

Psychological Well-Being; Depression; Anxiety Disorders

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Behavioral Symptoms; Mental Disorders

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: 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).

Study Record Dates

• First Submitted: April 17, 2025
• First Posted: April 24, 2025
• Study Start: April 28, 2025
• Primary Completion: February 16, 2026
• Study Completion: March 31, 2026
• Last Updated: February 2, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

ID (1)