QUEST - improving the quality of school mental health

ISRCTN	ISRCTN62227499
DOI	https://doi.org/10.1186/ISRCTN62227499
Protocol serial number	1206/4636
Sponsor	Institute of Psychiatry, King's College London (UK)
Funder	The Health Foundation (UK) - Engaging with Quality in Primary Care (award ref.: 1206/4636)

Submission date: 24/07/2008
Registration date: 09/10/2008
Last edited: 13/09/2018

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Mental and Behavioural Disorders

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mark Haddad
Scientific

City University London
Northampton Square
London
EC1V 0HB
United Kingdom

Email	Mark.Haddad.1@city.ac.uk

Study information

Primary study design	Interventional
Study design	Cluster randomised controlled trial
Secondary study design	Cluster randomised trial
Study type	Participant information sheet
Scientific title	QUEST - improving the quality of school mental health: a quality improvement evaluation for school nurses and teachers. Phase II - cluster randomised trial
Study acronym	QUEST
Study objectives	Primary hypothesis: A specifically designed professional development training and support programme for school nurses will result in significant changes in the sensitivity of their detection of depression. Secondary hypothesis: The training will result in significant improvements in school nurse's knowledge and attitudes concerning depression.
Ethics approval(s)	The Royal Free Hospital and Medical School Research Ethics Committee, 23/04/2008, ref: 08/H0720/42
Health condition(s) or problem(s) studied	Depression
Intervention	The intervention is a training and support package for school nurses, involving two educational meetings delivered to all consenting nurses (in groups of 12 - 16) within randomly allocated PCTs. Printed educational materials, clinical guidelines, information resources, and rating scales will accompany the sessions to enable ongoing learning and skill development. The training sessions will be standardised in relation to topics and skills addressed, but will be designed to enable interactive discussion and consideration of cases presented by participants. Sessions will be delivered by a trainer working on the project team with assistance from local Child and Adolescent Mental Health Services (CAMHS). The comparator group is standard practice, and the total duration of follow-up will be 12-months.
Intervention type	Other
Primary outcome measure(s)	Vignette measures for depression recognition have been specifically developed and piloted for this study. Participant's case recognition prior to training, post-training, and at 12-months will be examined for changes in sensitivity.
Key secondary outcome measure(s)	1. School nurse's attitudes will be measured using an adapted version of a validated attitude measure - the Depression Attitude Questionnaire 2. Measures of knowledge will be conducted using a knowledge measure based on relevant items from current evidence based guidelines These measures will be conducted pre- and post-training and 12-months later.
Completion date	01/04/2010

Eligibility

Participant type(s)	Patient
Age group	Adult
Sex	All
Target sample size at registration	94
Key inclusion criteria	All school nurses employed by the recruited Primary Care Trusts (PCTs) will be eligible for the training intervention and evaluation. This includes registered school nurses, school nurse specialist practitioners (who are on part 3 of the NMC register), school nurse team leaders and special needs school nurses.
Key exclusion criteria	Does not comply with the above inclusion criteria
Date of first enrolment	01/04/2008
Date of final enrolment	01/04/2010

Locations

Countries of recruitment

United Kingdom
England

Study participating centre

Institute of Psychiatry

London
SE5 8AF
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results of pilot study of QUEST training materials	01/01/2013		Yes	No
Results article	results	01/07/2018		Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes

Editorial Notes

13/09/2018: Publication reference added.
13/06/2016: No publications found, verifying study status with principal investigator.