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IRCT20260610069742N1 IRCT 2026-06-29 Bandare-abbas University of Medical Sciences Design, Implementation, and Evaluation of a Social Cognitive Theory–Based Mental Health Literacy Promotion Program with a Critical Thinking Approach to Enhance Resilience and Help-Seeking Behaviors among Adolescent Girls Design, Implementation, and Evaluation of a Social Cognitive Theory–Based Mental Health Literacy Promotion Program with a Critical Thinking Approach to Enhance Resilience and Help-Seeking Behaviors among Adolescent Girls 2026-09-23 anticipated 170 Complete https://irct.ir/trial/90825 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Other, Randomization description: In this stage, first, the government secondary schools for girls in Bandar Abbas city are identified. Then, two schools are randomly selected as the intervention group and two schools as the control group. Among the eligible students in each school, the samples are voluntarily and conveniently included in the study. N/A Mental health literacy, resilience, and help-seeking behaviors. Intervention group: The intervention consists of a structured educational program based on Social Cognitive Theory (SCT) and a critical thinking approach, delivered within the school setting. The intervention content will be developed using findings from the qualitative phase and baseline assessment results.Eligible participants assigned to the intervention group will be invited by the principal investigator, who will explain the study objectives, intervention procedures, and ethical considerations before obtaining informed consent. The intervention will then be implemented according to a predefined protocol developed by a health education and health promotion specialist in collaboration with a psychologist.The program will include eight educational sessions delivered through a combination of face-to-face and virtual formats (social media platforms). Face-to-face sessions will be conducted approximately once per week, with each session lasting about 45 minutes. Educational strategies will emphasize active learning methods, including group discussions, problem-solving activities, role-playing, and scenario-based learning. Educational posters and pamphlets will also be used to reinforce key messages.The intervention is designed to improve mental health literacy, strengthen resilience, and promote appropriate help-seeking behaviors among adolescent girls. Participants in the control group will receive the educational materials after completion of the study.. Yes - There is a plan to make this available What will be shared: All study data may be shared after de-identification and anonymization of participant information. When: Access to the de-identified dataset will be available beginning 6 months after publication of the primary study results. To whom: Access requests should be submitted via email. De-identified data will be shared with qualified researchers following approval by the principal investigator and supervising faculty members. Conditions: Access to the data will be granted subject to the protection of participant confidentiality and the reasonableness of the request. Where to obtain: Elham Ahmadizadeh PhD Candidate, Department of Health Education and Health Promotion Email: elham.ahmadizade@gmail.com Supervising Investigator Dr. Zahra Hosseini Email: hosseinishirin@ymail.com How to obtain: After submission of a request via email and obtaining permission from the study supervisors, the requested information will be provided to the applicant. Comments:
public Elham Ahmadizadefini
Three-way street
Bandarabbas Iran (Islamic Republic of) 7913873419 +98 76 3222 8134 elham.ahmadizade@gmail.com Bandare-abbas University of Medical Sciences scientific Elham Ahmadizadefini
سه راه برق
Bandarabbas Iran (Islamic Republic of) 7913873419 +98 76 3222 8134 elham.ahmadizade@gmail.com Bandare-abbas University of Medical Sciences Iran (Islamic Republic of) 1. Studying in girls' secondary schools in Bandar Abbas2. Being selected in the cross-sectional stage and eligible to enter the intervention phase3. Willingness to participate in the educational program and signing an informed consent form4. Obtaining consent from parents/legal guardians 13 years 18 years Female 1. Diagnosed psychiatric disorders or receiving concurrent psychiatric treatment (based on self-report or school records)2. Failure to complete pre-test or post-test questionnaires3. Failure to attend more than one intervention session4. Dropping out of school, transferring from school, or changing school location during the intervention5. Voluntary withdrawal from participation at any stage of the intervention phase Behavior Intervention group: The intervention consists of a structured educational program based on Social Cognitive Theory (SCT) and a critical thinking approach, delivered within the school setting. The intervention content will be developed using findings from the qualitative phase and baseline assessment results.Eligible participants assigned to the intervention group will be invited by the principal investigator, who will explain the study objectives, intervention procedures, and ethical considerations before obtaining informed consent. The intervention will then be implemented according to a predefined protocol developed by a health education and health promotion specialist in collaboration with a psychologist.The program will include eight educational sessions delivered through a combination of face-to-face and virtual formats (social media platforms). Face-to-face sessions will be conducted approximately once per week, with each session lasting about 45 minutes. Educational strategies will emphasize active learning methods, including group discussions, problem-solving activities, role-playing, and scenario-based learning. Educational posters and pamphlets will also be used to reinforce key messages.The intervention is designed to improve mental health literacy, strengthen resilience, and promote appropriate help-seeking behaviors among adolescent girls. Participants in the control group will receive the educational materials after completion of the study. The primary outcomes are mental health literacy, resilience, and help-seeking behaviors among adolescent girls. Social Cognitive Theory constructs related to these outcomes, including knowledge, self-efficacy, collective efficacy, outcome expectations, observational learning, normative beliefs, social support, barriers and opportunities, behavioral skills, behavioral intentions, and reinforcements, will also be assessed. Timepoint: Outcome measures will be assessed at three time points: baseline (pre-intervention), immediately after the intervention, and three months after completion of the intervention. Method of measurement: Mental health literacy will be measured using the Mental Health Literacy Scale (MHLS), resilience will be assessed using the Connor–Davidson Resilience Scale (CD-RISC), and help-seeking behaviors will be evaluated using the Actual Help-Seeking Questionnaire (AHSQ). In addition, SCT constructs will be measured using a researcher-developed questionnaire designed and psychometrically evaluated based on qualitative findings and the Social Cognitive Theory framework. Secondary outcomes include increased student participation in supportive and mental health–related activities, enhanced involvement and support of school staff in mental health literacy promotion programs, and improved peer support for mental health and help-seeking behaviors. Timepoint: Secondary outcomes will be assessed at three time points: baseline (pre-intervention), immediately after the intervention, and three months after the intervention. Method of measurement: Student participation in supportive activities, peer support, and school staff involvement will be assessed using relevant sections of a researcher-developed questionnaire based on Social Cognitive Theory. The instrument will be developed from qualitative findings and its validity and reliability will be established before implementation. In addition, participation in educational sessions and supportive activities will be monitored using attendance and participation records. Bandare-abbas University of Medical Sciences Approved 2026-05-23 Ethics committee of Hormozgan University of Medical Sciences Bandar Abbas, the beginning of Imam Hossein Boulevard, Hormozgan University of Medical Sciences Campus, Research and Technology Office, Building No. 2, 3rd Floor Bandarabbas Hormozgan Iran (Islamic Republic of)