Feasibility and Acceptability of the Youth Aware of Mental Health (YAM) Intervention in US Adolescents

Lindow, Janet C.; Hughes, Jennifer L.; South, Charles; Gutiérrez, Luis Olmos; Bannister, Elizabeth; Trivedi, Madhukar H.; Byerly, Matthew J.

doi:10.1080/13811118.2019.1624667

Cited by 20 publications

(18 citation statements)

References 38 publications

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“…In the current study, consent/assent was 50.7%. This rate is higher than the pilot study of YAM in Montana (37%; Lindow et al, 2019) and similar to three other studies on school-based mental health promoting/suicide prevention requiring consent for youth (35%–69%; Schilling et al, 2014, 2016; Wyman et al, 2010), and higher than one not requiring consent (19% and 10%; Wyman et al, 2008). However, two other studies not requiring consent reported significantly higher participation (>90%; Aseltine & Demartino, 2004; Aseltine et al, 2007; Hart et al, 2018).…”

Section: Discussionsupporting

confidence: 75%

“…Results of this study indicate that the YAM intervention delivered by extension agents was feasible and acceptable for rural school settings as assessed by school and student recruitment, intervention fidelity, assessment completion rates, and extension agent feedback. Student surveys showed high satisfaction with YAM delivered by extension agents, which tended to be at least as positive as those from delivered by non-Extension facilitators (Lindow et al, 2019). This may be due to extension agents having experience working with youth especially using experiential methods such as role-play.…”

Section: Discussionmentioning

confidence: 98%

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Feasibility, acceptability, and fidelity: Extension agents teaching youth aware of mental health.

Bailey¹,

Oosterhoff²,

Lindow³

et al. 2022

Journal of Rural Mental Health

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Suicide among youth is a growing public health problem-particularly in some rural western states. This study assessed the feasibility, acceptability, and fidelity of using extension agents to deliver Youth Aware of Mental Health (YAM) to students attending rural U.S. schools. Involving extension agents as YAM facilitators is a novel delivery method for YAM and may represent an effective way to improve the disseminability of YAM as agents are skilled in working with rural youth and can deliver the intervention as part of the regular work duties. A within-subjects design was utilized for this study. During the 2017-2018 school year, 12 trained extension agents delivered YAM as part of normal school curriculum to 641 students. Acceptability was measured using student ratings upon program completion. Feasibility was measured by the proportion of schools willing to participate, fidelity of implementation, student attendance at YAM sessions, and extension agent feedback. Ten of 14 schools (71%) approached participated in the study. Among consented students, 269 (82.8%) completed pencil and paper baseline surveys and 217 (66.8%) completed both the baseline and 3 month follow-up survey. Positive results were reported by youth regarding openness to having the intervention in their schools, interest in participating in YAM again, and feeling that the intervention was appropriate for rural youth. Utilizing the Extension system is a feasible and acceptable way to deliver a universal mental health educational intervention program to rural youth. Public Health Significance StatementThis study tested the feasibility of using extension agents to deliver one of the leading suicide prevention interventions, Youth Aware of Mental Health (YAM), to high school youth in rural U.S. schools. The study showed that this method of delivering a mental health promotion intervention in schools was highly acceptable to students and extension agents and there were high rates of school and student participation.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 98%

Feasibility, acceptability, and fidelity: Extension agents teaching youth aware of mental health.

Bailey¹,

Oosterhoff²,

Lindow³

et al. 2022

Journal of Rural Mental Health

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“…Results of empirical studies (Cwik et al, 2016; Katz et al, 2013; Robinson et al, 2018; Schilling et al, 2016; Singer et al, 2019) have indicated that universal suicide education can reduce suicidal behaviors among student populations. Among existing programs of this type that are designed for secondary students, Signs of Suicide (SOS; MindWise Innovations, 2020) and Youth Aware of Mental Health (YAM; Lindow, Hughes, South, Gutierrez, et al, 2020; Lindow, Hughes, South, Minhajuddin, et al, 2020), both of which combine other prevention strategies (school-wide screening) with suicide education, are the only two that have yielded statistically significant support for their effectiveness in reducing suicidal thoughts and behaviors among students (Katz et al, 2013; Lindow, Hughes, South, Gutierrez, et al, 2020; Robinson et al, 2013; Singer et al, 2019). Regarding programs fashioned for students at lower grade levels, only one, the Good Behavior Game (GBG; Education Development Center [EDC], 2013), has produced statistically significant evidence for its efficacy in curtailing suicidal ideation among young children (Singer et al, 2019; Wilcox et al, 2008).…”

Section: Review Of Literaturementioning

confidence: 99%

Research-Informed Adaptable Model for the Prevention of Suicide in Schools (RAMPSS)

McFarlin

McGough

2021

Professional School Counseling

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With increased suicide rates among youth during recent decades, the K–12 educational community still lacks a comprehensive model for suicide prevention that is tailorable for school systems. With this article, we present the Research-Informed Adaptable Model for the Prevention of Suicide in Schools (RAMPSS). A multitiered system of support, RAMPSS includes (a) all four major components of the American School Counselor Association National Model and (b) options for research-based responsive services at each tier level.

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“…In the 2017-2018 and 2018-2019 academic years, a mental health promotion program was delivered to 1,000 of high school students in North Texas. This program was an expansion of a two-state study examining the feasibility and acceptability of the mental health promotion program (Lindow et al, 2020). As part of the mental health promotion program, a subset of students (n = 3,222) assented to participate in a research study to evaluate the program.…”

Section: Study Design and Participantsmentioning

confidence: 99%

The Adolescent Resilience Questionnaire: Validation of a Shortened Version in U.S. Youths

et al. 2020

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IntroductionResilience is a factor in how youth respond to adversity. The 88-item Adolescent Resilience Questionnaire is a comprehensive, multi-dimensional self-report measure of resilience developed with Australian youth.MethodsUsing a cross-sectional adolescent population (n = 3,222), confirmatory factor analysis was conducted to replicate the original factor structure. Over half of the adolescents were non-white and 9th graders with a mean age of 15.5.ResultsOur exploratory factor analysis shortened the measure for which we conducted the psychometric analyses. The original factor structure was not replicated. The exploratory factor analysis provided a 49-item measure. Internal consistency reliability for all 12 factors ranged from acceptable (α> 0.70–0.80). The revised factor total scores were highly and significantly correlated with item–total correlation coefficients (r > 0.63, p < 0.001).ConclusionThis revised shorter 49-item version of the Adolescent Resilience Questionnaire could be deployed and has acceptable psychometric properties.

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Feasibility and Acceptability of the Youth Aware of Mental Health (YAM) Intervention in US Adolescents

Abstract: Care. The funders of this research had no role in the study design, analysis, interpretation of results, or preparation of this paper. The content is the sole responsibility of the authors and does not necessarily represent the official views of any of the funders.

Cited by 20 publications

References 38 publications

Feasibility, acceptability, and fidelity: Extension agents teaching youth aware of mental health.

Feasibility, acceptability, and fidelity: Extension agents teaching youth aware of mental health.

Research-Informed Adaptable Model for the Prevention of Suicide in Schools (RAMPSS)

The Adolescent Resilience Questionnaire: Validation of a Shortened Version in U.S. Youths

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