Testing Multi-Level Training Strategies to Expand School Mental Health Programs in Uganda

What this Trial Is About

Researchers are evaluating strategies to expand and sustain school mental health evidence-based interventions EBIs in low-and-middle-income countries, focusing on Uganda. The study tests a two-level train-the-trainer model with a digital learning system to support teacher professional development mWEL-PD, which promotes mental wellbeing among teachers and students. This approach aims to improve teacher practices, teacher wellbeing, and student mental health by training teachers to engage parents and apply evidence-based strategies in classrooms. Participants include trainers and trainees in Ugandas education system. Schools will implement mental health EBIs, with some also receiving technical assistance and continuous learning support to enhance sustainability. The study uses a cluster-randomized design to compare the effects of implementing EBIs alone versus with additional support strategies. Participants such as teacher training colleges, tutors, school principals, and pre-primary teachers aged 18 to 65 will be involved. Outcomes measured include teacher knowledge of evidence-based practices, use of EBI strategies, stress management, engagement, program acceptability, and facilitator competency. Assessments occur at baseline, after training 4-6 months, and follow-up at 12 months. The trial spans from March 2026 to March 2029, with ongoing monitoring of implementation and practice outcomes.

Testing Multi-level Scale-Up Strategies: Ugandan School System