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School administrators' awareness of mental health, public policy, and youth mental health in Lithuania.
Last registered on March 29, 2021

Pre-Trial

Trial Information
General Information
Title
School administrators' awareness of mental health, public policy, and youth mental health in Lithuania.
RCT ID
AEARCTR-0007241
Initial registration date
March 29, 2021
Last updated
March 29, 2021 10:51 AM EDT
Location(s)

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Primary Investigator
Affiliation
World Bank
Other Primary Investigator(s)
Additional Trial Information
Status
In development
Start date
2021-03-08
End date
2021-08-31
Secondary IDs
Abstract
We study the effect of different types of information treatments on: teacher participation in training programs aimed at strengthening youth Mental Health; attitudes to mental health; and student outcomes. We will first randomize ~1,000 school administrators into three intervention groups, varying the nature of the information that they receive by email communication and the identity of the sender. We will collect further collect data in the form of a baseline survey on ~240 randomly selected schools (~240 school principals and ~950 school staff) and 1,100 public administrators across ~85 institutions. As part of the baseline survey, we will randomize participants to receive an informational video.

The study will inform the extent to which information increases frontline participation in centrally provided programs and attitudes towards mental health, and whether the identity of the messenger matters for the efficacy of such information treatments.
External Link(s)
Registration Citation
Citation
Rogger, Daniel. 2021. "School administrators' awareness of mental health, public policy, and youth mental health in Lithuania.." AEA RCT Registry. March 29. https://doi.org/10.1257/rct.7241-1.0.
Experimental Details
Interventions
Intervention(s)
We will randomize ~1,000 school administrators to receive one of three intervention groups: (i) "Top-down email" (described below), (ii) "Bottom-up email" (described below); (iii) No email.

Top-down email: School administrators will receive an email from the Ministry of Health with information on the online training. The email will include the a selection facts on youth mental health and an accompanying graph; a text with encouragement for the principals to encourage teachers to enroll in the training; and a link to enrollment.

Bottom-up email: School administrators will receive an email from the School Student Union in Lithuania with information on the online training. The email will include the a selection facts on youth mental health and an accompanying graph; a text with encouragement for the principals to encourage teachers to enroll in the training; and a link to enrollment.

No email: school administrators will receive status quo information about the training. Targeted information may be shared with administrators at a later point in time.

~240 of the ~1,000 schools will be randomly selected to participate in a baseline survey, also targeted at other school staff and public administrators (~240 principals and ~950 school staff across ~240 schools; 1,100 public administrators across ~85 institutions). The ~240 school principals surveyed will be presented with a video that contains information on the prevalence of mental health, the efficacy of treatment, and an anti-stigma message; and a graph on the prevalence of youth mental health challenges in Lithuania. Participants will also receive reinforcing text or email messages following the survey.
Intervention Start Date
2021-03-08
Intervention End Date
2021-08-31
Primary Outcomes
Primary Outcomes (end points)
Participation and interest in government teacher-training program; attitudes towards mental health; budget priorities; education and school-behavior outcomes.
Primary Outcomes (explanation)
Secondary Outcomes
Secondary Outcomes (end points)
Secondary Outcomes (explanation)
Experimental Design
Experimental Design
We will randomize ~1,000 school administrators into one of three intervention groups. ~240 of these 1,000 administrators will also be part of a baseline questionnaire and the video-based experiment, described below. This experiment aims to answer two questions. First, does the provision of information affect the degree to which school administrators disseminate information on the government training program to school staff and encourage their participation; and the degree to which teachers enroll in, participate, perform, and complete the training? Second, does the identity of the “messenger” differentially impact these outcomes? To answer these questions, we will randomize email-recipients into different groups with varying identities of the email-sender: top-down (the sender will be the Ministry of Health); bottom-up (the sender will be the School Student Union); and a control group that will receive no email.

In addition, as part of the baseline survey exercise, covering ~2,500 respondents in schools and the public administration, we will randomize respondents to receive a short 3-minute informational video during the survey. Follow-up information will be provided via telephone or email, with the contact information to be provided by respondent choice during the baseline questionnaire, and will contain reinforcing information and presentation of the facts provided in the welcome videos. This experiment seeks to answer two questions.

First, does the provision of information itself, independent of "messenger" identity, affect the knowledge of mental disorder prevalence, stigma towards mental health, budget priorities, and interest in capacity-building reported by respondents? Second, does the identity of the “messenger” differentially impact these outcomes?
Experimental Design Details
Not available
Randomization Method
Randomization will be done on a computer using statistical software.
Randomization Unit
Individual (school principal; teacher; public administrators)
Was the treatment clustered?
No
Experiment Characteristics
Sample size: planned number of clusters
~240 school administrators and ~950 school staff across ~240 schools; 1,100 public administrators across ~85 administrative institutions
Sample size: planned number of observations
~240 school administrators and ~950 school staff across ~240 schools; 1,100 public administrators across ~85 administrative institutions
Sample size (or number of clusters) by treatment arms
333 school administrators to "Top-down email"; 333 to "Bottom-up email"; 334 to "Control email".
395 school administrators and school staff to "Top-down video"; 395 to "Bottom-up video"; 400 to "Control email".
370 public administrators to ""Top-down video"; 370 to "Bottom-up video"; 370 to "Control email".
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
Institutional Committee for Ethical Review of Projects, Universitat Pompeu Fabra
IRB Approval Date
2021-03-12
IRB Approval Number
170