Designing Intervention that Works Beyond the Manual: A Unique Approach to Mental Health First Aid Intervention Development


Authors : Soma Naskar Chakraborty; David Ratna Paul Talagatoti; Aparna Ray

Volume/Issue : Volume 10 - 2025, Issue 6 - June


Google Scholar : https://tinyurl.com/jaehmd7t

DOI : https://doi.org/10.38124/ijisrt/25jun233

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Mental health challenges are a growing global issue, with a significant gap between those needing care and those receiving it. Traditional Mental Health First Aid (MHFA) interventions often rely on rigid approaches that may not fully address diverse population needs. This study addresses limitations in existing MHFA packages by developing a culturally sensitive, adaptable intervention.  Objective: To design and validate a novel MHFA intervention package that is flexible, culturally relevant, and effective in improving mental health literacy and support across diverse populations.  Methods: The intervention was developed through a multi-stage process including conception, development, validation, rectification, and execution. Content was created based on the Indian government's CHO Module, incorporating culturally relevant scenarios and interactive elements. Validation involved expert review and calculation of a Content Validity Index. The package was translated into Bengali and pilot tested with 20 Bengali-speaking participants from diverse backgrounds.  Results: The intervention achieved a high Cumulative Content Validity Index of 0.97, indicating strong expert consensus on its relevance and appropriateness. Pilot testing revealed improved understanding of mental health concepts, enhanced confidence in providing support, and increased awareness of resources among participants. The use of psychodramas and multilingual materials proved particularly effective in fostering understanding. Conclusion: This novel MHFA intervention package demonstrates potential to bridge gaps in mental health education and empower non-professionals as first responders. Its emphasis on cultural sensitivity, adaptability, and practical relevance addresses critical limitations in existing approaches. While showing promise in enhancing mental health awareness and reducing stigma, further research is needed to assess long-term impacts on behaviour and mental health outcomes.

Keywords : Development; Intervention; Package; Mental Health First Aid.

References :

  1. World Health Organization. Health Topic - Mental Health [Internet]. 2024 [cited 2024 Aug 29]. Available from: https://www.who.int/india/health-topics/mental-health#:~:text=WHO%20estimates%20that%20the%20burden,estimated%20at%20USD%201.03%20trillion.
  2. Keil K. Mental health first aid. Can Vet J. 2019 Dec;60(12):1289–90.
  3. Forthal S, Sadowska K, Pike KM, Balachander M, Jacobsson K, Hermosilla S. Mental Health First Aid: A Systematic Review of Trainee Behavior and Recipient Mental Health Outcomes. PS. 2022 Apr 1;73(4):439–46.
  4. Fountain KL. Six reasons to learn mental health first aid. 2017. Available from: https://lifespan.org. 1.
  5. Kutcher S, Wei Y, Coniglio C. Mental Health Literacy: Past, Present, and Future. Can J Psychiatry. 2016 Mar;61(3):154–8. 1.
  6. Mei C, McGorry PD. Mental health first aid: strengthening its impact for aid recipients. Evid Based Mental Health. 2020 Nov;23(4):133–4. 1.
  7. Richardson R, Dale HE, Robertson L, Meader N, Wellby G, McMillan D, et al. Mental Health First Aid as a tool for improving mental health and well-being. Cochrane Common Mental Disorders Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2023 Aug 22 [cited 2025 May 18];2023(8). Available from: http://doi.wiley.com/10.1002/14651858.CD013127.pub21.
  8. Carvalho D, Sequeira C, Querido A, Tomás C, Morgado T, Valentim O, et al. Positive Mental Health Literacy: A Concept Analysis. Front Psychol. 2022 Apr 14; 13:877611. 1.
  9. Kim MK, Su GS, Chan ANY, Fu Y, Huang Y, Huang CC, et al. Mental health priorities and cultural responsiveness of the Mental Health First Aid (MHFA) training for Asian immigrant populations in Greater Boston, Massachusetts. BMC Psychiatry. 2024 Jul 16;24(1):506. 1.
  10. Chakraborty SN, Ratna Paul TD, Ray A. Development and Validation of Bengali Mental Health Literacy Assessment Tool (B-MHLAT): An Instrument to Measure Mental Health Literacy in Bengali Adults. MJN. 2024;16(Suppl 1):100–10. 1.
  11. Morgan AJ, Fischer JAA, Hart LM, Kelly CM, Kitchener BA, Reavley NJ, et al. Does Mental Health First Aid training improve the mental health of aid recipients? The training for parents of teenagers randomised controlled trial. BMC Psychiatry. 2019 Dec;19(1):99. 1.
  12. Kitchener BA, Jorm AF. Mental Health First Aid Training: Review of Evaluation Studies. Aust N Z J Psychiatry. 2006 Jan;40(1):6–8. 1.
  13. Jorm AF, Kitchener BA, Fischer JA, Cvetkovski S. Mental Health First Aid Training by e-Learning: A Randomized Controlled Trial. Aust N Z J Psychiatry. 2010 Dec;44(12):1072–81. 1. 1.
  14. Morgan AJ, Ross A, Reavley NJ. Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour. Doran CM, editor. PLoS ONE. 2018 May 31;13(5):e0197102.
  15. Hoermann S, McCabe KL, Milne DN, Calvo RA. Application of Synchronous Text-Based Dialogue Systems in Mental Health Interventions: Systematic Review. J Med Internet Res. 2017 Aug 7;19(8):e267. 1.
  16. Bergin AD, Vallejos EP, Davies EB, Daley D, Ford T, Harold G, et al. Preventive digital mental health interventions for children and young people: a review of the design and reporting of research. npj Digit Med. 2020 Oct 15;3(1):133. 1.
  17. Maslowski AK, LaCaille RA, LaCaille LJ, Reich CM, Klingner J. Effectiveness of Mental Health First Aid: a meta-analysis. MHRJ. 2019 Nov 28;24(4):245–61. 1.
  18. Singh V, Kumar A, Gupta S. Mental Health Prevention and Promotion—A Narrative Review. Front Psychiatry. 2022 Jul 26;13:898009. 1.
  19. Edge D, Grey P. An Assets-Based Approach to Co-Producing a Culturally Adapted Family Intervention (CaFI) with African Caribbeans Diagnosed with Schizophrenia and Their Families. Ethn Dis. 2018 Sep 6;28(Supp):485–92. 1.
  20. Ng SH, Tan NJH, Luo Y, Goh WS, Ho R, Ho CSH. A Systematic Review of Youth and Teen Mental Health First Aid: Improving Adolescent Mental Health. Journal of Adolescent Health. 2021 Aug;69(2):199–210.

Background: Mental health challenges are a growing global issue, with a significant gap between those needing care and those receiving it. Traditional Mental Health First Aid (MHFA) interventions often rely on rigid approaches that may not fully address diverse population needs. This study addresses limitations in existing MHFA packages by developing a culturally sensitive, adaptable intervention.  Objective: To design and validate a novel MHFA intervention package that is flexible, culturally relevant, and effective in improving mental health literacy and support across diverse populations.  Methods: The intervention was developed through a multi-stage process including conception, development, validation, rectification, and execution. Content was created based on the Indian government's CHO Module, incorporating culturally relevant scenarios and interactive elements. Validation involved expert review and calculation of a Content Validity Index. The package was translated into Bengali and pilot tested with 20 Bengali-speaking participants from diverse backgrounds.  Results: The intervention achieved a high Cumulative Content Validity Index of 0.97, indicating strong expert consensus on its relevance and appropriateness. Pilot testing revealed improved understanding of mental health concepts, enhanced confidence in providing support, and increased awareness of resources among participants. The use of psychodramas and multilingual materials proved particularly effective in fostering understanding. Conclusion: This novel MHFA intervention package demonstrates potential to bridge gaps in mental health education and empower non-professionals as first responders. Its emphasis on cultural sensitivity, adaptability, and practical relevance addresses critical limitations in existing approaches. While showing promise in enhancing mental health awareness and reducing stigma, further research is needed to assess long-term impacts on behaviour and mental health outcomes.

Keywords : Development; Intervention; Package; Mental Health First Aid.

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