UMIN-CTR Clinical Trial

Public title

A cross-sectional nationally representative survey of mental health and psychosocial problems among children and adolescents in Jordan

Acronym

A national mental health survey of Jordanian youth.

Scientific Title

A cross-sectional nationally representative survey of mental health and psychosocial problems among children and adolescents in Jordan

Scientific Title:Acronym

A national mental health survey of Jordanian youth.

Region

Asia(except Japan)

Condition

mental health problems

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO

Narrative objectives1

This survey aims to provide robust evidence regarding child and adolescent mental health situations to facilitate effective national policy-making in Jordan. There are three main objectives of this survey:
1) To examine the prevalence of common mental disorders for children and adolescents, such as depression, anxiety, developmental disorders and post-traumatic stress disorder (PTSD) and their associated factors
2) To explore help-seeking behaviours and potentially preferred mental health and psychosocial supports in this population
3) To describe a pathway beginning with socio-economic status and adverse childhood events through mental illness and ending in quality of life.

Basic objectives2

Others

Basic objectives -Others

This study also explores the association between COVID-19 infection and mental health among youth.

Trial characteristics_1

Exploratory

Trial characteristics_2

Developmental phase

Not applicable

Primary outcomes

Mental Health conditions are assessed by the following items
1. Revised Children's Anxiety and Depression Scale: RCADS-47
2 Strengths and Difficulties Questionnaire: SDQ
3. The Children's Impact of Event Scale-13: CRIES-13
4. The Pediatric Quality of Life Inventory: PedsQL
5. The Child Autism Spectrum Quotient: AQ
6. The BEARS Sleep Screening Tool
7. Problematic Internet Use Questionnaire: PIUQ

Key secondary outcomes

The associated factors are assessed by
1. Socio-demographic and relevant characteristics questionnaire
2. The Adverse Childhood Experiences (ACEs) Questionnaire-Revised
3. The Life Events Checklist for DSM-5 (LEC-5)
4. The General Help Seeking Questionnaire (GHSQ)-Revised
5. Attitudes Toward Seeking Professional Help short form (ATSPPH-SF)
6. The Barriers to Adolescents Seeking Help Scale Brief Version (BASH-B)-Revised
7. Diet Questionnaire
8. Physical Activity
9. Smoking behaviour

Study type

Observational

Basic design

Randomization

Randomization unit

Blinding

Control

Stratification

Dynamic allocation

Institution consideration

Blocking

Concealment

No. of arms

Purpose of intervention

Type of intervention

Interventions/Control_1

Interventions/Control_2

Interventions/Control_3

Interventions/Control_4

Interventions/Control_5

Interventions/Control_6

Interventions/Control_7

Interventions/Control_8

Interventions/Control_9

Interventions/Control_10

Age-lower limit

8

years-old

<=

Age-upper limit

18

years-old

>=

Gender

Male and Female

Key inclusion criteria

Participants are included if they are:
1. Students attend public, private and UNRWA schools.
2. Children and adolescents who dropped out of school.

Key exclusion criteria

Students or their guardians are reluctant to participate in the survey, thus their consent cannot be obtained.

Target sample size

5000

Name of lead principal investigator

1st name	Yousef
Middle name
Last name	Khader

Organization

Jordan University of Science and Technology

Division name

Department of Public Health, Faculty of Medicine

Zip code

22110

Address

Al Ramtha Irbid Jordan

TEL

962027201000

Email

yskhader@just.edu.jo

Name of contact person

1st name	Eizaburo
Middle name
Last name	Tanaka

Organization

Japan International Cooperation Agency

Division name

Jordan office

Zip code

11194

Address

Rafic Hariri Street, The Edgo Atrium Bld, 2nd Floor.

TEL

962788796252

Homepage URL

Email

watarineko@hotmail.com

Institute

Jordan University of Science and Technology

Institute

Department

Personal name

Organization

Japan International Cooperation Agency Jordan office

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan

Co-sponsor

Name of secondary funder(s)

Organization

Institutional Review Board, Jordan University of Science and Technology

Address

Al Ramtha Irbid Jordan

Tel

96227200610

Email

irb@kauh.jo

Secondary IDs

NO

Study ID_1

Org. issuing International ID_1

Study ID_2

Org. issuing International ID_2

IND to MHLW

Institutions

Date of disclosure of the study information

2023

Year

02

Month

09

Day

URL releasing protocol

https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000057260

Publication of results

Published

URL related to results and publications

https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1409158/full

Number of participants that the trial has enrolled

8000

Results

About 24.5% of children had anxiety symptoms and 16.6% of children had major depressive disorder symptoms. Almost 13.9% of children and 19.7% of adolescents had abnormal levels of total emotional and behavioral difficulties. Nearly 16.5% of children and 35.0% of adolescents had poor overall health-related quality of life. When experiencing a personal or emotional problem, only 28.1% of children's parents would seek help for their children and 19.7% of adolescents would seek help for themselves.

Results date posted

2025

Year

02

Month

10

Day

Results Delayed

Results Delay Reason

Date of the first journal publication of results

Baseline Characteristics

A total of 8,000 (3,433 (42.9%) boys, 4,567 (57.1%) girls) and (3,593 (44.9%) children, 4,407 (55.1%) adolescents) were included.

Participant flow

A national school based survey was conducted among Jordanian children and adolescents and those of other nationalities and groups such as Syrian and Palestinian refugees aged between 8 and 12 years from December 2022 to April 2023. A list of all schools was obtained from the MoE. Schools were ordered according to the number of students. A systematic sample was selected from each stratum. All classes grades 3 to 12 in the selected schools were included and each class was defined as a unit for data collection. A systematic sample of 30% of students in each class was selected. The decision to select 30% of students from each class was made to increase the number of schools in the study, enhancing overall representativeness.

Adverse events

Null

Outcome measures

Revised Children's Anxiety and Depression Scale- RCADS-47
Strengths and Difficulties Questionnaire (SDQ)
The Children's Impact of Event Scale- 13 (CRIES-13)
The Pediatric Quality of Life Inventory (PedsQL)
The Child Autism Spectrum Quotient (AQ)
The BEARS Sleep Screening Tool
Problematic Internet Use Questionnaire (PIUQ)

Plan to share IPD

IPD sharing Plan description

Recruitment status

Completed

Date of protocol fixation

2022

Year

08

Month

22

Day

Date of IRB

2022

Year

08

Month

22

Day

Anticipated trial start date

2022

Year

11

Month

30

Day

Last follow-up date

2023

Year

06

Month

30

Day

Date of closure to data entry

2023

Year

06

Month

30

Day

Date trial data considered complete

2023

Year

06

Month

30

Day

Date analysis concluded

2023

Year

08

Month

31

Day

Other related information

Study design
A national school-based cross-sectional survey is conducted among Jordanian and other nationalities' children and adolescents 8-18 years old in Jordan.

Sampling
This study will utilize a multi-stage stratified cluster sampling technique. For school selection, the sample aims to achieve coverage of basic education in the Ministry of Education (MoE), private, and UNRWA schools in Jordan and secondary education level who have completed the basic cycle (ten years). The school population is stratified into different strata. The first stratification is governing authority (MoE, private, and UNRWA). Within these strata, there is stratification by region (North, South, and Central) and 12 governorates. Within the MoE stratum, the second stratification is the refugee context (regular MoE schools and Syrian second shift schools). Regular MoE schools and MoE Syrian second-shift schools are stratified by gender. A list of all schools was obtained from the MoE. Schools were ordered according to the number of students. A systematic sample was selected from each stratum. At the time of sample selection, one replacement school was identified for each selected school, from the same stratum with similar characteristics. Replacements will be only contacted in case a school declines participation.

All classes will be included, and each class will be defined as a unit for data collection. A systematic sample of 30% of students in each class will be selected. The proportion (30%) (i.e. not selecting all students in the selected classes) is used to increase the number of schools to be selected. The students will be selected proportional to the size of students in the governing authority or governorate strata (self-weighted sample). Those who are not attending or dropped from school will be reached and oversampled. Snowballing technique will be used to select those who dropped from school.

Registered date

2023

Year

02

Month

09

Day

Last modified on

2025

Year

02

Month

10

Day

Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057260