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This study suggests that an effective and more active way to improve role modelling may be to enhance teaching skills.
Their training and support did not improve role security nor therapeutic commitment.
Tailoring the intervention to the GPs' levels of role security, as we did, however, might not be sufficient to actually improve role security and subsequently screening and brief intervention behaviour.
Understanding the links between mental illness, in particular depression, stigma and role functioning is important for the development of both clinical treatments and social programmes attempting to improve role functioning.
Furthermore, when looking at the two sub-domains within role security, one could expect it to be easier to improve role adequacy (knowledge and skills) than role legitimacy (Additional file 1).
20 The factors identified in this study suggest that when designing clinical or policy initiatives to improve role functioning among youth with mental health problems it is necessary to consider a range of clinical and non-clinical factors.
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Students' suggestions to improve role-play are reported in Table 7 and focus on personal, educational and organisational aspects of sessions although these categories overlap.
If it was shown that the effects faded out in time, a short booster programme may be effective in maintaining improved role security and therapeutic commitment, and maybe even maintaining improved screening and advice giving behaviour.
This opens up opportunities for improving role modelling as a teaching strategy since many of the predictors of being seen as a role model are teaching behaviors and skills that can be acquired.
Consequently, improved role limitations might improve vitality, social functions, general health, mental health and as well as overall quality of life.
More importantly, however, is the pressing need for increased attention towards enhancing education and professional development and boosting the sense of job stability and security amongst providers, as a means for improving role satisfaction within the PHC centers.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com