Psychosocial Support Activities On Learners' Psychosocial Readiness and Well-Being in Elementary Education
Psychosocial Support Activities On Learners' Psychosocial Readiness and Well-Being in Elementary Education
Volume: 26
Issue 8
Pages: 807-813
Document ID: 2024PEMJ2507
DOI: 10.5281/zenodo.13941384
Manuscript Accepted: 09-23-2024
Psych Educ, 2024, 26(8): 807-813, Document ID:2024PEMJ2507, doi:10.5281/zenodo.13941384, ISSN 2822-4353
Research Article
Introduction
When the pandemic broke out, a massive change in the educational landscape happened. After two years, most schools are back open
and in the stage of recovery from the damage to learning caused by the pandemic. The pandemic created an immense disruption of the
educational system which affects over 1.5 billion of learners. It has the greatest impact on the learners’ quality of learning experience
and mental health (Barrot et al., 2021).
As classes have been in full swing, educators must be prepared to respond to the academic, social, and emotional needs of their learners
during the opening of classes. Some studies shown significant mental health problems experienced by children because of the prolonged
quarantine and substantial learning loss (Noguera, 2021).
Students face new challenges and stressors that arise during the transition period of in-person classes. They take a lot of adjustments
to the school environment, learning modality, and additional safety protocols, as well as mix of pleasant and difficult feelings. Thus,
DepEd observe the imperative to provide psychosocial support (PSS) to protect the leaners’ socio-emotional well-being and to develop
their coping skills during the transition period (Llego, 2022).
As directed by DepEd Memorandum No. 34, s. 2022, all schools were asked to implement the Psychosocial Support Activities (PSA)
during the first week of School Year 2022-2023, beginning on August 22, 2022. Learners were given series of psychosocial support
activities to assess how they respond from the given activities and help them adjust during the transition of face-to-face classes. These
activities will help the teachers determine which psychosocial concepts their learners need more of their attention.
This study aimed to determine the relationship of the implementation of the Psychosocial Support Activities (PSA) and the learners’
psychosocial readiness and well-being in the in-person classes in the Second Congressional District of Bohol for the school year 2022-
2023.
Research Questions
Specifically, this study sought to answer the following questions:
1. What is the level of implementation in the Psychosocial Support Activities (PSA) program planning and management,
attainment of objectives, delivery of program content, participants’ learning, provision of support materials; and program
preparation?
2. What is the learners’ level of psychosocial readiness in psychosocial skills and psychosocial adjustment?
3. What is the learners’ level of psychosocial well-being in emotional well-being, social well-being, and resilience?
4. Is there a significant relationship between the level of implementation and psychosocial readiness, level of implementation
and psychosocial well-being, and psychosocial readiness and psychosocial well-being?
Methodology
This research employed a descriptive survey design to evaluate the implementation of Psychosocial Support Activities, assess learners'
psychosocial readiness, and determine their well-being. Conducted in selected public elementary schools within the 2nd Congressional
District of Bohol, the study focused specifically on Grade 6 teachers and learners due to their maturity in comprehending survey
questions.
A sample of 185 participants was derived through Slovin's formula from a total of 344 elementary schools, using simple random
sampling. However, only 114 valid responses each from teachers and learners were ultimately retrieved after addressing incomplete
questionnaires, resulting in a total of 228 valid responses.
The researcher utilized a Likert-type scale questionnaire, developing separate sets for teachers and learners. These assessed various
dimensions of psychosocial support and readiness. Validity was established with input from a licensed psychologist and through pilot
testing in a different district, yielding a high reliability index of 0.9. The data collection process involved obtaining necessary approvals
from academic and school administration, followed by data tabulation and analysis to interpret the results effectively.
The descriptive survey design was suitable for gathering current information from Grade 6 teachers and learners, who were selected
for their maturity in understanding the survey. Simple random sampling ensured representativeness, and the use of Slovin’s formula
determined a reliable sample size. A Likert-type scale questionnaire effectively measured psychosocial dimensions, and validation
through expert input and pilot testing ensured both reliability and accuracy of the data.
Results and Discussion
The data on the implementation of Psychosocial Support Activities (PSA) in schools indicates a very high level of effectiveness. Key
areas of success include program content delivery and participants' learning, while program preparation showed a need for
improvement. High-rated items included encouraging learner participation and using standardized psychosocial support assessment
tools
Table 1. Level of Implementation in the Psychosocial Support Activities (PSA)
Program Assessment Weighted Mean Description
1.1. Program Planning and Management 3.35 VHLI
1.1.2. The PSA was managed by the teacher and school head efficiently 3.40 VHLI
1.1.1. The Psychosocial Support Activities (PSA) was delivered as planned 3.33 VHLI
1.1.3. The PSA was well-structured 3.32 VHLI
1.2. Attainment of Objectives 3.36 VHLI
1.2.1. The PSA objectives were clearly presented 3.50 VHLI
1.2.2. The series of activities were logically arranged 3.38 VHLI
1.2.3. The PSA objectives were attained 3.20 HLI
1.3. Delivery of Program Content 3.45 VHLI
2.3.2. Activities were based on standard psychosocial support assessment tool 3.53 VHLI
1.3.1. Activities were appropriate to the learners 3.52 VHLI
1.3.6. Instructions on the activities were clearly presented 3.51 VHLI
1.3.3. Activities were interesting in generating ideas and emotions 3.47 VHLI
1.3.5. The teacher established rapport with the class at the start of the activity 3.47 VHLI
1.3.7. Learners were given enough time to finish the activity 3.45 VHLI
1.3.4. The teacher integrates PSA to the lessons 3.44 VHLI
1.3.8. Pre and post evaluation were done with assistance of the teacher 3.24 HLI
1.4. Participants’ Learning 3.53 VHLI
1.4.2. Participation and cooperation to all learners were encouraged 3.61 VHLI
1.4.1. Learners were encouraged to express their ideas and feelings 3.53 VHLI
1.4.3. Learners showed interest in the activities through their participation 3.44 VHLI
1.5. Provision of Support Materials 3.25 VHLI
1.5.1. Psychosocial Activity Pack is clear and useful to the learners 3.40 VHLI
1.5.2. The teachers were provided with the Psychosocial Support Activity Pack guides and handouts. 3.20 HLI
1.5.3. The school provides materials for the learners for the Psychosocial Support Activities 3.14 HLI
1.6. Program Preparation 3.17 HLI
1.6.2. Teacher allocates a specific time for PSA within the day 3.29 VHLI
1.6.4. The venue of the activity has enough space with sanitary and hygienic conditions 3.21 HLI
1.6.3. Time allotted for every activity is enough 3.11 HLI
1.6.1. Teachers were given prior training/ orientation in conducting PSA to the learners 3.08 HLI
Overall Composite Mean 3.35 VHLI
Legend: VHLI – Very High Level of Implementation; HLI – High Level of Implementation; MLI – Moderate Level of Implementation; LLI – Low Level of Implementation
Conversely, lower ratings were noted for prior teacher training, provision of materials, and achievement of PSA objectives. Prior
training for teachers is highlighted as essential for equipping them with the necessary knowledge to address mental health issues
Mental health literacy training for teachers can be of great help to increase the number of learners who are having mental health
problems being provided with learning help and treatment supports. Based on research, the participation of teachers in mental health
literacy training increases teachers’ ability to determine learners with mental health problems (Woods, 2014; Langeveld et al., 2011).
The table shows the learners’ psychosocial readiness, specifically psychosocial skills and psychosocial adjustment with ratings of 3.38
and 3.68 respectively, which both described as “very high level of psychosocial readiness”. This shows that learners were very ready
psychologically, socially and emotionally in adapting to the learning environment in school.
Moreover, “teachers and classmates are ready to listen about one’s ideas and feelings” (3.51) and “happy to be back in face-to-face
class” (3.83) got high ratings, while “identify feelings or problems of classmates and others” (2.93) and “remain safe from unexpected
events like calamities through safety precautions made by the school” (3.48) rated the least.
It indicates that learners were very eager to attend face-to-face classes because their teachers and classmates were ready to listen to
their ideas and feelings. However, they showed less empathy in identifying feelings and problems of their classmates and some of them
felt anxious being safe from unexpected events through safety precautions made by the school. This implies that learners still need
psychosocial support in school for them to be more sensitive to people around them and for them to build their confidence in staying
safe in school.
According to Soken-Huberty (2023), “empathy, which is the ability to understand another person’s feelings and experiences, is one of
the most essential soft skills a person can have”. Starting at a young age, school is a perfect place to learn how to interact with other
people, understand different perspectives, and develop good communication skills. Empathy can be taught by modeling, talking about
emotions, encouraging community activities, and integrating listening activities into classwork. Through this, children are motivated
to go to school because they find school as a safe place of fun experiences with good relationships with their peers.
Table 3 reflects the learners’ psychosocial well-being in terms of emotional well-being, social well-being and resilience.
Table 3. Learners' Psychosocial Well-Being
Psychosocial Well-Being Weighted Mean Description
3.1. Emotional Well-Being 2.97 HLPW
3.1.2. Felt sad. 3.11 HLPW
3.1.6. Had bad dreams. 3.11 HLPW
3.1.1. Being worried about anything. 3.04 HLPW
3.1.4. Felt helpless in a situation. 2.97 HLPW
3.1.5. Got angry or lost temper. 2.85 HLPW
3.1.3. Being bullied in school. 2.73 HLPW
3.2. Social Well-Being 3.03 HLPW
3.2.8. Felt that school is a nice place for learning. 3.43 VHLPW
3.2.5. Able to do the things he/ she wanted to during free time. 3.22 HLPW
3.2.4. Ideas were being listened and respected by parents or guidance. 3.11 HLPW
3.2.2. Spent time with friends 2.97 HLPW
3.2.7. Suggest activities or games to do with friends. 2.97 HLPW
3.2.6. Being helpful to others 2.94 HLPW
3.2.1. Being in a good mood. 2.83 HLPW
3.2.3. Understand how others feel. 2.77 HLPW
3.3. Resilience 3.05 HLPW
3.3.4. Felt that one’s ideas are listened and respected by the teacher. 3.33 VHLPW
3.3.5. Able to believe that confidence or trust helps get through hard times. 3.32 VHLPW
3.3.2. Able to understand one’s mood and feelings. 3.00 HLPW
3.3.6. Able to concentrate or pay attention to the lesson 3.00 HLPW
3.3.1. Able to calm oneself when upset or angry. 2.90 HLPW
3.3.3. Able to find friendly ways to solve misunderstandings or disputes. 2.78 HLPW
Overall Composite Mean 3.02 HLPW
Legend: VHLPW, Very High Level of Psychosocial Well-being; HLPW, High Level of Psychosocial Well-being; MLPW, Moderate Level of Psychosocial Well-being;
LLPW, Low Level of Psychosocial Well-being
The data show that “emotional well-being” (2.97), “social well-being” (3.03) and “resilience” (3.05) got high level of psychosocial
well-being which means that the learners’ psychosocial well-being is in a high level with an overall composite mean of 3.02. This
implies that learners have a better experience in school mentally, emotionally and socially.
It further shows that “felt that school is a nice place for learning” (3.43) and “felt that one’s ideas are listened to and respected by the
teacher” (3.33) got the high ratings. However, “being bullied in school” (2.73) and “understand how others feel” (2.77) got the least
ratings.
This implies that learners felt that their ideas were being listened to and respected by their teachers, that is why they prefer school as
the best place for learning. However, learners need to work out on their emotional well-being because some of them were affected
when they experienced being bullied by their classmates. Some learners also bully their classmates maybe because they don’t
understand how others feel about their actions.
Moreover, the result shows that learners have an overall positive experience in school even when they sometimes experienced being
bullied as they already established self-esteem and trust to people around them which helps them in building strong social relationships
in school.
Saminathen et al. (2020), concluded that school is a potential place in protecting learners against mental health problems because it
supports and prepares learners socially for higher level of education and employment. However, it may also become a place of
prolonged bullying and stress. Children showed interest in coming to school when they developed their emotional and social skills.
They can adapt to the challenges they met in school, and this makes their learning experience fun and exciting.
Table 4 presents the significant relationship between the level of PSA implementation and psychosocial readiness, level of PSA
implementation and psychosocial well-being, and psychosocial readiness and psychosocial well-being.
Paredes & Ranque 810/813
Psych Educ, 2024, 26(8): 807-813, Document ID:2024PEMJ2507, doi:10.5281/zenodo.13941384, ISSN 2822-4353
Research Article
Table 4. Relationship among Variables Between the Level of PSA Implementation towards Psychosocial Readiness and
Psychosocial Well-Being, and between the Psychosocial Readiness and Psychosocial Well-Being (N=114)
Relationship Spearman rho Description P-value Interpretation Decision
4.1. Level of PSA Implementation and 0.075 Negligible Relationship 0.426 Insignificant Accept Ho
Psychosocial Readiness
4.2. Level of PSA Implementation and 0.080 Negligible Relationship 0.397 Insignificant Accept Ho
Psychosocial Well-Being
4.3. Psychosocial Readiness and 0.399 Moderate Relationship 0.000 Significant Failed to Accept Ho
Psychosocial Well-Being
As shown in the table, PSA Implementation in relation to psychosocial readiness and psychosocial well-being got insignificant results
since it has a p-value of 0.075 and 0.080 respectively which is above 0.05 level of significance. Hence, the null hypothesis is accepted.
This shows that there is no significant relationship between the level of PSA implementation towards learners’ psychosocial readiness
and learners’ psychosocial well-being. This means that PSA implementation has no effect towards learners’ psychosocial readiness
and learners’ psychosocial well-being in school. The very high and high levels of leaners’ psychosocial readiness and wellbeing does
not affect the very high level of PSA implementation. There might be other factors affecting the learners’ psychosocial readiness and
well-being in school.
Moreover, psychosocial readiness and psychosocial well-being obtain a significant result since the p-value of 0.00 is less than 0.05
level of significance. Hence, the study failed to accept the null hypothesis. In other words, there is a significant relationship between
the learners’ psychosocial readiness and learners’ psychosocial well-being. Thus, the learners’ psychosocial readiness and the learners’
psychosocial well-being greatly affect each other. The learners’ mental, emotional and social experiences must be in a favorable state
for them to be ready in adapting to the learning environment.
Studies with college students revealed that poor school adjustment is negatively related to psychological well-being. Students who
have lower level of stress and have a higher level of psychological well-being, can easily adjust in school while students with poor
adjustment feel difficult to manage stress and have lower levels of psychological well-being (Chui & Chan, 2020).
While the PSA's content delivery and learner participation were highly rated, the data showed a weakness in teacher training (3.08)
and resource provision (3.14). These aspects are critical for program success, as well-prepared teachers can significantly influence the
outcomes of psychosocial support activities. Inadequate teacher training may have limited their ability to identify and address deeper
mental health concerns, which could explain the lack of significant improvements in learners' psychosocial readiness and well-being.
The lower rating for the provision of materials (3.14) might have affected the quality of program delivery. Insufficient materials may
have resulted in some learners not receiving the full benefits of the activities. Since access to adequate resources is necessary to facilitate
effective psychosocial interventions, this gap could have reduced the overall impact of the program.
The insignificant relationship between PSA implementation and psychosocial readiness or well-being suggests that external factors
beyond the program's scope may be affecting learners' mental and emotional states. Family environments, personal experiences, and
community conditions may play a role in learners' psychosocial well-being, which the school-based PSA alone may not address
adequately. The study did not account for these variables, which could explain the negligible relationship observed in the results.
Though the program showed a very high level of effectiveness overall (3.35), the preparation aspect received a lower score (3.17),
indicating inconsistencies in how the PSA was implemented across different settings. Factors such as time allocation (3.11) and the
quality of the venue (3.21) may have varied significantly, impacting how learners received and benefited from the support activities.
The importance of mental health literacy training for teachers, highlighted in the findings, suggests that the effectiveness of
psychosocial interventions could improve if teachers were better equipped to recognize and manage students' mental health needs.
Without this critical training, teachers may have struggled to fully implement the PSA’s objectives, particularly in fostering emotional
resilience and psychosocial readiness in learners.
While the program was effective in terms of participation and content delivery, learners have different emotional and psychological
needs. For instance, the data on psychosocial readiness revealed that learners showed varying levels of empathy (2.93) and ability to
identify others' feelings. These individual differences could have influenced how learners responded to the PSA, with some benefitting
more than others, thereby weakening the overall program effect on psychosocial well-being.
While learners generally felt positive about being back in school and appreciated the supportive environment, there were still issues
related to bullying (2.73) and emotional regulation (2.85), which may have diminished the overall effectiveness of the PSA. Negative
school experiences, such as bullying, could counteract the positive aspects of the program, leading to insignificant changes in
psychosocial well-being.
Conclusions
Psychosocial Support Activities (PSA) within school settings have shown a robust implementation, demonstrating a high level of
effectiveness in supporting learners. The students participating in these programs exhibit considerable psychosocial readiness,
indicating they are prepared psychologically, socially, and emotionally to adapt to their learning environment. This readiness allows
learners to engage more fully and positively in school activities.
Furthermore, children show elevated levels of psychosocial well-being, leading to improved experiences in mental, emotional, and
social dimensions in the educational context. However, it is important to note that the high level of PSA implementation appears to
have no direct influence on the learners' psychosocial readiness and well-being. This disconnect suggests that even though PSA is
effectively implemented, other factors may play a critical role in shaping students' readiness and overall well-being.
Interestingly, there exists a significant relationship between learners' psychosocial readiness and their psychosocial well-being,
indicating that these two factors influence each other significantly. Thus, while PSA programs are well-executed, the
interconnectedness of readiness and well-being implies that improving one can positively impact the other. This highlights the
importance of a holistic approach to mental health support in educational settings, as fostering students' psychosocial readiness can
enhance their overall well-being.
It underscores the necessity for ongoing evaluation and enhancement of PSA initiatives to maximize their impact on student experiences
in schools.
While the PSA implementation demonstrated a very high level of effectiveness, the results suggest that improving teacher training,
resource provision, and addressing external confounding variables are essential to significantly influence learners' psychosocial
readiness and well-being. The insignificant relationship observed may indicate that more comprehensive approaches are needed to
address the complexity of mental health challenges in schools.
School Disaster Risk Management and Mitigation (DRMM) Coordinators are advised to incorporate Basic Psychosocial Support into
their contingency plans and train teachers to assist distressed learners creatively. Schools should re-orient teachers on Psychological
First Aid to prepare them for unexpected events, helping them develop strategies to address learners' fear and anxiety. This approach
aims to create a safe and comfortable learning environment.
School Heads are encouraged to conduct Learning Action Cell (LAC) sessions that include empathy-building activities, fostering a
sense of belonging and harmonious relationships among students. Additionally, schools should reinforce their Anti-Bullying
Campaigns by inviting expert speakers to raise awareness about the negative psychological and emotional impacts of bullying.
Lastly, future researchers are encouraged to conduct studies on the effectiveness of Psychosocial Support and explore other factors
affecting learners' Psychosocial Readiness and Well-being, contributing to ongoing improvements in this crucial area of education.
References
Barrot, J., Llenares, I. I., & Del Rosario, L. S. (2021). Students’ online learning challenges during the pandemic and how they cope
with them: The case of the Philippines. Education and Information Technologies, 26(6), 7321–7338. https://doi.org/10.1007/s10639-
021-10589-x
Cantero, J. M. M., Mira, R. G., & López-Chao, V. (2016). Influence of Physical Learning Environment in Student’s Behavior and
Social Relations. The Anthropologist, 25(3), 249–253. https://doi.org/10.1080/09720073.2016.11892113
Che’ Ahmad, C. N., Osman, K., & Halim, L. (2010). Physical and psychosocial aspects of science laboratory learning environment.
Procedia- Social and Behavioral Sciences, 9, 87-91.
Chui, R. C. F., & Chan, C. X. J. (2020). Positive Thinking, School Adjustment and Psychological Well-being among Chinese College
Students. The Open Psychology Journal, 13(1), 151–159. https://doi.org/10.2174/1874350102013010151
DepEd DRRMS Memo. (2022). Dissemination of the Psychosocial Support Activity Pack (All Levels): A Teacher’s Guide and
Psychosocial Evaluation. https://www.depedbohol.org/wp-content/uploads/2022/10/DM-No.-0672-s.-2022.pdf
Drake, K. (2021, July 21). Is It Possible to Lack Empathy? Psych Central. https://psychcentral.com/lib/why-do-some-people-lack-
empathy
Drew, C. (2023, May 7). What is the Humanistic Theory in Education? Helpful Professor. https://helpfulprofessor.com/humanist-
theory-in-education/
Ferguson, K. N., Coen, S. E., Tobin, D., Martin, G., Seabrook, J. A., & Gilliland, J. A. (2021). The mental well-being and coping
strategies of Canadian adolescents during the COVID-19 pandemic: a qualitative, cross-sectional study. CMAJ Open, 9(4), E1013–
E1020. https://doi.org/10.9778/cmajo.20210042
Harifi, S., SeyedAlinaghi, S., Qorbani, M., & Mahmoodi, Z. (2021). The relationship between social roles and psychosocial adjustment
in women with HIV: A structural equation model. Brain and Behavior, 11(1). https://doi.org/10.1002/brb3.1943
Källmén, H., & Hallgren, M. (2021). Bullying at school and mental health problems among adolescents: a repeated cross-sectional
study. Child and Adolescent Psychiatry and Mental Health, 15(1). https://doi.org/10.1186/s13034-021-00425-y
Kumar, A., Sarkar, M., Davis, E. A., Morphet, J., Maloney, S., Ilic, D., & Palermo, C. (2021). Impact of the COVID-19 pandemic on
teaching and learning in health professional education: a mixed methods study protocol. BMC Medical Education, 21(1).
https://doi.org/10.1186/s12909-021-02871-w
Llego, M. A. (2022). DepEd Psychosocial Support Activities to Learners for the In-Person Classes. TeacherPH.
https://www.teacherph.com/deped-psychosocial-support-activities-learners-in-person-classes/
Llego, M. A. (2022, August 21). DepEd Psychosocial Support Evaluation Guide. TeacherPH. https://www.teacherph.com/deped-
psychosocial-support-evaluation-guide/
McKay, L. (n.d.). The link between Wellbeing and Resilience. LinkedIn. https://www.linkedin.com/pulse/link-between-wellbeing-
resilience-leigh-mckay
Miller, J. (2021, August 26). Back to school: Educators and families confront learning loss and mental health challenges. Phys.org.
https://phys.org/news/2021-08-school-families-loss-mental-health.html
Petrie, C. (2020). Spotlight: Quality education for all during COVID-19 crisis (Hundred Research Report #01). United Nations.
Piqueras, J. A., Mateu-Martínez, O., Cejudo, J., & Pérez-González, J. C. (2019). Pathways Into Psychosocial Adjustment in Children:
Modeling the Effects of Trait Emotional Intelligence, Social-Emotional Problems, and Gender. Frontiers in Psychology, 10.
https://doi.org/10.3389/fpsyg.2019.00507
Snider, L. (2018). Operational guidelines on community-based mental health and psychosocial support in humanitarian settings: Three-
tiered support for children and families. The Community Based Mental Health and Psychosocial Support.
https://www.unicef.org/media/52171/file
Soken-Huberty, E. (2023, March 7). 15 Reasons Why School Is Important. The Important Site. https://theimportantsite.com/reason-
why-school-is-important/
Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact
of COVID-19 pandemic in the Philippines. Journal of Affective Disorders, 277, 379–391. https://doi.org/10.1016/j.jad.2020.08.043
Woods, J. A. (2014). Evaluating Mental Health Training for Teachers: Identifying and Supporting Students with Mental Health
Challenges. Electronic Thesis and Dissertation Repository, 2022. https://ir.lib.uwo.ca/etd/2022
Affiliations and Corresponding Information
May Flor D. Paredes
Magtangtang Elementary School
Department of Education – Philippines
Shiela Marie S. Ranque
Bohol Island State University – Philippines