Development of a transdiagnostic, low-intensity, psychological intervention for common adolescent mental health problems in Indian secondary schools
Autor: | Maya M. Boustani, Kanika Malik, Rhea Sharma, Rooplata Sahu, Pim Cuijpers, Vikram Patel, Kallol Roy, Sonal Mathur, Christopher G. Fairburn, Rachana Parikh, Bruce F. Chorpita, Bhagwant Chilhate, Madhuri Krishna, Akankasha Joshi, Daniel Michelson, Bhargav Bhat |
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Přispěvatelé: | Clinical Psychology, APH - Global Health, APH - Mental Health, World Health Organization (WHO) Collaborating Center |
Rok vydání: | 2020 |
Předmět: |
Male
050103 clinical psychology Pride Comparative Effectiveness Research and promotion of well-being 6.6 Psychological and behavioural Psychological intervention Pilot Projects Anxiety Psychosocial Intervention Adolescents law.invention Cohort Studies 0302 clinical medicine Randomized controlled trial law Adaptation Psychological Psychology Program Development Problem Solving media_common Transdiagnostic Pediatric Schools Depression 05 social sciences PRIDE PremIum for aDolEscents Test (assessment) Psychiatry and Mental health Clinical Psychology Mental Health Evidence-Based Practice School Mental Health Services Mental health Female Cognitive Sciences Cohort study Conduct Disorder Adolescent media_common.quotation_subject Clinical Trials and Supportive Activities India Experimental and Cognitive Psychology Article 03 medical and health sciences Young Adult Nursing Blueprint Clinical Research Intervention (counseling) Behavioral and Social Science Humans 0501 psychology and cognitive sciences Adaptation Evaluation of treatments and therapeutic interventions Prevention of disease and conditions Good Health and Well Being Psychological 3.1 Primary prevention interventions to modify behaviours or promote wellbeing 030217 neurology & neurosurgery |
Zdroj: | Behaviour Research and Therapy, 130:103439, 1-15. Elsevier Limited Michelson, D, Malik, K, Krishna, M, Sharma, R, Mathur, S, Bhat, B, Parikh, R, Roy, K, Joshi, A, Sahu, R, Chilhate, B, Boustani, M, Cuijpers, P, Chorpita, B, Fairburn, C G & Patel, V 2020, ' Development of a transdiagnostic, low-intensity, psychological intervention for common adolescent mental health problems in Indian secondary schools ', Behaviour Research and Therapy, vol. 130, 103439, pp. 1-15 . https://doi.org/10.1016/j.brat.2019.103439 Behaviour Research and Therapy |
ISSN: | 0005-7967 |
Popis: | Background The PRIDE programme aims to establish a suite of transdiagnostic psychological interventions organised around a stepped care system in Indian secondary schools. This paper describes the development of a low-intensity, first-line component of the PRIDE model. Method Contextual and global evidence informed an intervention ‘blueprint’ with problem solving as the primary practice element. Successive iterations were tested and modified across two pilot cohort studies (N = 45; N = 39). Participants were aged 13–20 years and presenting with elevated mental health symptoms in New Delhi schools. Results The first iteration of the intervention, based on a guided self-help modality, showed promising outcomes and user satisfaction when delivered by psychologists. However, delivery was not feasible within the intended 6-week schedule, and participants struggled to use materials outside ‘guidance’ sessions. In Pilot 2, a modified counsellor-led problem-solving intervention was implemented by less experienced counsellors over a 3–4 week schedule. Outcomes were maintained, with indications of enhanced feasibility and acceptability. High demand was observed across both pilots, leading to more stringent eligibility criteria and a modified sensitisation plan. Discussion Findings have shaped a first-line intervention for common adolescent mental health problems in low-resource settings. A forthcoming randomised controlled trial will test its effectiveness. Highlights • PRIDE is developing a transdiagnostic, stepped care programme in Indian schools. • Formative evidence supported problem solving as a first-line ‘Step 1’ intervention. • The format was modified from guided self-help to an active therapy after piloting. • The optimised intervention showed promising impact, acceptability and feasibility. |
Databáze: | OpenAIRE |
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