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
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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