1. Development of a transdiagnostic, low-intensity, psychological intervention for common adolescent mental health problems in Indian secondary schools
- Author
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Michelson, Daniel, Malik, Kanika, Krishna, Madhuri, Sharma, Rhea, Mathur, Sonal, Bhat, Bhargav, Parikh, Rachana, Roy, Kallol, Joshi, Akankasha, Sahu, Rooplata, Chilhate, Bhagwant, Boustani, Maya, Cuijpers, Pim, Chorpita, Bruce, Fairburn, Christopher G, and Patel, Vikram
- Subjects
Clinical and Health Psychology ,Psychology ,Behavioral and Social Science ,Comparative Effectiveness Research ,Mental Health ,Clinical Trials and Supportive Activities ,Pediatric ,Clinical Research ,6.6 Psychological and behavioural ,Prevention of disease and conditions ,and promotion of well-being ,Evaluation of treatments and therapeutic interventions ,3.1 Primary prevention interventions to modify behaviours or promote wellbeing ,Mental health ,Good Health and Well Being ,Adaptation ,Psychological ,Adolescent ,Anxiety ,Cohort Studies ,Conduct Disorder ,Depression ,Evidence-Based Practice ,Female ,Humans ,India ,Male ,Pilot Projects ,Problem Solving ,Program Development ,Psychosocial Intervention ,School Mental Health Services ,Schools ,Young Adult ,Adolescents ,Transdiagnostic ,Psychological intervention ,Cognitive Sciences ,Clinical Psychology ,Clinical and health psychology ,Cognitive and computational psychology ,Social and personality psychology - Abstract
BackgroundThe 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.MethodContextual 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.ResultsThe 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.DiscussionFindings 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.
- Published
- 2020