development-of-a-transdiagnostic-stepped-care-programme-for-common-adolescent-mental-health-problems-in-indian-secondary-schools-lessons-from-a-pilot-study-examining-acceptability-and-feasibility.pdf (606 kB)
Development of a transdiagnostic stepped care programme for common adolescent mental health problems in Indian secondary schools: lessons from a pilot study examining acceptability and feasibility
Version 2 2023-06-12, 07:44
Version 1 2023-06-10, 02:53
journal contribution
posted on 2023-06-12, 07:44 authored by Kanika Malik, Maliha Ibrahim, Sonal Mathur, James E Jose, Pooja Nair, Rooplata Sahu, Madhuri Krishna, Deepak Jangra, Rhea Mathews, Pim Cuijpers, Bruce Chorpita, Christopher G Fairburn, Vikram Patel, Daniel MichelsonBackground The ‘PRemIum for aDolEscents’ (PRIDE) project has developed a school-based, transdiagnostic stepped care programme for common adolescent mental health problems in India. The programme comprises a brief problem-solving intervention (‘Step 1’) followed by a personalised cognitive-behavioural intervention (‘Step 2’) for participants who do not respond to the first step. Methods A mixed-method design was used to evaluate the acceptability and feasibility of the stepped care programme in five schools in New Delhi. Participants were N = 80 adolescents (mean age = 15.3 years, females = 55%) with elevated mental symptoms and associated distress/impairment. Results 61 (76%) of the enrolled sample were assessed following Step 1, from which 33 (54%) met non-remission criteria. Among these 33 non-remitted cases, 12 (36%) opted for Step 2 and five (42%) completed the full programme. The remaining non-remitted cases (n = 21, 64%) opted out of further treatment. Perceived resolution of the primary problem (n = 9, 43%) was the most common reason for opting out. The median time to complete each step was 22 and 70 days respectively, with a gap of 31 days between steps. Qualitative feedback from adolescents and counsellors indicated requirements for a shorter delivery schedule, greater continuity across steps and more collaborative decision-making. Conclusions This study provides preliminary evidence for a stepped care programme aimed at common adolescent mental health problems. Modifications are recommended to enhance the acceptability and feasibility of the programme in low-resource settings.
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Publication status
- Published
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- Published version
Journal
Global Mental HealthISSN
2054-4251Publisher
Cambridge University PressExternal DOI
Page range
1-5Department affiliated with
- Psychology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2022-03-15First Open Access (FOA) Date
2022-03-15First Compliant Deposit (FCD) Date
2022-03-14Usage metrics
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