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 (2019) Development of a transdiagnostic, low-intensity, psychological intervention for common adolescent mental health problems in Indian secondary schools. Behaviour Research and Therapy. ISSN 0005-7967

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Abstract

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.

Item Type:	Article
Keywords:	Adolescents; mental health; transdiagnostic; schools; psychological intervention; India
Schools and Departments:	School of Psychology > Psychology
Depositing User:	Sanjeedah Choudhury
Date Deposited:	18 Jul 2019 11:16
Last Modified:	30 Jul 2021 01:00
URI:	http://sro.sussex.ac.uk/id/eprint/84968

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