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Development of a transdiagnostic, low-intensity, psychological intervention for common adolescent mental health problems in Indian secondary schools

journal contribution
posted on 2023-06-09, 18:26 authored by Daniel Michelson, Kanika Malik, Madhuri Krishna, Rhea Sharma, Sonal Mathur, Bhargav Bhat, Rachana Parikh, Kallol Roy, Akankasha Joshi, Rooplata Sahu, Bhagwant Chilhate, Maya Boustani, Pim Cuijpers, Bruce Chorpita, Christopher G Fairburn, Vikram Patel
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.

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Behaviour Research and Therapy

ISSN

0005-7967

Publisher

Elsevier

Department affiliated with

  • Psychology Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2019-07-18

First Open Access (FOA) Date

2021-07-30

First Compliant Deposit (FCD) Date

2019-07-17

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