Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT).
Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT).
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DOI：
10.1186/s13034-022-00480-z
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发表时间：
2022-06-21
影响因子：
5.6
通讯作者：
Rahman, Atif
中科院分区：
文献类型：
--
作者：
Hamdani, Syed Usman;Zill-E-Huma;Tamizuddin-Nizami, Asad;Um-ul-Baneen;Suleman, Nadia;Javed, Hashim;Malik, Aiysha;Wang, Duolao;Mazhar, Samra;Khan, Shahzad Alam;Minhas, Fareed Aslam;Rahman, Atif
关键词：
儿童和青少年心理健康问题是全球公共心理健康的优先事项。然而，对于生活在低资源环境中的青少年，缺乏基于证据的可扩展的心理干预措施。该试验旨在评估在巴基斯坦拉瓦尔品第一个农村街道的公立学校提供世界卫生组织早期青少年情绪技能（EASE）干预的可行性和可接受性。对来自8所公立学校的59名青少年及其照顾者进行了两臂、单盲、可行性整群随机对照试验。在4所干预学校中，6名非专业辅导员在国内监督员的监督下，以期望的保真度为青少年（n = 29）及其照顾者提供了文化适应的EASE小组会议。青少年干预期的参与率为83%。干预策略由青少年实施。然而，参加两周一次的学校会议对护理人员来说是一个挑战，只有50%的护理人员参加了会议。本研究的结果支持了在巴基斯坦的学校环境中通过非专业辅导员提供这种文化适应性干预的可行性和可接受性，并为开展一项全动力集群随机对照试验铺平了道路，以测试干预对改善青少年心理结果的有效性。临床试验注册在Clinicaltrials.gov前瞻性注册的试验；NCT04254393。在线版本包含补充材料，可在10.1186/s13034-022-00480-z获得。
Child and adolescent mental health problems are a global public mental health priority. However, there is a lack of evidence-based scalable psychological interventions for adolescents living in low resource settings. This trial was designed to evaluate the feasibility and acceptability of delivering the World Health Organization’s Early Adolescent Skills for Emotions (EASE) intervention at public schools in a rural sub-district in Rawalpindi, Pakistan. A two arm, single blinded, feasibility cluster randomized controlled trial with mixed-methods evaluation was conducted with 59 adolescents and their caregivers from 8 public schools. In the 4 intervention arm schools, 6 non-specialist facilitators delivered the culturally-adapted EASE group sessions to the adolescents (n = 29) and their caregivers with desired fidelity under the supervision of in-country supervisors. The participation rate of adolescents in the intervention sessions was 83%. The intervention strategies were implemented by the adolescents. However, attending biweekly sessions at schools was challenging for caregivers with only 50% caregivers attending the sessions. The results of this study support the feasibility and acceptability of delivering this culturally adapted intervention through non-specialist facilitators in school settings in Pakistan and pave the way to conduct a fully powered cluster randomized controlled trial to test the effectiveness of intervention to improve psychological outcomes in adolescents. Trial registration Trial registered with Clinicaltrials.gov prospectively; NCT04254393. The online version contains supplementary material available at 10.1186/s13034-022-00480-z.
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影响因子：
4.1
作者：
Fine, Shoshanna L.;Malik, Aiysha;Tol, Wietse A.
通讯作者：
Tol, Wietse A.
影响因子：
15.8
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Saxena S
影响因子：
3.7
作者：
Ferrari AJ;Norman RE;Freedman G;Baxter AJ;Pirkis JE;Harris MG;Page A;Carnahan E;Degenhardt L;Vos T;Whiteford HA
通讯作者：
Whiteford HA
影响因子：
5.2
作者：
Gonsalves PP;Hodgson ES;Bhat B;Sharma R;Jambhale A;Michelson D;Patel V
通讯作者：
Patel V
影响因子：
8.1
作者：
Erskine, H. E.;Baxter, A. J.;Scott, J. G.
通讯作者：
Scott, J. G.