App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools.
App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools.
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基于App的青少年心理健康指导性问题解决干预：印度学校的试点队列研究
DOI：
10.1136/ebmental-2020-300194
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发表时间：
2021-03
影响因子：
5.2
通讯作者：
Patel V
中科院分区：
文献类型：
--
作者：
Gonsalves PP;Hodgson ES;Bhat B;Sharma R;Jambhale A;Michelson D;Patel V
本文介绍了“POD冒险”，一个外行辅导员指导的解决问题的干预，通过智能手机应用程序在印度中学交付的试点评估。测试POD冒险的可行性和可接受性，为青少年感到需要心理支持，并探讨干预的影响自我报告的心理健康症状，优先问题，压力和福祉。我们采用了混合方法的前后队列设计。参与者是来自印度果阿两所政府资助的男女同校中学的9-12年级学生。干预以两种形式进行，“混合”（包括个人和小组会议）和“小组”（仅限小组会议）。248名参与者参加了研究，230名（92.7%）完成了干预。4周时的结局显示，所有指标均显著改善，并维持在12周时。观察到对问题严重程度评分的较大影响（4周，d=1.47; 12周，d=1.53），而对心理健康症状，压力和幸福感的影响较小至中等。22名学生完成了关于他们的干预经验的定性访谈。参与者发现POD Adventures易于使用，参与并有助于解决他们的问题。他们对辅导员提供的指导感到满意，无论授课形式如何。POD冒险是可行的，提供与非专业辅导员在印度学校的指导，参与者可以接受，并与大的改善问题的严重程度和心理健康症状的严重程度。POD冒险有希望作为一个早期干预的青少年感到需要在低资源环境中的心理支持。
This paper describes the pilot evaluation of ‘POD Adventures’, a lay counsellor-guided problem-solving intervention delivered via a smartphone app in Indian secondary schools. To test the feasibility and acceptability of POD Adventures for adolescents with a felt need for psychological support, and to explore the intervention’s effects on self-reported mental health symptoms, prioritised problems, stress and well-being. We used a mixed-methods pre-post cohort design. Participants were self-referred from grades 9–12 in two coeducational government-aided secondary schools in Goa, India. The intervention was delivered in two formats, ‘mixed’ (comprising individual and small group sessions) and ‘group’ (small group sessions only). 248 participants enrolled in the study and 230 (92.7%) completed the intervention. Outcomes at 4 weeks showed significant improvements on all measures that were maintained at 12 weeks. Large effects were observed on problem severity scores (4 weeks, d=1.47; 12 weeks, d=1.53) while small to moderate effects were seen on mental health symptoms, stress and well-being. 22 students completed qualitative interviews about their experience of the intervention. Participants found POD Adventures easy to use, engaging and helpful in solving their problems. They were satisfied with the guidance provided by the counsellor irrespective of delivery format. POD Adventures was feasible to deliver with guidance from lay counsellors in Indian schools, acceptable to participants and associated with large improvements in problem severity and mental health symptom severity. POD Adventures has promise as an early intervention for adolescents with a felt need for psychological support in low-resource settings.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.7
作者：
Lau HM;Smit JH;Fleming TM;Riper H
通讯作者：
Riper H
影响因子：
2.8
作者：
Rathod, Shanaya;Pinninti, Narsimha;Naeem, Farooq
通讯作者：
Naeem, Farooq
DOI：
10.4103/0970-0218.177536
发表时间：
2016-04
期刊：
Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
影响因子：
--
作者：
Bhola P;Sathyanarayanan V;Rekha DP;Daniel S;Thomas T
通讯作者：
Thomas T
DOI：
10.1111/jcpp.13258
发表时间：
2020-08
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Bevan Jones R;Stallard P;Agha SS;Rice S;Werner-Seidler A;Stasiak K;Kahn J;Simpson SA;Alvarez-Jimenez M;Rice F;Evans R;Merry S
通讯作者：
Merry S