Safeguarding adolescent mental health in India (SAMA): study protocol for codesign and feasibility study of a school systems intervention targeting adolescent anxiety and depression in India.

Safeguarding adolescent mental health in India (SAMA): study protocol for codesign and feasibility study of a school systems intervention targeting adolescent anxiety and depression in India.
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DOI:
10.1136/bmjopen-2021-054897
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发表时间:
2022-04-04
期刊:
影响因子:
2.9
通讯作者:
Mallikarjun P
Mallikarjun P
中科院分区:
医学3区
文献类型:
--
作者:
Hugh-Jones S;Janardhana N;Al-Janabi H;Bhola P;Cooke P;Fazel M;Hudson K;Khandeparkar P;Mirzoev T;Venkataraman S;West RM;Mallikarjun P

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印度青少年的焦虑和抑郁症状很常见。学校可以成为提供心理健康干预措施的适当场所。然而,印度没有一个基于证据和综合的全校心理健康方法。本文介绍了印度青少年心理健康保障项目(SAMA)的研究设计。SAMA的目的是共同设计和可行性测试一套跨印度青少年,学校,家庭及其当地社区交叉系统的心理健康多成分干预措施。我们的项目将在印度卡纳塔克邦的Bengalu和Kolar的八所学校(三所分配到候补名单)共同设计和可行性测试四种干预措施。主要目的是减少青少年焦虑和抑郁的流行。干预措施的共同设计将以现有证据和资源为基础。对在校青少年的干预措施将是普遍性的,纳入课程和社会内容。针对家长和教师的干预措施将以心理健康知识为目标,针对教师的干预措施也将以积极行为做法培训为目标。对学校社区的干预将针对学校氛围,以提高学生的心理健康素养和护理。对更广泛社区的干预将通过社区主导的电影和社交媒体进行。我们将估算干预成本,测试结果措施,并确定根据证据增加政策行动的途径。伦理批准已获得国家精神卫生研究所神经科学研究伦理委员会(NIMHANS/26th IEC(Behv Sc Div/2020/2021))和利兹大学心理学研究伦理委员会(PSYC-221)的批准。某些数据将在数据共享网站上提供。研究结果将通过同行评审期刊和会议传播。
Symptoms of anxiety and depression in Indian adolescents are common. Schools can be opportune sites for delivery of mental health interventions. India, however, is without a evidence-based and integrated whole-school mental health approach. This article describes the study design for the safeguarding adolescent mental health in India (SAMA) project. The aim of SAMA is to codesign and feasibility test a suite of multicomponent interventions for mental health across the intersecting systems of adolescents, schools, families and their local communities in India. Our project will codesign and feasibility test four interventions to run in parallel in eight schools (three assigned to waitlist) in Bengaluru and Kolar in Karnataka, India. The primary aim is to reduce the prevalence of adolescent anxiety and depression. Codesign of interventions will build on existing evidence and resources. Interventions for adolescents at school will be universal, incorporating curriculum and social components. Interventions for parents and teachers will target mental health literacy, and also for teachers, training in positive behaviour practices. Intervention in the school community will target school climate to improve student mental health literacy and care. Intervention for the wider community will be via adolescent-led films and social media. We will generate intervention cost estimates, test outcome measures and identify pathways to increase policy action on the evidence. Ethical approval has been granted by the National Institute of Mental Health Neurosciences Research Ethics Committee (NIMHANS/26th IEC (Behv Sc Div/2020/2021)) and the University of Leeds School of Psychology Research Ethics Committee (PSYC-221). Certain data will be available on a data sharing site. Findings will be disseminated via peer-reviewed journals and conferences.
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