Wasil Akash R, Osborn Tom Lee, Weisz John R, DeRubeis Robert J
Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Shamiri Institute, Nairobi, Kenya.
Gen Psychiatr. 2021 Jun 21;34(3):e100446. doi: 10.1136/gpsych-2020-100446. eCollection 2021.
Mental health problems are the leading cause of disability among adolescents worldwide, yet access to treatment is limited. Brief digital interventions have been shown to improve youth mental health, but little is known about which digital interventions are most effective.
To evaluate the effectiveness of two digital single-session interventions (Shamiri-Digital and Digital-CBT (cognitive-behavioural therapy)) among Kenyan adolescents.
We will perform a school-based comparative effectiveness randomised controlled trial. Approximately 926 Kenyan adolescents will be randomly assigned to one of three conditions: Shamiri-Digital (focused on gratitude, growth mindsets and values), Digital-CBT (focused on behavioural activation, cognitive restructuring and problem solving) or a study-skills control condition (focused on note-taking and essay writing skills). The primary outcomes include depressive symptoms (measured by the Patient Health Questionnaire-8), anxiety symptoms (Generalized Anxiety Disorder Screener-7) and subjective well-being (Short Warwick-Edinburgh Mental Well-being Scale). The secondary outcomes include acceptability, appropriateness, primary control and secondary control. Acceptability and appropriateness will be measured immediately post-intervention; other outcomes will be measured 2 weeks, 4 weeks and 12 weeks post-intervention.
We hypothesise that adolescents assigned to Shamiri-Digital and adolescents assigned to Digital-CBT will experience greater improvements (assessed via hierarchical linear models) than those assigned to the control group. We will also compare Shamiri-Digital with Digital-CBT, although we do not have a preplanned hypothesis.
Our findings will help us evaluate two digital single-session interventions with different theoretical foundations. If effective, such interventions could be disseminated to reduce the public health burden of common mental health problems.
PACTR202011691886690.
心理健康问题是全球青少年残疾的主要原因，但治疗机会有限。简短的数字干预已被证明可改善青少年心理健康，但对于哪种数字干预最有效知之甚少。
评估两种数字单节干预措施（沙米里数字干预和数字认知行为疗法）对肯尼亚青少年的有效性。
我们将进行一项基于学校的比较有效性随机对照试验。约926名肯尼亚青少年将被随机分配到三个条件之一：沙米里数字干预（侧重于感恩、成长型思维和价值观）、数字认知行为疗法（侧重于行为激活、认知重构和问题解决）或学习技能对照条件（侧重于笔记和论文写作技能）。主要结局包括抑郁症状（通过患者健康问卷-8测量）、焦虑症状（广泛性焦虑障碍筛查量表-7）和主观幸福感（简版沃里克-爱丁堡心理健康量表）。次要结局包括可接受性、适宜性、初级控制和次级控制。干预后立即测量可接受性和适宜性；其他结局将在干预后2周、4周和12周测量。
我们假设，与分配到对照组的青少年相比，分配到沙米里数字干预和数字认知行为疗法的青少年将有更大改善（通过分层线性模型评估）。我们还将比较沙米里数字干预和数字认知行为疗法，尽管我们没有预先设定的假设。
我们的研究结果将有助于评估两种具有不同理论基础的数字单节干预措施。如果有效，此类干预措施可加以推广，以减轻常见心理健康问题的公共卫生负担。
PACTR202011691886690。
