Jindal School of Psychology and Counselling, O.P. Jindal Global University, Sonipat 13100, India.
PRIDE Project, Sangath, New Delhi 110030, India.
Int J Environ Res Public Health. 2023 Jan 17;20(3):1722. doi: 10.3390/ijerph20031722.
Remote mental health services were rapidly deployed during the COVID-19 pandemic, yet there is relatively little contemporaneous evidence on their feasibility and acceptability. This study assessed the feasibility and acceptability of a stepped care mental health programme delivered remotely by lay counsellors to adolescents in New Delhi, India, during a period of 'lockdown'. The programme consisted of a brief problem-solving intervention ("Step 1") followed by a tailored behavioural module ("Step 2") for non-responders. We enrolled 34 participants (M age = 16.4 years) with a self-identified need for psychological support. Feasibility and acceptability were assessed through quantitative process indicators and qualitative interviews ( = 17 adolescents; = 5 counsellors). Thirty-one (91%) adolescents started Step 1 and 16 (52%) completed the planned Step 1 protocol. Twelve (75%) of the Step 1 completers were non-responsive. Eight (67%) non-responsive cases started Step 2, all of whom met response criteria when reassessed at 12 weeks post-enrolment. Adolescents favoured voice-only sessions over video-calls due to privacy concerns and difficulties accessing suitable devices. Counsellors noted challenges of completing remote sessions within the allotted time while recognising the importance of supervision for developing competence in new ways of working. Both adolescents and counsellors discussed the importance of working collaboratively and flexibly to fit around individual preferences and circumstances. Disentangling pandemic-specific barriers from more routine challenges to remote delivery should be a focus of future research.
远程心理健康服务在 COVID-19 大流行期间迅速部署,但关于其可行性和可接受性的同期证据相对较少。本研究评估了在印度新德里的“封锁”期间,由非专业辅导员远程向青少年提供阶梯式心理健康计划的可行性和可接受性。该计划包括一个简短的问题解决干预(“第 1 步”),然后对非应答者进行量身定制的行为模块(“第 2 步”)。我们招募了 34 名(M 年龄=16.4 岁)自我认定需要心理支持的参与者。通过定量过程指标和定性访谈(=17 名青少年;=5 名辅导员)评估可行性和可接受性。31 名(91%)青少年开始第 1 步,16 名(52%)完成了计划的第 1 步方案。12 名(75%)第 1 步完成者无反应。8 名(67%)无反应病例开始第 2 步,所有病例在入组后 12 周重新评估时均符合反应标准。由于隐私问题和难以获得合适的设备,青少年更喜欢语音通话而不是视频通话。辅导员注意到在规定时间内完成远程会议的挑战,同时认识到监督对于以新的工作方式发展能力的重要性。青少年和辅导员都讨论了协作和灵活工作以适应个人偏好和情况的重要性。未来的研究应重点关注从远程提供的更常规挑战中分离出与大流行相关的障碍。
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