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Online single-session interventions for Kenyan adolescents:study protocol for a comparative effectiveness randomised controlled trial

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General Psychiatry 2021年第3期34卷 163-168页

作者： akash r wasil Tom Lee Osborn John r Weisz robert J Derubeis Department of Psychology University of PennsylvaniaPhiladelphiaPennsylvaniaUSA Shamiri Institute NairobiKenya Department of Psychology Harvard UniversityCambridgeMassachusettsUSA

Background Mental health problems are the leading cause of disability among adolescents worldwide,yet access to treatment is *** digital interventions have been shown to improve youth mental health,but little is known about which digital interventions are most *** To evaluate the effectiveness of two digital single-session interventions(Shamiri-Digital and Digital-CBT(cognitive-behavioural therapy))among Kenyan *** We will perform a school-based comparative effectiveness randomised controlled *** 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 *** and appropriateness will be measured immediately post-intervention;other outcomes will be measured 2 weeks,4 weeks and 12 weeks *** 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 *** will also compare Shamiri-Digital with Digital-CBT,although we do not have a preplanned *** Our findings will help us evaluate two digital single-session interventions with different theoretical *** effective,such interventions could be disseminated to reduce the public health burden of common mental health problems.

关键词： assigned behaviour Edinburgh

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Where is the global in global mental health?A call for inclusive multicultural collaboration

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General Psychiatry 2020年第6期33卷 423-425页

作者： Tom L Osborn akash r wasil John r Weisz Arthur Kleinman David M Ndetei Department of Psychology Harvard UniversityCambridgeMassachusettsUSA Shamiri Institute NairobiKenya Department of Psychology University of PennsylvaniaPhiladelphiaPennsylvaniaUSA Department of Anthropology Harvard UniversityCambridgeMassachusettsUSA Department of Global Health and Social Medicine Harvard Medical SchoolBostonMassachusettsUSA Africa Mental Health research and Training Foundation NairobiKenya Department of Psychiatry University of NairobiNairobiKenya

To the editor:Common mental health disorders,like depression and anxiety,account for 45%of the global disease burden on youths aged 15-29.1 This challenge is particularly significant in low and middle-income countries(LMICs)where risk factors such as poverty,limited treatment options and stigma restrict access to care and exacerbate the burden and magnify the impact of mental disorders.23 Given these barriers,there is an urgent need for research dedicated to expanding mental healthcare for young people in LMICs.

关键词： editor global income

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