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...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.展开更多
Background 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 littl...Background 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.Aims To evaluate the effectiveness of two digital single-session interventions(Shamiri-Digital and Digital-CBT(cognitive-behavioural therapy))among Kenyan adolescents.Methods 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.Results 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.Conclusions 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.展开更多
文摘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.
文摘Background 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.Aims To evaluate the effectiveness of two digital single-session interventions(Shamiri-Digital and Digital-CBT(cognitive-behavioural therapy))among Kenyan adolescents.Methods 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.Results 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.Conclusions 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.
