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App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools
BACKGROUND: This paper describes the pilot evaluation of ‘POD Adventures’, a lay counsellor-guided problem-solving intervention delivered via a smartphone app in Indian secondary schools. OBJECTIVE: To test the feasibility and acceptability of POD Adventures for adolescents with a felt need for psyc...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7958086/ https://www.ncbi.nlm.nih.gov/pubmed/33208507 http://dx.doi.org/10.1136/ebmental-2020-300194 |
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author | Gonsalves, Pattie P Hodgson, Eleanor Sara Bhat, Bhargav Sharma, Rhea Jambhale, Abhijeet Michelson, Daniel Patel, Vikram |
author_facet | Gonsalves, Pattie P Hodgson, Eleanor Sara Bhat, Bhargav Sharma, Rhea Jambhale, Abhijeet Michelson, Daniel Patel, Vikram |
author_sort | Gonsalves, Pattie P |
collection | PubMed |
description | BACKGROUND: This paper describes the pilot evaluation of ‘POD Adventures’, a lay counsellor-guided problem-solving intervention delivered via a smartphone app in Indian secondary schools. OBJECTIVE: To test the feasibility and acceptability of POD Adventures for adolescents with a felt need for psychological support, and to explore the intervention’s effects on self-reported mental health symptoms, prioritised problems, stress and well-being. METHODS: We used a mixed-methods pre-post cohort design. Participants were self-referred from grades 9–12 in two coeducational government-aided secondary schools in Goa, India. The intervention was delivered in two formats, ‘mixed’ (comprising individual and small group sessions) and ‘group’ (small group sessions only). FINDINGS: 248 participants enrolled in the study and 230 (92.7%) completed the intervention. Outcomes at 4 weeks showed significant improvements on all measures that were maintained at 12 weeks. Large effects were observed on problem severity scores (4 weeks, d=1.47; 12 weeks, d=1.53) while small to moderate effects were seen on mental health symptoms, stress and well-being. 22 students completed qualitative interviews about their experience of the intervention. Participants found POD Adventures easy to use, engaging and helpful in solving their problems. They were satisfied with the guidance provided by the counsellor irrespective of delivery format. CONCLUSIONS: POD Adventures was feasible to deliver with guidance from lay counsellors in Indian schools, acceptable to participants and associated with large improvements in problem severity and mental health symptom severity. CLINICAL IMPLICATIONS: POD Adventures has promise as an early intervention for adolescents with a felt need for psychological support in low-resource settings. |
format | Online Article Text |
id | pubmed-7958086 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-79580862021-03-28 App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools Gonsalves, Pattie P Hodgson, Eleanor Sara Bhat, Bhargav Sharma, Rhea Jambhale, Abhijeet Michelson, Daniel Patel, Vikram Evid Based Ment Health Digital Mental Health BACKGROUND: This paper describes the pilot evaluation of ‘POD Adventures’, a lay counsellor-guided problem-solving intervention delivered via a smartphone app in Indian secondary schools. OBJECTIVE: To test the feasibility and acceptability of POD Adventures for adolescents with a felt need for psychological support, and to explore the intervention’s effects on self-reported mental health symptoms, prioritised problems, stress and well-being. METHODS: We used a mixed-methods pre-post cohort design. Participants were self-referred from grades 9–12 in two coeducational government-aided secondary schools in Goa, India. The intervention was delivered in two formats, ‘mixed’ (comprising individual and small group sessions) and ‘group’ (small group sessions only). FINDINGS: 248 participants enrolled in the study and 230 (92.7%) completed the intervention. Outcomes at 4 weeks showed significant improvements on all measures that were maintained at 12 weeks. Large effects were observed on problem severity scores (4 weeks, d=1.47; 12 weeks, d=1.53) while small to moderate effects were seen on mental health symptoms, stress and well-being. 22 students completed qualitative interviews about their experience of the intervention. Participants found POD Adventures easy to use, engaging and helpful in solving their problems. They were satisfied with the guidance provided by the counsellor irrespective of delivery format. CONCLUSIONS: POD Adventures was feasible to deliver with guidance from lay counsellors in Indian schools, acceptable to participants and associated with large improvements in problem severity and mental health symptom severity. CLINICAL IMPLICATIONS: POD Adventures has promise as an early intervention for adolescents with a felt need for psychological support in low-resource settings. BMJ Publishing Group 2021-02 2020-11-18 /pmc/articles/PMC7958086/ /pubmed/33208507 http://dx.doi.org/10.1136/ebmental-2020-300194 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Digital Mental Health Gonsalves, Pattie P Hodgson, Eleanor Sara Bhat, Bhargav Sharma, Rhea Jambhale, Abhijeet Michelson, Daniel Patel, Vikram App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools |
title | App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools |
title_full | App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools |
title_fullStr | App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools |
title_full_unstemmed | App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools |
title_short | App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools |
title_sort | app-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in indian schools |
topic | Digital Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7958086/ https://www.ncbi.nlm.nih.gov/pubmed/33208507 http://dx.doi.org/10.1136/ebmental-2020-300194 |
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