Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT)
Abstract Background Child and adolescent mental health problems are a global public mental health priority. However, there is a lack of evidence-based scalable psychological interventions for adolescents living in low resource settings. This trial was designed to evaluate the feasibility and accepta...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
|
| Series: | Child and Adolescent Psychiatry and Mental Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13034-022-00480-z |
| _version_ | 1811230009985073152 |
|---|---|
| author | Syed Usman Hamdani Zill-e Huma Asad Tamizuddin-Nizami Um-ul Baneen Nadia Suleman Hashim Javed Aiysha Malik Duolao Wang Samra Mazhar Shahzad Alam Khan Fareed Aslam Minhas Atif Rahman |
| author_facet | Syed Usman Hamdani Zill-e Huma Asad Tamizuddin-Nizami Um-ul Baneen Nadia Suleman Hashim Javed Aiysha Malik Duolao Wang Samra Mazhar Shahzad Alam Khan Fareed Aslam Minhas Atif Rahman |
| author_sort | Syed Usman Hamdani |
| collection | DOAJ |
| description | Abstract Background Child and adolescent mental health problems are a global public mental health priority. However, there is a lack of evidence-based scalable psychological interventions for adolescents living in low resource settings. This trial was designed to evaluate the feasibility and acceptability of delivering the World Health Organization’s Early Adolescent Skills for Emotions (EASE) intervention at public schools in a rural sub-district in Rawalpindi, Pakistan. Methods A two arm, single blinded, feasibility cluster randomized controlled trial with mixed-methods evaluation was conducted with 59 adolescents and their caregivers from 8 public schools. In the 4 intervention arm schools, 6 non-specialist facilitators delivered the culturally-adapted EASE group sessions to the adolescents (n = 29) and their caregivers with desired fidelity under the supervision of in-country supervisors. Results The participation rate of adolescents in the intervention sessions was 83%. The intervention strategies were implemented by the adolescents. However, attending biweekly sessions at schools was challenging for caregivers with only 50% caregivers attending the sessions. Conclusions The results of this study support the feasibility and acceptability of delivering this culturally adapted intervention through non-specialist facilitators in school settings in Pakistan and pave the way to conduct a fully powered cluster randomized controlled trial to test the effectiveness of intervention to improve psychological outcomes in adolescents. Trial registration Trial registered with Clinicaltrials.gov prospectively; NCT04254393. |
| first_indexed | 2024-04-12T10:21:46Z |
| format | Article |
| id | doaj.art-aba53951326943969840372c32828d56 |
| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-04-12T10:21:46Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-aba53951326943969840372c32828d562022-12-22T03:37:04ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002022-06-0116111910.1186/s13034-022-00480-zFeasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT)Syed Usman Hamdani0Zill-e Huma1Asad Tamizuddin-Nizami2Um-ul Baneen3Nadia Suleman4Hashim Javed5Aiysha MalikDuolao Wang6Samra Mazhar7Shahzad Alam Khan8Fareed Aslam Minhas9Atif Rahman10Human Development Research Foundation (HDRF)Human Development Research Foundation (HDRF)Benazir Bhutto Hospital, Institute of Psychiatry, Rawalpindi Medical UniversityHuman Development Research Foundation (HDRF)Human Development Research Foundation (HDRF)Human Development Research Foundation (HDRF)Global Health Trials Unit, Liverpool School of Tropical MedicineMinistry of National Health Services, Regulations and CoordinationWorld Health Organization (WHO), Pakistan OfficeGlobal Institute of Human Development, Shifa Tameer-e-Millat UniversityDepartment of Primary Care and Mental Health, University of LiverpoolAbstract Background Child and adolescent mental health problems are a global public mental health priority. However, there is a lack of evidence-based scalable psychological interventions for adolescents living in low resource settings. This trial was designed to evaluate the feasibility and acceptability of delivering the World Health Organization’s Early Adolescent Skills for Emotions (EASE) intervention at public schools in a rural sub-district in Rawalpindi, Pakistan. Methods A two arm, single blinded, feasibility cluster randomized controlled trial with mixed-methods evaluation was conducted with 59 adolescents and their caregivers from 8 public schools. In the 4 intervention arm schools, 6 non-specialist facilitators delivered the culturally-adapted EASE group sessions to the adolescents (n = 29) and their caregivers with desired fidelity under the supervision of in-country supervisors. Results The participation rate of adolescents in the intervention sessions was 83%. The intervention strategies were implemented by the adolescents. However, attending biweekly sessions at schools was challenging for caregivers with only 50% caregivers attending the sessions. Conclusions The results of this study support the feasibility and acceptability of delivering this culturally adapted intervention through non-specialist facilitators in school settings in Pakistan and pave the way to conduct a fully powered cluster randomized controlled trial to test the effectiveness of intervention to improve psychological outcomes in adolescents. Trial registration Trial registered with Clinicaltrials.gov prospectively; NCT04254393.https://doi.org/10.1186/s13034-022-00480-zAdolescentsPsychosocial distressPsychological interventionsLow resource school settingsSchool mental healthFeasibility |
| spellingShingle | Syed Usman Hamdani Zill-e Huma Asad Tamizuddin-Nizami Um-ul Baneen Nadia Suleman Hashim Javed Aiysha Malik Duolao Wang Samra Mazhar Shahzad Alam Khan Fareed Aslam Minhas Atif Rahman Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT) Child and Adolescent Psychiatry and Mental Health Adolescents Psychosocial distress Psychological interventions Low resource school settings School mental health Feasibility |
| title | Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT) |
| title_full | Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT) |
| title_fullStr | Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT) |
| title_full_unstemmed | Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT) |
| title_short | Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT) |
| title_sort | feasibility and acceptability of a multicomponent group psychological intervention for adolescents with psychosocial distress in public schools of pakistan a feasibility cluster randomized controlled trial crct |
| topic | Adolescents Psychosocial distress Psychological interventions Low resource school settings School mental health Feasibility |
| url | https://doi.org/10.1186/s13034-022-00480-z |
| work_keys_str_mv | AT syedusmanhamdani feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT zillehuma feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT asadtamizuddinnizami feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT umulbaneen feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT nadiasuleman feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT hashimjaved feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT aiyshamalik feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT duolaowang feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT samramazhar feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT shahzadalamkhan feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT fareedaslamminhas feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct AT atifrahman feasibilityandacceptabilityofamulticomponentgrouppsychologicalinterventionforadolescentswithpsychosocialdistressinpublicschoolsofpakistanafeasibilityclusterrandomizedcontrolledtrialcrct |