“If there is a tension about something, I can solve it”: A qualitative investigation of change processes in a trial of brief problem‐solving interventions for common adolescent mental health problems in India

Malik, Kanika; Parikh, Rachana; Sahu, Rooplata; Sudhir, Paulomi M.; Fairburn, Christopher G.; Patel, Vikram; Michelson, Daniel

doi:10.1111/papt.12433

Cited by 6 publications

(3 citation statements)

References 54 publications

(71 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Each module to last 30-60 minutes. Coaching sessions to last 20-30 minutes Previous research also provides confidence that brief interventions can help reduce mental health difficulties in children (Malik et al, 2022). A recent meta-analysis (Schleider & Weisz, 2017) and review (Schleider et al, 2019) demonstrated that even single session interventions (SSIs) produce significant benefits for youth mental health difficulties.…”

Section: Discussionmentioning

confidence: 99%

Intervention for school anxiety and absenteeism in children (ISAAC): Co-designing a brief parent-focused intervention for emotionally-based school avoidance

McDonald,

Michelson,

Lester

2023

Clin Child Psychol Psychiatry

Self Cite

View full text Add to dashboard Cite

Emotionally-based school avoidance (EBSA) is an important driver of persistent school absenteeism and may have worsened in the context of COVID-19. This paper describes the development of a brief parent-focused psychosocial intervention with the goal to address the lack of accessible early interventions for EBSA. The developmental process used a person-based approach with two phases. In Phase 1, qualitative data were collected about intervention preferences and priorities from N = 10 parents and N = 7 practitioners in a series of co-design workshops. Phase 2 refined an intervention blueprint based on iterative consultations with N = 4 parents and N = 3 practitioners. Framework analysis was used to organise findings around key intervention parameters, including relevant mechanisms, content, and delivery methods needed to provide effective, acceptable and feasible support for families affected by EBSA. The resulting blueprint incorporates three online modules to be delivered over three weeks with each module consisting of psychoeducational videos, self-completed learning tasks and a corresponding coaching session. Respective module content includes: (i) self-care strategies to increase parent wellbeing and self-efficacy; (ii) parenting strategies to change behavioural patterns that maintain child distress and avoidance of school; and (iii) strategic communication strategies to increase the quality of home-school relationships. The blueprint has been developed into a full prototype for a forthcoming feasibility study.

show abstract

Section: Discussionmentioning

confidence: 99%

Intervention for school anxiety and absenteeism in children (ISAAC): Co-designing a brief parent-focused intervention for emotionally-based school avoidance

McDonald,

Michelson,

Lester

2023

Clin Child Psychol Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…The PRemIum for aDolEscents (PRIDE) Study manualized PST was chosen as the specific PST package to adapt (Michelson et al, 2020 ). The PRIDE study designed and evaluated this brief lay-counselor delivered PST intervention for adolescent students in India (Chorpita et al, 2020 ; Malik et al, 2022 , 2023 ; Please see the PRIDE website for full details: http://sangath.in/pride/ ). PRIDE PST is 5-sessions.…”

Section: Methodsmentioning

confidence: 99%

Peer-delivered Problem-solving Therapy for Adolescent Mental Health in Kenya: Adaptation for Context and Training of Peer-counselors

Giusto,

Vander Missen,

Kosgei

et al. 2023

Res Child Adolesc Psychopathol

View full text Add to dashboard Cite

Peer-delivered interventions for adolescent mental health can help address poor access to mental health interventions. Questions remain about how interventions can be adapted for peer delivery and whether peers can be trained. In this study, we adapted problem solving therapy (PST) for peer-delivery with adolescents in Kenya and explored whether peer counselors can be trained in PST. We adapted treatment prior to and during training using the Cultural Adaptation and Contextualization for Implementation framework. Nine peer counselors (Ages 20–24) were selected and trained over 10 days. Peer competencies and knowledge were measured pre-post using a written exam, a written case study, and role plays rated using a standardized competency measure. We chose a version of PST used in India with secondary school adolescents originally delivered by teachers. All materials were translated into Kiswahili. Language and format were adapted to Kenyan adolescents as well as for delivery by peers with a focus on understandability and relevance (e.g., noting shared experience). Metaphors, examples, and visual materials were adapted for the context to reflect the culture and vernacular of Kenyan youth. Peer counselors were able to be trained in PST. Pre-post competencies and understanding of content showed improvements with peers minimally meeting patient needs (pre) on average to moderate/fully meeting patient needs (post). Post-training written exam score showed an average 90% correct. There is an adapted version of PST for Kenyan adolescents and peer delivery. Peer counselors can be trained to deliver a 5-session PST in a community context.

show abstract

“…Several studies in India aimed to evaluate interventions to improve adolescent mental health in India. Remote online interventions had limited acceptability, a school-based mixed-gender body image intervention with a trained psychologist resulted in sustained improvements in many areas,20 and teaching of problem solving skills by a lay counsellor resulted in such skills being sustained and generalised beyond the original presenting problems 21…”

mentioning

confidence: 99%

Randomised controlled trials in child and adolescent health in 2023

Duke

2023

Arch Dis Child

View full text Add to dashboard Cite

In the year July 2022 to June 2023 there were 501 publications from randomised controlled trials (RCTs) in child and adolescent health in developing countries identified through a standardised search strategy that has been going for 20 years. This year, trials addressed the widest range of diseases and conditions that affect the health, development and well-being of children, newborns, adolescents and mothers. RCTs reflected old, neglected and new problems, the changing epidemiology of child health, social and economic circumstances in many countries, local and global priorities of low-income and middle-income countries, environmental causes of poor child health, and inequities. The RCTs tested new and refined treatments, diagnostics, vaccines, holistic management, and prevention approaches, and explored many outcomes, including mortality, nutrition, psychosocial measures, and neurodevelopment. The studies were conducted in numerous hospitals and healthcare clinics, schools, and communities, including among some of the world’s most disadvantaged populations in humanitarian and refugee emergencies. Some studies are of the highest quality, and others fall short. Many RCTs will influence guidelines, practice and policies for years to come.

show abstract

“If there is a tension about something, I can solve it”: A qualitative investigation of change processes in a trial of brief problem‐solving interventions for common adolescent mental health problems in India

Abstract: Vikram and Michelson, Daniel (2022) "If there is a tension about something, I can solve it": a qualitative investigation of change processes in a trial of brief problem-solving interventions for common adolescent mental health problems in India.

Cited by 6 publications

References 54 publications

Intervention for school anxiety and absenteeism in children (ISAAC): Co-designing a brief parent-focused intervention for emotionally-based school avoidance

Intervention for school anxiety and absenteeism in children (ISAAC): Co-designing a brief parent-focused intervention for emotionally-based school avoidance

Peer-delivered Problem-solving Therapy for Adolescent Mental Health in Kenya: Adaptation for Context and Training of Peer-counselors

Randomised controlled trials in child and adolescent health in 2023

Contact Info

Product

Resources

About