Internet-based behavioural activation with lay counsellor support versus online minimal psychoeducation without support for treatment of depression: a randomised controlled trial in Indonesia

Arjadi, Retha; Nauta, Maaike; Scholte, Willem F.; Hollon, Steven D.; Chowdhary, Neerja; Suryani, Angela Oktavia; Uiterwaal, Cuno S.P.M.; Bockting, Claudi

doi:10.1016/s2215-0366(18)30223-2

Cited by 92 publications

(162 citation statements)

References 25 publications

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“…The integration of digital technologies within such a model (ie, offering faceto-face, mobile and online services) has the potential to enhance helpseeking behaviours, access to therapy, service engagement and costeffectiveness (Alvarez-Jimenez et al, 2012;Burns et al, 2016;Lal & Adair, 2014;Rickwood, Webb, Kennedy, & Telford, 2016). For LMICs in particular, approaches that incorporate digital technologies, lay health workers and the integration of mental health care into larger frontline primary health and community development initiatives could reduce the treatment gap (Arjadi et al, 2018;Patel et al, 2008).…”

Section: Box 3 Overarching Considerations For Youth Mental Health Resmentioning

confidence: 99%

Global research priorities for youth mental health

Mei

Fitzsimons

Allen

et al. 2020

Early Intervention Psych

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Aim: Over the past two decades, the youth mental health field has expanded and advanced considerably. Yet, mental disorders continue to disproportionately affect adolescents and young adults. Their prevalence and associated morbidity and mortality in young people have not substantially reduced, with high levels of unmet need and poor access to evidence-based treatments even in high-income countries. Despite the potential return on investment, youth mental disorders receive insufficient funding. Motivated by these continual disparities, we propose a strategic agenda for youth mental health research.Method: Youth mental health experts and funders convened to develop youth mental health research priorities, via thematic roundtable discussions, that address critical evidence-based gaps. Results: Twenty-one global youth mental health research priorities were developed, including population health, neuroscience, clinical staging, novel interventions, technology, socio-cultural factors, service delivery, translation and implementation.Conclusions: These priorities will focus attention on, and provide a basis for, a systematic and collaborative strategy to globally improve youth mental health outcomes. K E Y W O R D S mental health, research priorities, youth

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Section: Box 3 Overarching Considerations For Youth Mental Health Resmentioning

confidence: 99%

Global research priorities for youth mental health

Mei

Fitzsimons

Allen

et al. 2020

Early Intervention Psych

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“…37 In addition, an internet-based BA intervention with lay health worker support has been shown to reduce symptoms of depression. 47 Using a small randomized pilot design, our study aims were to examine: (a) the feasibility of training lay volunteers to fidelity in "Do More, Feel Better" and (b) the acceptability, preliminary impact, and safety of the intervention, in comparison to referral to mental health services, by reporting client attendance at sessions, satisfaction, and…”

Section: Key Pointsmentioning

confidence: 99%

“…According to a systematic review, BA as a guided self‐help treatment with minimal professional contact is effective for mild to moderate depression . In addition, an internet‐based BA intervention with lay health worker support has been shown to reduce symptoms of depression …”

Section: Introductionmentioning

confidence: 99%

Lay‐delivered behavioral activation for depressed senior center clients: Pilot RCT

Raue

Sirey²,

Dawson

et al. 2019

Int J Geriat Psychiatry

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Objective We describe the development of a lay‐delivered behavioral intervention (“Do More, Feel Better”) for depressed senior center clients, and we present preliminary data from a pilot randomized controlled trial (RCT) on (a) the feasibility of training lay volunteers to fidelity and (b) the acceptability, impact, and safety of the intervention. Methods We trained 11 volunteers at two aging service settings in “Do More, Feel Better” and randomized 18 depressed clients to receive the intervention or referral to mental health services. Results Pilot data indicated that we can successfully train and certify 64% of older volunteers and that depressed clients receiving the intervention reported high levels of session attendance and satisfaction. While there were no significant differences in 12‐week reduction in Hamilton Depression Rating Scale scores between groups, intervention clients showed an 8‐point reduction in comparison with a 0‐point reduction among referral clients. Conclusions “Do More, Feel Better” has the potential of transferring evidence‐based behavioral interventions to the hands of supervised lay volunteers and can address the insufficient workforce providing geriatric mental health services.

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“…Her work focuses on using alternatives to traditional face-to-face therapy for delivering treatment to patients with depression in low and middle-income countries. She discusses here recent work using an internet-based platform combined with lay counselor support for delivering treatment for depression in Indonesia [ 1 ]. We also talk with Vikram Patel, a leader in global mental health research and professor at Harvard Medical School, Department of Global Health and Social Medicine.…”

Section: Introductionmentioning

confidence: 99%