Your browser doesn't support javascript.
loading
A protocol for a type 1 effectiveness-implementation randomized controlled trial of the WHO digital mental health intervention Step-by-Step to address depression among Chinese young adults in Macao (SAR), China.
Sit, Hao Fong; Li, Gen; Chen, Wen; Sou, Elvo Kuai Long; Wong, Mek; Burchert, Sebastian; Hong, Ieng Wai; Sit, Ho Yi; Lam, Agnes Iok Fong; Hall, Brian J.
Afiliación
  • Sit HF; Department of Psychology, The University of Hong Kong, Pokfulam, Hong Kong (SAR), People's Republic of China.
  • Li G; Center for Global Health Equity, New York University (Shanghai), Shanghai, People's Republic of China.
  • Chen W; Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Zhongshan Road 2, Guangzhou, People's Republic of China.
  • Sou EKL; Sun Yat-sen Centre for Migrant Health Policy, Sun Yat-sen University, Zhongshan Road 2, Guangzhou, People's Republic of China.
  • Wong M; Student Affairs Office, University of Macau, Macao (SAR), People's Republic of China.
  • Burchert S; Student Affairs Office, University of Macau, Macao (SAR), People's Republic of China.
  • Hong IW; Department of Education and Psychology, Division of Clinical Psychological Intervention, Freie Universität Berlin (FUB), Germany.
  • Sit HY; Moon Chun Memorial College, University of Macau, Macao (SAR), People's Republic of China.
  • Lam AIF; Shiu Pong College, University of Macau, Macao (SAR), People's Republic of China.
  • Hall BJ; Centre for Macau Studies, University of Macau, Macao (SAR), People's Republic of China.
Internet Interv ; 30: 100579, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36217366
Background: Among Chinese college students, the burden of depression is considerably high, affecting up to 30 % of the population. Despite this burden, few Chinese students seek mental health treatment. In addition, depression is highly comorbid with other mental health disorders, such as anxiety. Scalable, transdiagnostic, evidence-based interventions are needed for this population. Objective: The study will evaluate the effectiveness of a World Health Organization transdiagnostic digital mental health intervention, Step-by-Step, to reduce depressive and anxiety symptoms and improve well-being compared with enhanced care as usual and its implementation in a Chinese university community. Methods: A type 1 effectiveness-implementation two-arm, parallel, randomized controlled trial will be conducted. The two conditions are 1) the 5-session Step-by-Step program with minimal guidance by trained peer-helpers and 2) psychoeducational information on depression and anxiety and referrals to local community services. A total of 334 Chinese university students will be randomized with a 1:1 ratio to either of the two groups. Depression, anxiety, wellbeing, and client defined problems will be assessed at pre-intervention, post-intervention, and 3-month follow-up. Endline qualitative interviews and focus group discussions will be conducted to explore SbS implementation among service users, university staff, and stakeholders. Data will be analysed based on the intent-to-treat principle. Discussion: Step-by-Step is an innovative approach to address common mental health problems in populations with sufficient digital literacy. It is a promising intervention that can be embedded to scale mental health services within a university setting. It is anticipated that after successful evaluation of the program and its implementation in the type 1 hybrid design RCT study, Step-by-Step can be scaled and maintained as a low-intensity treatment in universities, and potentially extended to other populations within the Chinese community. Trial registration: ChiCTR2100050214.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline / Qualitative_research Idioma: En Revista: Internet Interv Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline / Qualitative_research Idioma: En Revista: Internet Interv Año: 2022 Tipo del documento: Article Pais de publicación: Países Bajos