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

Hall, BJ (通讯作者),New York Univ Shanghai, Ctr Global Hlth Equ, Shanghai, Peoples R China.
2022-12
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 imple-mentation 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.
INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH
卷号:30
收录类别:SCIE
语种
英语
来源机构
University of Hong Kong; NYU Shanghai; Sun Yat Sen University; Sun Yat Sen University; University of Macau; Free University of Berlin; University of Macau; University of Macau; University of Macau
资助信息
This work was supported by Bank of China (Macau Branch) as Title Sponsor, Rotary Club of Amizade Macau, Rotary of Macau, Rotary Club of Penha Macao, The Li Ka Shing Foundation, and the World Health Organization, Western Pacific Regional Office.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
8
2013以来使用计数
8
EISSN
2214-7829
出版年
2022-12
DOI
10.1016/j.invent.2022.100579
学科领域
循证公共卫生
关键词
Depression Behavioral activation Digital intervention College students Implementation Randomized controlled trial
资助机构
Bank of China (Macau Branch) World Health Organization(World Health Organization) Western Pacific Regional Office The Li Ka Shing Foundation Rotary Club of Amizade Macau Rotary of Macau Rotary Club of Penha Macao
WOS学科分类
Psychology, Clinical Health Care Sciences & Services Medical Informatics Psychiatry