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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
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, tra...
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Published in: | Internet interventions : the application of information technology in mental and behavioural health 2022-12, Vol.30, p.100579-100579, Article 100579 |
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description | 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.
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.
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.
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.
ChiCTR2100050214.
•A protocol for a hybrid type 1 digital mental health intervention trial is reported.•The study population will be Chinese young adults enrolled in university.•The trial will compare psychoeducation to Step-by-Step a WHO digital intervention.•Stakeholders evaluation will focus on long-term scalability within universities. |
doi_str_mv | 10.1016/j.invent.2022.100579 |
format | article |
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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.
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.
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.
ChiCTR2100050214.
•A protocol for a hybrid type 1 digital mental health intervention trial is reported.•The study population will be Chinese young adults enrolled in university.•The trial will compare psychoeducation to Step-by-Step a WHO digital intervention.•Stakeholders evaluation will focus on long-term scalability within universities.</description><identifier>ISSN: 2214-7829</identifier><identifier>EISSN: 2214-7829</identifier><identifier>DOI: 10.1016/j.invent.2022.100579</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Behavioral activation ; College students ; Depression ; Digital intervention ; Full length ; Implementation ; Randomized controlled trial</subject><ispartof>Internet interventions : the application of information technology in mental and behavioural health, 2022-12, Vol.30, p.100579-100579, Article 100579</ispartof><rights>2022</rights><rights>2022 The Author(s) 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-b2b45e6dca572b06bc7133ea5b334ce17beda72d4d2132c9887f829ce3ccb0f93</citedby><cites>FETCH-LOGICAL-c560t-b2b45e6dca572b06bc7133ea5b334ce17beda72d4d2132c9887f829ce3ccb0f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547191/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2214782922000860$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids></links><search><creatorcontrib>Sit, Hao Fong</creatorcontrib><creatorcontrib>Li, Gen</creatorcontrib><creatorcontrib>Chen, Wen</creatorcontrib><creatorcontrib>Sou, Elvo Kuai Long</creatorcontrib><creatorcontrib>Wong, Mek</creatorcontrib><creatorcontrib>Burchert, Sebastian</creatorcontrib><creatorcontrib>Hong, Ieng Wai</creatorcontrib><creatorcontrib>Sit, Ho Yi</creatorcontrib><creatorcontrib>Lam, Agnes Iok Fong</creatorcontrib><creatorcontrib>Hall, Brian J.</creatorcontrib><title>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</title><title>Internet interventions : the application of information technology in mental and behavioural health</title><description>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.
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.
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.
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.
ChiCTR2100050214.
•A protocol for a hybrid type 1 digital mental health intervention trial is reported.•The study population will be Chinese young adults enrolled in university.•The trial will compare psychoeducation to Step-by-Step a WHO digital intervention.•Stakeholders evaluation will focus on long-term scalability within universities.</description><subject>Behavioral activation</subject><subject>College students</subject><subject>Depression</subject><subject>Digital intervention</subject><subject>Full length</subject><subject>Implementation</subject><subject>Randomized controlled trial</subject><issn>2214-7829</issn><issn>2214-7829</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9ksuKFDEUhgtRcBjnDVxkOYLVVpK6ZSM0jToDIwOO4jKcSk51p0lVyiTd0D6mT2Sqa1Bn4-okJ3--c-HPste0WNGC1u_2KzMecYwrVjCWUkXViGfZBWO0zJuWief_nF9mVyHsi6KgrKoLIS6yX2syeRedcpb0zhMg8TQhoQT7HlU0iYwh5GaYLA6pCkTjRuJh1G4wP1ET5cbonbXpGL0BS1xP4g7J95t7os3WxJQ6f7Rkh2Djjpgxop87nkkPEae8O-VzJNER0NqngkTjNMdZAoMbt2SzM6kTJCd3SDfQBxtDQpHPoMCR64f1lzdvzyJ4lb3owQa8eoyX2bePH75ubvK7-0-3m_VdrtLsMe9YV1ZYawVVw7qi7lRDOUeoOs5LhbTpUEPDdKkZ5UyJtm36tEKFXKmu6AW_zG4Xrnawl5M3A_iTdGDkOeH8VoKPRlmUdUWB07Ziildl0zDoSgpCC8Fa6Nq6Saz3C2s6dANqlbbjwT6BPn0ZzU5u3VGKxKOCJsD1I8C7HwcMUQ4mKLQWRnSHIFnDeEurtuRJWi5S5V0IHvs_ZWghZ0vJvVwsJWdLycVSf1vEtNOjQS-DMjgq1MYnp6Shzf8BvwFv-duw</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Sit, Hao Fong</creator><creator>Li, Gen</creator><creator>Chen, Wen</creator><creator>Sou, Elvo Kuai Long</creator><creator>Wong, Mek</creator><creator>Burchert, Sebastian</creator><creator>Hong, Ieng Wai</creator><creator>Sit, Ho Yi</creator><creator>Lam, Agnes Iok Fong</creator><creator>Hall, Brian J.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20221201</creationdate><title>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</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-b2b45e6dca572b06bc7133ea5b334ce17beda72d4d2132c9887f829ce3ccb0f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Behavioral activation</topic><topic>College students</topic><topic>Depression</topic><topic>Digital intervention</topic><topic>Full length</topic><topic>Implementation</topic><topic>Randomized controlled trial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sit, Hao Fong</creatorcontrib><creatorcontrib>Li, Gen</creatorcontrib><creatorcontrib>Chen, Wen</creatorcontrib><creatorcontrib>Sou, Elvo Kuai Long</creatorcontrib><creatorcontrib>Wong, Mek</creatorcontrib><creatorcontrib>Burchert, Sebastian</creatorcontrib><creatorcontrib>Hong, Ieng Wai</creatorcontrib><creatorcontrib>Sit, Ho Yi</creatorcontrib><creatorcontrib>Lam, Agnes Iok Fong</creatorcontrib><creatorcontrib>Hall, Brian J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Internet interventions : the application of information technology in mental and behavioural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sit, Hao Fong</au><au>Li, Gen</au><au>Chen, Wen</au><au>Sou, Elvo Kuai Long</au><au>Wong, Mek</au><au>Burchert, Sebastian</au><au>Hong, Ieng Wai</au><au>Sit, Ho Yi</au><au>Lam, Agnes Iok Fong</au><au>Hall, Brian J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Internet interventions : the application of information technology in mental and behavioural health</jtitle><date>2022-12-01</date><risdate>2022</risdate><volume>30</volume><spage>100579</spage><epage>100579</epage><pages>100579-100579</pages><artnum>100579</artnum><issn>2214-7829</issn><eissn>2214-7829</eissn><abstract>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.
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.
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.
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.
ChiCTR2100050214.
•A protocol for a hybrid type 1 digital mental health intervention trial is reported.•The study population will be Chinese young adults enrolled in university.•The trial will compare psychoeducation to Step-by-Step a WHO digital intervention.•Stakeholders evaluation will focus on long-term scalability within universities.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.invent.2022.100579</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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source | ScienceDirect Journals; PubMed Central |
subjects | Behavioral activation College students Depression Digital intervention Full length Implementation Randomized controlled trial |
title | 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 |
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