Single-session interventions for adolescent anxiety and depression symptoms in Kenya: A cluster-randomized controlled trial

Expanding mental healthcare for adolescents in low-income regions is a global health priority. Group interventions delivered by lay-providers may expand treatment options. Brief, positively-focused interventions conveying core concepts of adaptive functioning may help reduce adolescent symptoms of m...

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Bibliographic Details
Published in:Behaviour research and therapy 2022-04, Vol.151, p.104040-104040, Article 104040
Main Authors: Venturo-Conerly, Katherine E., Osborn, Tom L., Alemu, Rediet, Roe, Elizabeth, Rodriguez, Micaela, Gan, Jenny, Arango, Susana, Wasil, Akash, Wasanga, Christine, Weisz, John R.
Format: Article
Language:English
Subjects:
Adaptive behavior
Adolescent
Adolescents
Age differences
Anxiety
Anxiety - diagnosis
Anxiety - therapy
Anxiety Disorders
Brief interventions
Classrooms
Clinical trials
Depression
Depression - diagnosis
Depression - therapy
Global mental health
Gratitude
Health care
Humans
Individual differences
Intervention
Kenya
Mental depression
Mental disorders
Public health
Schools
Secondary schools
Single session interventions
Symptoms
Teenagers
Values
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Summary:Expanding mental healthcare for adolescents in low-income regions is a global health priority. Group interventions delivered by lay-providers may expand treatment options. Brief, positively-focused interventions conveying core concepts of adaptive functioning may help reduce adolescent symptoms of mental illness. In this trial, we tested three such interventions (growth mindset, gratitude, and value affirmation) as separate single-session interventions. Consenting adolescents (N = 895; Mage = 16.00) from two secondary schools in Kenya were randomized by classroom (24 classrooms; Mclass = 37.29 students) into single-session interventions: growth (N = 240), gratitude (N = 221), values (N = 244), or an active study-skills control (N = 190). Mixed-effects models controlling for age and gender were used to estimate individual-level intervention effects on anxiety and depression symptoms. Within the universal sample, the values intervention produced greater reductions in anxiety symptoms than the study-skills control (p 
ISSN:0005-7967
1873-622X
DOI:10.1016/j.brat.2022.104040