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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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| Published in: | Behaviour research and therapy 2022-04, Vol.151, p.104040-104040, Article 104040 |
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| creator | Venturo-Conerly, Katherine E. Osborn, Tom L. Alemu, Rediet Roe, Elizabeth Rodriguez, Micaela Gan, Jenny Arango, Susana Wasil, Akash Wasanga, Christine Weisz, John R. |
| description | 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 |
| doi_str_mv | 10.1016/j.brat.2022.104040 |
| format | article |
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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 < .05; d = 0.31 [0.13-0.50]). Within the clinical sub-sample (N = 299), the values (p < .01; d = 0.49 [0.09-0.89]) and growth interventions (p < .05; d = 0.39 [0.01-0.76]) produced greater reductions in anxiety symptoms. There were no significant effects on depression.
The values intervention reduced anxiety for the full sample, as did the growth mindset and values interventions for symptomatic youths. Future efforts should examine durability of these effects over time.
•We test in a cluster RCT three single-session, lay-provider-delivered interventions.•Single-session values and growth interventions both reduced anxiety symptoms.•The single-session gratitude intervention did not reduce symptoms.•No single-session intervention significantly reduced depression symptoms.•The values intervention might be prioritized over the others for dissemination.</description><identifier>ISSN: 0005-7967</identifier><identifier>EISSN: 1873-622X</identifier><identifier>DOI: 10.1016/j.brat.2022.104040</identifier><identifier>PMID: 35168011</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>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</subject><ispartof>Behaviour research and therapy, 2022-04, Vol.151, p.104040-104040, Article 104040</ispartof><rights>2022 Elsevier Ltd</rights><rights>Copyright © 2022 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Apr 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-c54eeb40bfbb811251c33ebe4b83c64de7462e524d17b2dfc9adf54935222a5d3</citedby><cites>FETCH-LOGICAL-c384t-c54eeb40bfbb811251c33ebe4b83c64de7462e524d17b2dfc9adf54935222a5d3</cites><orcidid>0000-0002-3904-4751 ; 0000-0002-2290-8496 ; 0000-0002-8150-3093 ; 0000-0002-3586-6088 ; 0000-0003-3559-2491</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35168011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Venturo-Conerly, Katherine E.</creatorcontrib><creatorcontrib>Osborn, Tom L.</creatorcontrib><creatorcontrib>Alemu, Rediet</creatorcontrib><creatorcontrib>Roe, Elizabeth</creatorcontrib><creatorcontrib>Rodriguez, Micaela</creatorcontrib><creatorcontrib>Gan, Jenny</creatorcontrib><creatorcontrib>Arango, Susana</creatorcontrib><creatorcontrib>Wasil, Akash</creatorcontrib><creatorcontrib>Wasanga, Christine</creatorcontrib><creatorcontrib>Weisz, John R.</creatorcontrib><title>Single-session interventions for adolescent anxiety and depression symptoms in Kenya: A cluster-randomized controlled trial</title><title>Behaviour research and therapy</title><addtitle>Behav Res Ther</addtitle><description>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 < .05; d = 0.31 [0.13-0.50]). Within the clinical sub-sample (N = 299), the values (p < .01; d = 0.49 [0.09-0.89]) and growth interventions (p < .05; d = 0.39 [0.01-0.76]) produced greater reductions in anxiety symptoms. There were no significant effects on depression.
The values intervention reduced anxiety for the full sample, as did the growth mindset and values interventions for symptomatic youths. Future efforts should examine durability of these effects over time.
•We test in a cluster RCT three single-session, lay-provider-delivered interventions.•Single-session values and growth interventions both reduced anxiety symptoms.•The single-session gratitude intervention did not reduce symptoms.•No single-session intervention significantly reduced depression symptoms.•The values intervention might be prioritized over the others for dissemination.</description><subject>Adaptive behavior</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age differences</subject><subject>Anxiety</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - therapy</subject><subject>Anxiety Disorders</subject><subject>Brief interventions</subject><subject>Classrooms</subject><subject>Clinical trials</subject><subject>Depression</subject><subject>Depression - diagnosis</subject><subject>Depression - therapy</subject><subject>Global mental health</subject><subject>Gratitude</subject><subject>Health care</subject><subject>Humans</subject><subject>Individual differences</subject><subject>Intervention</subject><subject>Kenya</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Public health</subject><subject>Schools</subject><subject>Secondary schools</subject><subject>Single session interventions</subject><subject>Symptoms</subject><subject>Teenagers</subject><subject>Values</subject><issn>0005-7967</issn><issn>1873-622X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kUuLFDEUhYMoTjv6B1xIwI2bavOqVJW4GQZfOOBCBXchj1uSJpW0SWqY1j9vmm5duJAsbu7lO4ebHISeUrKlhMqXu63Jum4ZYawNRDv30IaOA-8kY9_uow0hpO-GSQ4X6FEpu9bykZGH6IL3VI6E0g369dnH7wG6AqX4FLGPFfItxNqagueUsXYpQLFthHW881APrTrsYJ_PmnJY9jUtpYnxR4gH_QpfYRvW0qy63OC0-J_gsE2x5hRCu9bsdXiMHsw6FHhyrpfo69s3X67fdzef3n24vrrpLB9F7WwvAIwgZjZmpJT11HIOBoQZuZXCwSAkg54JRwfD3Gwn7eZeTLxnjOne8Uv04uS7z-nHCqWqxbcHhaAjpLUoJtnERzlw2tDn_6C7tObYtmuUmMhEJB0axU6UzamUDLPaZ7_ofFCUqGM0aqeO0ahjNOoUTRM9O1uvZgH3V_Iniwa8PgHQ_uLWQ1bFeogWnM9gq3LJ_8__N5vLoeU</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Venturo-Conerly, Katherine E.</creator><creator>Osborn, Tom L.</creator><creator>Alemu, Rediet</creator><creator>Roe, Elizabeth</creator><creator>Rodriguez, Micaela</creator><creator>Gan, Jenny</creator><creator>Arango, Susana</creator><creator>Wasil, Akash</creator><creator>Wasanga, Christine</creator><creator>Weisz, John R.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3904-4751</orcidid><orcidid>https://orcid.org/0000-0002-2290-8496</orcidid><orcidid>https://orcid.org/0000-0002-8150-3093</orcidid><orcidid>https://orcid.org/0000-0002-3586-6088</orcidid><orcidid>https://orcid.org/0000-0003-3559-2491</orcidid></search><sort><creationdate>202204</creationdate><title>Single-session interventions for adolescent anxiety and depression symptoms in Kenya: A cluster-randomized controlled trial</title><author>Venturo-Conerly, Katherine E. ; Osborn, Tom L. ; Alemu, Rediet ; Roe, Elizabeth ; Rodriguez, Micaela ; Gan, Jenny ; Arango, Susana ; Wasil, Akash ; Wasanga, Christine ; Weisz, John R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-c54eeb40bfbb811251c33ebe4b83c64de7462e524d17b2dfc9adf54935222a5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adaptive behavior</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age differences</topic><topic>Anxiety</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - therapy</topic><topic>Anxiety Disorders</topic><topic>Brief interventions</topic><topic>Classrooms</topic><topic>Clinical trials</topic><topic>Depression</topic><topic>Depression - diagnosis</topic><topic>Depression - therapy</topic><topic>Global mental health</topic><topic>Gratitude</topic><topic>Health care</topic><topic>Humans</topic><topic>Individual differences</topic><topic>Intervention</topic><topic>Kenya</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Public health</topic><topic>Schools</topic><topic>Secondary schools</topic><topic>Single session interventions</topic><topic>Symptoms</topic><topic>Teenagers</topic><topic>Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Venturo-Conerly, Katherine E.</creatorcontrib><creatorcontrib>Osborn, Tom L.</creatorcontrib><creatorcontrib>Alemu, Rediet</creatorcontrib><creatorcontrib>Roe, Elizabeth</creatorcontrib><creatorcontrib>Rodriguez, Micaela</creatorcontrib><creatorcontrib>Gan, Jenny</creatorcontrib><creatorcontrib>Arango, Susana</creatorcontrib><creatorcontrib>Wasil, Akash</creatorcontrib><creatorcontrib>Wasanga, Christine</creatorcontrib><creatorcontrib>Weisz, John R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Behaviour research and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Venturo-Conerly, Katherine E.</au><au>Osborn, Tom L.</au><au>Alemu, Rediet</au><au>Roe, Elizabeth</au><au>Rodriguez, Micaela</au><au>Gan, Jenny</au><au>Arango, Susana</au><au>Wasil, Akash</au><au>Wasanga, Christine</au><au>Weisz, John R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-session interventions for adolescent anxiety and depression symptoms in Kenya: A cluster-randomized controlled trial</atitle><jtitle>Behaviour research and therapy</jtitle><addtitle>Behav Res Ther</addtitle><date>2022-04</date><risdate>2022</risdate><volume>151</volume><spage>104040</spage><epage>104040</epage><pages>104040-104040</pages><artnum>104040</artnum><issn>0005-7967</issn><eissn>1873-622X</eissn><abstract>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 < .05; d = 0.31 [0.13-0.50]). Within the clinical sub-sample (N = 299), the values (p < .01; d = 0.49 [0.09-0.89]) and growth interventions (p < .05; d = 0.39 [0.01-0.76]) produced greater reductions in anxiety symptoms. There were no significant effects on depression.
The values intervention reduced anxiety for the full sample, as did the growth mindset and values interventions for symptomatic youths. Future efforts should examine durability of these effects over time.
•We test in a cluster RCT three single-session, lay-provider-delivered interventions.•Single-session values and growth interventions both reduced anxiety symptoms.•The single-session gratitude intervention did not reduce symptoms.•No single-session intervention significantly reduced depression symptoms.•The values intervention might be prioritized over the others for dissemination.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35168011</pmid><doi>10.1016/j.brat.2022.104040</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-3904-4751</orcidid><orcidid>https://orcid.org/0000-0002-2290-8496</orcidid><orcidid>https://orcid.org/0000-0002-8150-3093</orcidid><orcidid>https://orcid.org/0000-0002-3586-6088</orcidid><orcidid>https://orcid.org/0000-0003-3559-2491</orcidid></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Freedom Collection |
| 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 |
| title | Single-session interventions for adolescent anxiety and depression symptoms in Kenya: A cluster-randomized controlled trial |
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