Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial

Abstract Background Treatments for youth mental disorders are a public health priority, especially in sub-Saharan Africa (SSA), where treatment options remain limited due to high cost, elevated stigma, and lack of trained mental health professionals. Brief, accessible, and non-stigmatizing community...

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Autores principales:	Katherine E. Venturo-Conerly, Tom L. Osborn, Akash R. Wasil, Huong Le, Emily Corrigan, Christine Wasanga, John R. Weisz
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Adolescents sub-Saharan Africa Global Mental Health Depression Anxiety Wellbeing Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/203b735982a942fb805b901d01646c04
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spelling	oai:doaj.org-article:203b735982a942fb805b901d01646c042021-11-28T12:28:30ZTesting the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial10.1186/s13063-021-05736-11745-6215https://doaj.org/article/203b735982a942fb805b901d01646c042021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05736-1https://doaj.org/toc/1745-6215Abstract Background Treatments for youth mental disorders are a public health priority, especially in sub-Saharan Africa (SSA), where treatment options remain limited due to high cost, elevated stigma, and lack of trained mental health professionals. Brief, accessible, and non-stigmatizing community-based interventions delivered by lay providers may help address treatment needs in SSA. One such intervention, the Shamiri Intervention, consisting of three elements (growth mindset, gratitude, and value affirmation) has been tested in randomized controlled trials with school-going Kenyan adolescents. This three-element Shamiri Intervention has been shown to significantly reduce depression and anxiety symptoms and improve social support and academic performance relative to a control group. In this trial, we aim to investigate the effects of each element of the Shamiri Intervention. Methods In this five-arm randomized controlled trial, we will test each of the intervention components (growth mindset, gratitude, and value affirmation) against the full Shamiri Intervention and against a study skills control intervention. Students (N planned = 1288) at participating secondary schools who are interested in participating in this universal intervention will be randomized in equal numbers into the five groups. The students will meet in groups of 8–15 students led by local high school graduate lay providers. These lay providers will receive a brief training, plus expert supervision once a week throughout the intervention delivery. Multi-level models will be used to compare trajectories over time of the primary outcomes (depressive symptoms, anxiety symptoms, academic performance, and wellness) and secondary outcomes in each intervention group to the control group. Multi-level models will also be used to compare trajectories over time of the primary outcomes (depressive symptoms, anxiety symptoms, academic performance, and wellness) and secondary outcomes of participants in the single-element interventions compared to the full Shamiri Intervention. Finally, effect sizes (calculated as mean gain scores) will be used to compare all groups on all measures. Discussion This trial will shed light on the mechanisms and outcomes targeted by each individual intervention, helping prioritize which mental health interventions are most important to disseminate. Trial registration PACTR Trial ID: PACTR202104716135752 . Approved on 4/19/2021.Katherine E. Venturo-ConerlyTom L. OsbornAkash R. WasilHuong LeEmily CorriganChristine WasangaJohn R. WeiszBMCarticleAdolescentssub-Saharan AfricaGlobal Mental HealthDepressionAnxietyWellbeingMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adolescents sub-Saharan Africa Global Mental Health Depression Anxiety Wellbeing Medicine (General) R5-920
spellingShingle	Adolescents sub-Saharan Africa Global Mental Health Depression Anxiety Wellbeing Medicine (General) R5-920 Katherine E. Venturo-Conerly Tom L. Osborn Akash R. Wasil Huong Le Emily Corrigan Christine Wasanga John R. Weisz Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial
description	Abstract Background Treatments for youth mental disorders are a public health priority, especially in sub-Saharan Africa (SSA), where treatment options remain limited due to high cost, elevated stigma, and lack of trained mental health professionals. Brief, accessible, and non-stigmatizing community-based interventions delivered by lay providers may help address treatment needs in SSA. One such intervention, the Shamiri Intervention, consisting of three elements (growth mindset, gratitude, and value affirmation) has been tested in randomized controlled trials with school-going Kenyan adolescents. This three-element Shamiri Intervention has been shown to significantly reduce depression and anxiety symptoms and improve social support and academic performance relative to a control group. In this trial, we aim to investigate the effects of each element of the Shamiri Intervention. Methods In this five-arm randomized controlled trial, we will test each of the intervention components (growth mindset, gratitude, and value affirmation) against the full Shamiri Intervention and against a study skills control intervention. Students (N planned = 1288) at participating secondary schools who are interested in participating in this universal intervention will be randomized in equal numbers into the five groups. The students will meet in groups of 8–15 students led by local high school graduate lay providers. These lay providers will receive a brief training, plus expert supervision once a week throughout the intervention delivery. Multi-level models will be used to compare trajectories over time of the primary outcomes (depressive symptoms, anxiety symptoms, academic performance, and wellness) and secondary outcomes in each intervention group to the control group. Multi-level models will also be used to compare trajectories over time of the primary outcomes (depressive symptoms, anxiety symptoms, academic performance, and wellness) and secondary outcomes of participants in the single-element interventions compared to the full Shamiri Intervention. Finally, effect sizes (calculated as mean gain scores) will be used to compare all groups on all measures. Discussion This trial will shed light on the mechanisms and outcomes targeted by each individual intervention, helping prioritize which mental health interventions are most important to disseminate. Trial registration PACTR Trial ID: PACTR202104716135752 . Approved on 4/19/2021.
format	article
author	Katherine E. Venturo-Conerly Tom L. Osborn Akash R. Wasil Huong Le Emily Corrigan Christine Wasanga John R. Weisz
author_facet	Katherine E. Venturo-Conerly Tom L. Osborn Akash R. Wasil Huong Le Emily Corrigan Christine Wasanga John R. Weisz
author_sort	Katherine E. Venturo-Conerly
title	Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial
title_short	Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial
title_full	Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial
title_fullStr	Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial
title_full_unstemmed	Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial
title_sort	testing the effects of the shamiri intervention and its components on anxiety, depression, wellbeing, and academic functioning in kenyan adolescents: study protocol for a five-arm randomized controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/203b735982a942fb805b901d01646c04
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Testing the effects of the Shamiri Intervention and its components on anxiety, depression, wellbeing, and academic functioning in Kenyan adolescents: study protocol for a five-arm randomized controlled trial

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