Single-Session Digital Intervention for Adolescent Depression, Anxiety and Well-being: Outcomes of a Randomized Controlled Trial with Kenyan Adolescents

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dc.contributor.authorOsborn, Tom L.
dc.contributor.authorRodriguez, Micaela
dc.contributor.authorWasil, Akash R.
dc.contributor.authorVenturo-Conerly, Katherine E.
dc.contributor.authorGan, Jenny
dc.contributor.authorAlemu, Rediet G.
dc.contributor.authorRoe, Elizabeth
dc.contributor.authorG, Susana Arango
dc.contributor.authorOtieno, Benny H.
dc.contributor.authorWasanga, Christine M.
dc.contributor.authorShingleton, Rebecca
dc.contributor.authorWeisz, John R.
dc.date.accessioned2022-07-28T09:39:20Z
dc.date.available2022-07-28T09:39:20Z
dc.date.issued2020-03-24
dc.descriptionA Research Article in the Journal of Consulting and Clinical Psychologyen_US
dc.description.abstractBackground: Adolescent depression and anxiety symptoms are prevalent in Sub-Saharan African countries, yet treatment options are scarce, and stigma limits help-seeking. Brief, computerized single-session interventions (SSIs) that contain empirically supported stigmareducing elements may help expand access to treatment. We developed and evaluated such an intervention for Kenyan adolescents. Method: High school students (N=103, age 13-18) were randomized to a digital SSI ShamiriDigital (Shamiri means “thrive” in Kiswahili) or a study-skills control intervention. ShamiriDigital consisted of reading and writing activities about three concepts: growth mindset, gratitude, and value affirmation. Both Shamiri-Digital and the study-skills control condition were delivered electronically in schools. Results: Compared to the control, Shamiri-Digital produced greater reduction in adolescent depression symptoms in both the full sample (p = 0.028, d = 0.50) and a sub-sample of youths with moderate-to-severe depression symptoms (p = 0.010, d = 0.83) from baseline to two-week follow-up. The effects exceed the mean effects reported in meta-analyses of full-length, face-toface psychotherapy for youth depression. There were no significant effects on anxiety symptoms, well-being, or happiness. Conclusion: This is the first report that a brief, computerized SSI may reduce depressive symptoms in adolescents in Sub-Saharan Africa. Replication trials with extended follow-ups will help gauge the strength and durability of these effects. Trial Registration Number: PACTR201906810558181. Pan African Clinical Trials Registry (PACTR). Public Health Significance: This study provides evidence that a brief single-session positivepsychology intervention may help reduce depressive symptoms of adolescents living in Sub Saharan Africa, where there are few mental health professionals, and stigma limits help-seeking Keywords: Depression, Anxiety, Adolescents, Global Mental Health, Digital Mental Health, Sub-Saharan Africa, Growth Mindset, Gratitude, Value Affirmationen_US
dc.identifier.citationOsborn, T.L, Rodriguez, M., Wasil, A., Venturo-Conerly, K.E., Gan, J., Alemu, R.G., Roe, E., Arango G., S., Otieno, B.H., Wasanga, C.M., Shingleton, R., & Weisz, J.R. (2020).. Single-session digital intervention for adolescent depression, anxiety and well-being: Outcomes of a randomized controlled trial with Kenyan adolescents. Journal of Consulting and Clinical Psychology. Advance of Print. https://doi.org/10.1037/ccp0000505en_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/23873
dc.language.isoenen_US
dc.publisherJournal of Consulting and Clinical Psychology.en_US
dc.subjectDepressionen_US
dc.subjectAnxietyen_US
dc.subjectAdolescents, Global Mental Healthen_US
dc.subjectDigital Mental Healthen_US
dc.subjectSub-Saharan Africaen_US
dc.subjectGrowth Mindseten_US
dc.subjectGratitudeen_US
dc.subjectValue Affirmationen_US
dc.titleSingle-Session Digital Intervention for Adolescent Depression, Anxiety and Well-being: Outcomes of a Randomized Controlled Trial with Kenyan Adolescentsen_US
dc.typeArticleen_US
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