dc.contributor.author
Sit, Hao Fong
dc.contributor.author
Li, Gen
dc.contributor.author
Chen, Wen
dc.contributor.author
Sou, Elvo Kuai Long
dc.contributor.author
Wong, Mek
dc.contributor.author
Burchert, Sebastian
dc.contributor.author
Hong, Ieng Wai
dc.contributor.author
Sit, Ho Yi
dc.contributor.author
Lam, Agnes Iok Fong
dc.contributor.author
Hall, Brian J.
dc.date.accessioned
2023-01-17T10:14:42Z
dc.date.available
2023-01-17T10:14:42Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/37642
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-37357
dc.description.abstract
Background
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.
Objective
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.
Methods
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.
Discussion
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.
Trial registration
ChiCTR2100050214.
en
dc.format.extent
9 Seiten
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
Behavioral activation
en
dc.subject
Digital intervention
en
dc.subject
College students
en
dc.subject
Implementation
en
dc.subject
Randomized controlled trial
en
dc.subject.ddc
100 Philosophie und Psychologie::150 Psychologie::150 Psychologie
dc.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
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
100579
dcterms.bibliographicCitation.doi
10.1016/j.invent.2022.100579
dcterms.bibliographicCitation.journaltitle
Internet Interventions
dcterms.bibliographicCitation.volume
30
dcterms.bibliographicCitation.url
https://doi.org/10.1016/j.invent.2022.100579
refubium.affiliation
Erziehungswissenschaft und Psychologie
refubium.affiliation.other
Arbeitsbereich Klinisch-Psychologische Intervention
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.isPartOf.eissn
2214-7829
refubium.resourceType.provider
WoS-Alert