Treatment of depressive symptoms among school-going adolescents in Nepal Mental and Behavioural Disorders
Conditions
Interventions
Participants in the intervention arm will receive group interpersonal therapy in schools facilitated by trained laypersons. Groups are gender specific and comprise 5-8 adolescents. There are two pre-g
Sponsors
University College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adolescents: 1. 13-19 years old 2. Attending a participating school 3. Going to grades 7, 8, or 9 4. With depression assessed using a standardised tool (=10 for the PHQ-A) Caregivers: 1. 18 years old and above 2. Being a caregiver (e.g, parent, grandparent, family member) of an adolescent who takes part in the study IPT facilitators and supervisors: 1. 18 years old and above 2. Being an IPT facilitator or supervisor in this trial School staff: 1. 18 years old and above 2. Working at schools that participated in the trial or working in a school within the same municipality
Exclusion criteria
Exclusion criteria: Adolescents: We will exclude participants who are currently at risk for suicide. High risk for suicide includes a) suicide ideation with a plan in the past 2 weeks, b) suicide attempt in the past three months and c) lifetime suicide attempt with suicidal ideation in the past 2 weeks. Caregivers: No exclusion criteria IPT facilitators and supervisors: No exclusion criteria School staff: No exclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depressive symptoms measured using the Patient Health Questionnaire modified for adolescents (PHQ-A) at endline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Functional impairment measured using a tool developed for the study setting at endline 2. Anxiety symptoms measured using the Generalised Anxiety Disorder Assessment (GAD-7) at endline 3. Post-traumatic stress disorder symptoms measured using the PCL-5 8-items at endline 4. School attendance calculated as the percentage of days attended in a standardised four-week period (excluding school closures) at endline 5. Academic performance in a standardised exam at follow-up | — |
Countries
Nepal
Contacts
Public ContactKelly Rose-Clarke
Outcome results
None listed