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Testing e-Mental Health in Lebanon

Increasing Access to Mental Health Care for People Living in Lebanon: An E-Mental Health Intervention

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03720769
Enrollment
1248
Registered
2018-10-25
Start date
2019-12-09
Completion date
2020-12-20
Last updated
2021-04-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Depression

Brief summary

The study objective is to test a guided e-mental health intervention called Step-by-Step for people living in Lebanon. Step-by-Step is a self-help programme delivered through an app or website and aims to treat symptoms of depression and other symptoms of psychological distress. First, a small study will be conducted to test the research procedure. Second, a large study will be conducted to test the effectiveness of Step-by-Step. People residing in Lebanon (i.e. Lebanese, Palestinians and Syrian displaced people), above the age of 18 with symptoms of depression will be recruited through social media, posters, radio and television adverts, etc. Minors (under the age of 18) and people who have plans to end their life will be excluded from the study. To test whether the use of Step-by-Step improves symptoms of depression, two groups will be compared. Participants in the intervention group will receive Step-by-Step, while those in the control group will receive basic information about depression and a list of health centres where they can get face-to-face help that is based on evidence. In addition, participants in the intervention group will receive weekly phone or chat support (up to 15 minutes) provided through lay helpers who were trained and work under the supervision of a trained clinical psychologist. The study hypothesises that participants who receive Step-by-Step will have a higher symptom improvement than participants who receive basic information. In order to assess symptoms of depression and other symptoms of psychological distress, participants in this study will complete several questionnaires three times: At the beginning of the study, after 8 weeks, and then three months later (i.e. 5 months after the beginning of the study).

Interventions

BEHAVIORALStep-by-Step

Guided self-help programme delivered through an app/website for the treatment of depression

Psychoeducation and information about where to get help (i.e., mhGAP trained primary health care centres)

Sponsors

World Health Organization
CollaboratorOTHER
Ministry of Public Health, Lebanon
CollaboratorUNKNOWN
Freie Universität Berlin
CollaboratorOTHER
VU University of Amsterdam
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age 18 or above * PHQ-9 sum score above 9 * WHODAS 2.0 sum score above 16

Exclusion criteria

* Serious thoughts or plans to end one's life

Design outcomes

Primary

MeasureTime frameDescription
WHO Disability Assessment Schedule 2.0 (WHODAS 2.0)8 weeksGeneric assessment instrument for health and disability (intention-to-treat analysis)
Patient Health Questionnaire (PHQ-9)8 weeksSelf-administered instrument for depression screening (intention-to-treat analysis)

Secondary

MeasureTime frame
Generalized Anxiety Disorder - 7 Questionnaire (GAD-7)8 weeks
PTSD Checklist for DSM-5 (PCL-6)8 weeks
(Adapted) Client Service Receipt Inventory (CSRI)8 weeks
Self-defined psychosocial problems (PSYCHLOPS)8 weeks
WHO-5 Well-Being Index8 weeks

Other

MeasureTime frame
Client Satisfaction Questionnaire (CSQ-3)only at post-assessment (8 weeks after baseline)

Countries

Lebanon

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 17, 2026