Anxiety, Depression
Conditions
Brief summary
This randomized controlled trial (RCT) will compare the efficacy and feasibility and acceptability of a culturally adapted CBT manual with a standard CBT manual, focusing on addressing cultural factors in therapy delivery.
Detailed description
Randomized Controlled Trial (RCT): Participants will be randomly assigned to either the culturally adapted CBT manual group or the standard CBT manual group. A culturally adapted manual will integrate cultural values, norms, and idioms of suffering into CBT techniques, ensuring relevance and acceptance within the target cultural group. The standard CBT manual will follow conventional CBT techniques without specific cultural adaptations.
Interventions
BEHAVIORALCulturally adapted CBT (CaCBT) based guided self-help manual
The intervention consists of seven modules including cognitive restructuring, problem solving, behavioural activation and conflict management. Three additional modules focus on interpersonal relationships, mental health wellbeing and self-care. Each module is delivered over one week. The intervention uses culturally appropriate stories, drawings, examples from local folklore and religious context to describe the concepts of CBT.
BEHAVIORALStandard CBT Manual
The standard CBT manual will follow conventional CBT techniques without specific cultural adaptations
Sponsors
Pakistan Association of Cognitive Therapists
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
This will be a randomized controlled trial to evaluate the feasibility and acceptability of delivering a new intervention. Participants who meet the inclusion criteria will be randomly allocated to intervention or control groups in a 1:1 ratio.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Individuals aged 18 to 65 years 2. 5 years of education 3. Symptoms of depression and anxiety
Exclusion criteria
1. Substance use disorder according to DSM-5 criteria as determined by primary care clinician 2. Significant cognitive impairment (for example, profound learning disability or dementia) as determined by primary care clinician 3. Active psychosis as determined by their primary care clinician
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility and acceptability measures | 12 weeks | Feasibility and acceptability and Client's satisfaction will be measured through standardized measures of anxiety and depression |
| Clinical Measures | 12 weeks | Depression and Anxiety, measured by Hosptal and Anxiety Scale (HADS) |
Countries
Pakistan
Outcome results
None listed