psychological distress among Thai general adults mental help-seeking attitudes among Thai general adults loneliness among Thai general adults help-seeking stigma among Thai general adults Bench with Ears Psychosocial support Volunteer-based Psychological Distress Mental help-seeking attitudes Loneliness Stigma Thailand
Conditions
Interventions
Participants in this arm receive a single 40-minute, face-to-face listening session at a public park (Lumpini Park, Bangkok) with a volunteer who has completed a 4-day, 28-hour Mind First Aid training
a middle phase in which the volunteer applies the trained listening skills flexibly according to context
and a closing phase in which the conversation is summarised, ended appropriately, and referred to further support if needed. This is a psychosocial support service and does not constitute diagnosis or
s Doing What Matters in Times of Stress (DWM) guide, grounded in Acceptance and Commitment Therapy (ACT). It comprises five activities designed to be completed within approximately 40 minutes: (1) Gro
(2) Mindful Observation, a cognitive defusion exercise for observing one'
s thoughts with distance rather than being absorbed in them
(3) Positive Writing, a gratitude-journaling exercise recording three positive daily experiences
(4) Daily Affirmations, a set of self-affirming statements covering self-acceptance, hope, and self-compassion
and (5) One Small Step, a values-based action-planning exercise for self-care. Each activity alternates between r
BWE,Telephone,Booklet
Sponsors
Sati App
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older 2. Subjective Units of Distress Scale (SUDS) score at least 3 3. At least 1 of the 3 DASS-21 subscales (Depression, Anxiety, or Stress) at mild, moderate, or severe level 4. Able to provide written informed consent 5. Sufficient Thai language proficiency 6. Registered to participate only through the pre-specified registration channel
Exclusion criteria
Exclusion criteria: 1. Any DASS-21 subscale at extremely severe level 2. 8Q total score of 17 or higher, or a 'yes' response to items indicating suicidal intent: inability to control suicidal ideation (item 3b), having a plan (item 4), having made preparations (item 5), or a deliberate suicide attempt (item 7) 3. Positive screen on the PRIME Screen-Revised (PS-R) for psychosis 4. Positive screen on the Mood Disorder Questionnaire (MDQ) for bipolar disorder, manic episode 5. Currently undergoing psychiatric medication changes involving new medication initiation, dose increase, a change in primary medication, or emergency psychiatric treatment within the past 3 months; or on a stable medication dose for less than 3 months (not including dose reductions made under a physician's advice). The study will not ask applicants to stop, adjust, or change any medication or treatment in order to meet eligibility, in order to protect participant safety and to minimise risk arising from changes to existing treatment 6. Acute physical conditions requiring close or urgent medical care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Psychological Distress At baseline (pre-intervention, T1) and immediately post-intervention (T2), within the same single session Subjective Units of Distress Scale (SUDS; Wolpe, 1969, 1990),Mental Help-Seeking Attitudes At baseline (pre-intervention, T1) and immediately post-intervention (T2), within the same single session Mental Help Seeking Attitudes Scale (MHSAS; Hammer et al., 2026) | — |
Secondary
| Measure | Time frame |
|---|---|
| Loneliness At baseline (pre-intervention, T1) and immediately post-intervention (T2), within the same single session Revised UCLA Loneliness Scale - 6-item Thai version (RULS-6; Wongpakaran et al., 2020), adapted to a state version,Help-Seeking Stigma At baseline (pre-intervention, T1) and immediately post-intervention (T2), within the same single session Perception of Stigmatisation by Others for Seeking Help (PSOSH; Vogel et al., 2009) | — |
Countries
Thailand
Contacts
Public ContactAmornthep Sachamuneewongse
Sati App
Outcome results
None listed