Digital delivery of behavioural activation therapy to overcome depression and facilitate social and economic transitions of adolescents in South Africa (the DoBAt study): protocol for a pilot randomised controlled trial

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dc.contributor.authorBianca D Moffett
dc.contributor.authorJulia R Pozuelo
dc.contributor.authorAlastair van Heerden
dc.contributor.authorHeather A O'Mahen
dc.contributor.authorMichelle Craske
dc.contributor.authorTholene Sodi
dc.contributor.authorCrick Lund
dc.contributor.authorKate Orkin
dc.contributor.authorEmma J Kilford
dc.contributor.authorSarah-Jayne Blakemore
dc.contributor.authorMahreen Mahmud
dc.contributor.authorEustasius Musenge
dc.contributor.authorMeghan Davis
dc.contributor.authorZamakhanya Makhanya
dc.contributor.authorTlangelani Baloyi
dc.contributor.authorDaniel Mahlangu
dc.contributor.authorGabriele Chierchia
dc.contributor.authorSophie L Fielmann
dc.contributor.authorF Xavier Gómez-Olivé
dc.contributor.authorImraan Valodia
dc.contributor.authorStephen Tollman
dc.contributor.authorKathleen Kahn
dc.contributor.authorAlan Stein
dc.date.accessioned2024-04-05T08:47:43Z
dc.date.available2024-04-05T08:47:43Z
dc.date.issued2022-12-05
dc.description.abstractIntroduction Scalable psychological treatments to address depression among adolescents are urgently needed. This is particularly relevant to low-income and middle-income countries where 90% of the world’s adolescents live. While digital delivery of behavioural activation (BA) presents a promising solution, its feasibility, acceptability and effectiveness among adolescents in an African context remain to be shown. Methods and analysis This study is a two-arm singleblind individual-level randomised controlled pilot trial to assess the feasibility, acceptability and initial efficacy of digitally delivered BA therapy among adolescents with depression. The intervention has been coproduced with adolescents at the study site. The study is based in the rural northeast of South Africa in the Bushbuckridge subdistrict of Mpumalanga province. A total of 200 adolescents with symptoms of mild to moderately severe depression on the Patient Health Questionnaire Adolescent Version will be recruited (1:1 allocation ratio). The treatment group will receive BA therapy via a smartphone application (the Kuamsha app) supported by trained peer mentors. The control group will receive an enhanced standard of care. The feasibility and acceptability of the intervention will be evaluated using a mixed methods design, and signals of the initial efficacy of the intervention in reducing symptoms of depression will be determined on an intention-to-treat basis. Secondary objectives are to pilot a range of cognitive, mental health, risky behaviour and socioeconomic measures; and to collect descriptive data on the feasibility of trial procedures to inform the development of a further larger trial.
dc.description.librarianPM2023
dc.facultyFaculty of Health Sciences
dc.identifier.urihttps://hdl.handle.net/10539/38331
dc.language.isoen
dc.schoolPublic Health
dc.titleDigital delivery of behavioural activation therapy to overcome depression and facilitate social and economic transitions of adolescents in South Africa (the DoBAt study): protocol for a pilot randomised controlled trial
dc.typeArticle
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