Using Group Interpersonal Psychotherapy to Improve the Well-Being of Adolescent Girls

Not Applicable

Completed

• Conditions: Mental Depression

• Registration Number: NCT03966833
• Lead Sponsor: George Washington University

Brief Summary

Adolescent girls in developing countries face high rates of adversity and are at an elevated risk of depression and other forms of psychological distress. Untreated depression can have negative consequences on life outcomes such as early pregnancies, social exclusion and school dropout. These can result in a cycle of poverty for young women and their families. Despite this being a very pressing problem there is little evidence on what types of interventions can help break the vicious cycle of poor mental health and poverty.

This research program aims to evaluate, through the use of a cluster-Randomized Control Trial (cluster- RCT), the effect of group-based interpersonal psychotherapy (IPT-G) and unconditional cash transfers on adolescent girls' mental health and social functioning. Working with Strong Minds Uganda in collaboration with BRAC Uganda's Empowerment and Livelihood for Adolescents (ELA) clubs, the evidence generated from this research will create a better understanding of whether adolescent mental health improves through this cost-effective approach, and whether improved mental health impacts other outcomes of interest.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-05-21
• Study First Submitted QC: 2019-05-24
• Study Start: 2019-05-26
• Study First Posted: 2019-05-29
• Primary Completion: 2022-09-30
• Study Completion: 2022-09-30
• Status Verified: 2022-11
• Last Update Submitted: 2022-11-04
• Last Update Posted: 2022-11-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 1914

Inclusion Criteria

• 13-19 year old female who scores 10 or above on PHQ-8

Exclusion Criteria

• male
• Score below 10 on PHQ-8

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Self Esteem a	6 months	score on Rosenberg self esteem (0-30, higher is better)
Self Esteem c	24 months	score on Rosenberg self esteem (0-30, higher is better)
Resilience a	6 months	score on Child \& Youth Resilience Measure-Revised (0-34, higher is better)
Minimal Depression 1a	6 months	Score \<=10 Primary Health Questionnaire 8 (0-24, higher is worse)
Minimal Depression 1b	12 months	Score \<=10 Primary Health Questionnaire 8 (0-24, higher is worse)
Minimal Depression 1c	24 months	Score \<=10 Primary Health Questionnaire 8 (0-24, higher is worse)
Psychological Distress 2a	6 months	Score \>=3 on the General Health Questionnaire 12 (0-12, higher is worse)
Psychological Distress 2b	12 months	Score \>=3 on the General Health Questionnaire 12 (0-12, higher is worse)
Self Esteem b	12 months	score on Rosenberg self esteem (0-30, higher is better)
Psychological Distress 2c	24 months	Score \>=3 on the General Health Questionnaire 12 (0-12, higher is worse)
Resilience b	12 months	score on Child \& Youth Resilience Measure-Revised (0-34, higher is better)
Resilience c	24 months	score on Child \& Youth Resilience Measure-Revised (0-34, higher is better)

Secondary Outcome Measures

Name	Time	Method
Indicator for Self-Reported School Enrollment b	24 months	Indicator for enrolled in school (=1 if Adolescent Self-Reports Enrolled in school at time of survey)
incidence of pregnancy a	12 months	incidence of pregnancy from baseline
incidence of pregnancy b	24 months	incidence of pregnancy from baseline
Child Marriage a	12 months	incidence of marriage from baseline
Child Marriage b	24 months	incidence of marriage from baseline
Competencies a	12 months	Score on competency test. This is a score that takes on a value of 0-3 across a set of three questions on ability to answer skills based math questions. Higher is better
Competencies b	24 months	Score on competency test. This is a score that takes on a value of 0-3 across a set of three questions on ability to answer skills based math questions. Higher is better
Indicator for self -reported condom use at last sex a	12 months	condom use during last sexual encounter (=1 if Adolescent self reports using a condom at last sex)
indicator for self-reported condom use at last sex b	24 months	condom use during last sexual encounter (=1 if Adolescent self reports using a condom at last sex)
Indicator for Self-Reported School Enrollment a	12 months	Indicator for enrolled in school (=1 if Adolescent Self-Reports Enrolled in school at time of survey)

Trial Locations

Locations (1)

BRAC Uganda; 🇺🇬 Kampala, Uganda