Improving adolescent mental health by reducing the impact of poverty: pilot cluster randomised controlled trial

King's College London0 sites1,440 target enrollmentApril 29, 2024

Overview

No summary available.

Registry

who.int

Start Date

April 29, 2024

End Date

November 30, 2025

Last Updated

last year

Study Type

Interventional

Sex

All

Sponsor

•The inclusion criteria for the participants recruited in the pilot cluster RCT are as follows:
•1\.Adolescents
•1\.1\.Aged 13\-15 years at the time of the first assessment;
•1\.2\.Fluent in the local language (Spanish in Colombia, Nepali in Nepal, and English in South Africa);
•1\.3\.Living in high level of multidimensional poverty, defined:
•1\.3\.1\.In Colombia, as living in one of two districts categorised as multidimensionally poor by the National Statistics Office using the Multidimensional Poverty Index;
•1\.3\.2\.In South Africa, as attending schools from quintiles 1, 2 or 3, which are public schools that have been declared exempt from charging school fees based on the economic level of the surrounding community;
•1\.3\.3\.In Nepal, as screening positive on a self\-developed poverty screener, developed using items from the Global Multidimensional Poverty Index and based on poverty assessment\-related literature and expert consultations (since children attending public schools come from diverse backgrounds);
•1\.4\.With symptom scores below thresholds for depression and anxiety using the validated Patient Health Questionnaire – Adolescent version PHQ\-A (for depression) and Generalized Anxiety Disorder (GAD) (for anxiety)
•1\.5\.Whose primary caregiver is enrolled in the study (in Colombia and South Africa).

•The exclusion criteria are:
•1\.Adolescents self\-reporting suicidality (also referred to high suicide risk), defined as current suicidal ideation with intent or plans over the past month, or suicidal attempt during the past 3 months (Nepal) or lifetime suicidal attempt (Colombia and South Africa)
•2\.Adolescents or caregivers with a significant disability that impacts participation in intervention or assessments (that cannot be overcome with reasonable adjustments)
•3\.Unaccompanied minors, and adolescents who are married, due to challenges with legal consent of caregivers