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A protocol for a type 1 effectiveness-implementation randomized controlled trial of the WHO digital mental health intervention Step-by-Step to address depression among Chinese young adults in Macao (SAR), China
Hao Fong Sit1; Gen Li2; Wen Chen3,4; Elvo Kuai Long Sou5; Mek Wong5; Sebastian Burchert6; Ieng Wai Hong7; Ho Yi Sit8; Agnes Iok Fong Lam9; Brian J. Hall2
2022-12-01
Source PublicationInternet Interventions
ISSN2214-7829
Volume30Pages:100579
Abstract

Background: Among Chinese college students, the burden of depression is considerably high, affecting up to 30 % of the population. Despite this burden, few Chinese students seek mental health treatment. In addition, depression is highly comorbid with other mental health disorders, such as anxiety. Scalable, transdiagnostic, evidence-based interventions are needed for this population. Objective: The study will evaluate the effectiveness of a World Health Organization transdiagnostic digital mental health intervention, Step-by-Step, to reduce depressive and anxiety symptoms and improve well-being compared with enhanced care as usual and its implementation in a Chinese university community. Methods: A type 1 effectiveness-implementation two-arm, parallel, randomized controlled trial will be conducted. The two conditions are 1) the 5-session Step-by-Step program with minimal guidance by trained peer-helpers and 2) psychoeducational information on depression and anxiety and referrals to local community services. A total of 334 Chinese university students will be randomized with a 1:1 ratio to either of the two groups. Depression, anxiety, wellbeing, and client defined problems will be assessed at pre-intervention, post-intervention, and 3-month follow-up. Endline qualitative interviews and focus group discussions will be conducted to explore SbS implementation among service users, university staff, and stakeholders. Data will be analysed based on the intent-to-treat principle. Discussion: Step-by-Step is an innovative approach to address common mental health problems in populations with sufficient digital literacy. It is a promising intervention that can be embedded to scale mental health services within a university setting. It is anticipated that after successful evaluation of the program and its implementation in the type 1 hybrid design RCT study, Step-by-Step can be scaled and maintained as a low-intensity treatment in universities, and potentially extended to other populations within the Chinese community. Trial registration: ChiCTR2100050214.

KeywordDepression Behavioral Activation Digital Intervention College Students Implementation Randomized Controlled Trial
DOI10.1016/j.invent.2022.100579
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPsychology ; Health Care Sciences & Services ; Medical Informatics ; Psychiatry
WOS SubjectPsychology, Clinical ; Health Care Sciences & Services ; Medical Informatics ; Psychiatry
WOS IDWOS:000870833500003
Scopus ID2-s2.0-85139279253
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionCENTRE FOR MACAU STUDIES
SHIU PONG COLLEGE
MOON CHUN MEMORIAL COLLEGE
STUDENT AFFAIRS OFFICE
DEPARTMENT OF COMMUNICATION
Corresponding AuthorBrian J. Hall
Affiliation1.Department of Psychology, The University of Hong Kong, Hong Kong (SAR), Pokfulam, China
2.Center for Global Health Equity, New York University (Shanghai), Shanghai, China
3.Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, Zhongshan Road 2, China
4.Sun Yat-sen Centre for Migrant Health Policy, Sun Yat-sen University, Guangzhou, Zhongshan Road 2, China
5.Student Affairs Office, University of Macau, Macao (SAR), China
6.Department of Education and Psychology, Division of Clinical Psychological Intervention, Freie Universität Berlin (FUB), Germany
7.Moon Chun Memorial College, University of Macau, Macao (SAR), China
8.Shiu Pong College, University of Macau, Macao (SAR), China
9.Centre for Macau Studies, University of Macau, Macao (SAR), China
Recommended Citation
GB/T 7714
Hao Fong Sit,Gen Li,Wen Chen,et al. A protocol for a type 1 effectiveness-implementation randomized controlled trial of the WHO digital mental health intervention Step-by-Step to address depression among Chinese young adults in Macao (SAR), China[J]. Internet Interventions, 2022, 30, 100579.
APA Hao Fong Sit., Gen Li., Wen Chen., Elvo Kuai Long Sou., Mek Wong., Sebastian Burchert., Ieng Wai Hong., Ho Yi Sit., Agnes Iok Fong Lam., & Brian J. Hall (2022). A protocol for a type 1 effectiveness-implementation randomized controlled trial of the WHO digital mental health intervention Step-by-Step to address depression among Chinese young adults in Macao (SAR), China. Internet Interventions, 30, 100579.
MLA Hao Fong Sit,et al."A protocol for a type 1 effectiveness-implementation randomized controlled trial of the WHO digital mental health intervention Step-by-Step to address depression among Chinese young adults in Macao (SAR), China".Internet Interventions 30(2022):100579.
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