Evidence map›Paper›PMID 33225978›Full record

ArticleTrials2020

The Shamiri group intervention for adolescent anxiety and depression: study protocol for a randomized controlled trial of a lay-provider-delivered, school-based intervention in Kenya.

Tom L Osborn, Katherine E Venturo-Conerly, Akash R Wasil, Micaela Rodriguez, Elizabeth Roe, Rediet Alemu, Susana Arango G, Jenny Gan, Christine Wasanga, Jessica L Schleider and 1 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  15. Psychological Treatments for Depression in Adolescents: More Than Three Decades Later.International journal of environmental research and public health · 2021
    Review
  16. Conducting global mental health research: lessons learned from Kenya.Global mental health (Cambridge, England) · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tom L OsbornShamiri Institute, Nairobi, Kenya. osborn@shamiri.institute.ORCID http://orcid.org/0000-0002-9092-1035
Katherine E Venturo-ConerlyShamiri Institute, Nairobi, Kenya.
Akash R WasilDepartment of Psychology, University of Pennsylvania, Philadelphia, PA, USA.
Micaela RodriguezDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Elizabeth RoeDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Rediet AlemuDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Susana Arango GDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Jenny GanDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Christine WasangaDepartment of Psychology, Kenyatta University, Nairobi, Kenya.
Jessica L SchleiderDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA.
John R WeiszDepartment of Psychology, Harvard University, Cambridge, MA, USA.

Funding

Shamiri Institute Inc N/A
6 · The paper itself

Abstract

backgroundDeveloping low-cost, socio-culturally appropriate, and scalable interventions for youth depression and anxiety symptoms in low-income regions such as countries in sub-Saharan Africa is a global mental health priority. We developed and intend to evaluate one such intervention for adolescent depression and anxiety in Kenya. The intervention, named Shamiri (a Swahili word for "thrive"), draws upon evidence-based components of brief interventions that involve nonclinical principles rather than treatment of psychopathology (e.g., growth mindset, gratitude, and virtues).

methodsFour hundred twenty Kenyan adolescents (ages 13-18) with clinically elevated depression and/or anxiety symptoms will be randomized to either the 4-week Shamiri group intervention or a group study-skills control intervention of equal duration and dosage. Participating adolescents will meet in groups of 8-15, led by a high-school graduate trained to deliver Shamiri as a lay-provider. Adolescents will self-report primary outcome measures (depression-measured by the PHQ-8, and anxiety symptoms-measured by the GAD-7) and secondary outcome measures (perceived social support, perceived academic control, self-reported optimism and happiness, loneliness, and academic grades) at the 2-week intervention midpoint, 4-week post-intervention endpoint, and 2-week post-intervention follow-up. We predict that adolescents in the Shamiri group, when compared to the study-skills control group, will show greater improvements in primary outcomes and secondary outcomes. DISCUSSION: Results may suggest that a brief, lay-provider delivered, school-based intervention may reduce depression and anxiety symptoms, improving academic outcomes and other psychosocial outcomes in adolescents with clinically-elevated symptoms in sub-Saharan Africa.

trial registrationPan African Clinical Trials Registry PACTR201906525818462 . Registered on 12 June 2019.

Indexed as

AnxietyDepressionAdolescentAnxiety DisordersHumansKenyaRandomized Controlled Trials as TopicSchoolsAdolescentsAnxietyDepressionGlobal mental healthShamiriSub-Saharan Africa

Identifiers

PMID33225978
PMCPMC7682107

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.