ArticleInternational journal of mental health systems2022
Learn, Engage, Act, Dedicate (LEAD): development and feasibility testing of a task-shifted intervention to improve alcohol use, depression and family engagement for fathers.
Article in International journal of mental health systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Behavioral Activation Disseminated by Non-Mental Health Professionals, Paraprofessionals, and Peers: A Systematic Review.Behavior therapy · 2023Pooled it
- Motivational interviewing for substance use among adults in low- and middle-income countries: A systematic review.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- A socioecological examination of father alcohol use in Kenya: Motivation, consequences, and barriers to care.Global public health · 2025Article
- Global mental health and psychosocial support programming: An expert review of major implementation and funding challenges.Global mental health (Cambridge, England) · 2025Review
- "A man never cries": A mixed-methods analysis of gender differences in depression and alcohol use in Moshi, Tanzania.PLOS global public health · 2025Article
- Article
- Father involvement is a protective factor for maternal mental health in Western Kenya.SSM. Mental health · 2024Article
- Fathers' mental health and coping strategies: a qualitative study in Mwanza, Tanzania.BMJ open · 2024Article
- Community-based models of care for adolescent and adult depression, suicidal behavior, anxiety, trauma, and substance use in Africa: a scoping review.Frontiers in psychology · 2024Article
- "medRxiv : the preprint server for health sciences · 2023Article
- Lay Health Workers Engaging Latino Fathers: A qualitative study.Children and youth services review · 2022Article
- Building community-based helping practices by training peer-father counselors: A novel intervention to reduce drinking and depressive symptoms among fathers through an expanded masculinity lens.The International journal on drug policy · 2021Article
- Community-Engaged Mental Health and Wellbeing Initiatives in Under-Resourced Settings: A Scoping Review of Primary Studies.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundMen's depression, alcohol use, and family problems commonly co-occur to create of cluster of mental health problems. Yet, few treatments exist to address these problems, especially in low and middle-income countries (LMICs). This paper describes the development and initial feasibility and acceptability of a novel task-shifted intervention to address this cluster of men's mental health problems with a focus on engaging and retaining men in treatment.
methodsThe intervention, Learn, Engage, Act, Dedicate (LEAD), is based in behavioral activation blended with motivational interviewing and was pilot tested in Kenya. To develop LEAD, we engaged in a community-engaged multi-step, collaborative process with local Kenyan stakeholders. LEAD was piloted with nine fathers reporting problem drinking. To assess initial feasibility and acceptability, recruitment and participation were tracked and descriptive statistics were generated given engagement of men was key for proof of concept. Semi-structured interviews were conducted with participants and analyzed using thematic content analysis.
resultsThe development process resulted in a weekly 5-session intervention rooted in behavioral activation, motivational interviewing, and masculinity discussion strategies. These approaches were combined and adapted to fit contextually salient constructs, such as the importance of the man as provider, and streamlined for lay providers. Feasibility and acceptability results were promising with high attendance, acceptability of delivery and intervention content, and perceived intervention helpfulness.
conclusionResults describe an acceptable task-shifted treatment that may engage men in care and addresses a cluster of common mental health problems among men in ways that consider social determinants like masculinity. Findings set the stage for a larger trial. Trial registration ISRCTN, ISRCTN130380278. Registered 7 October 2019-Retrospectively registered, http://www.isrctn.com/ISRCTN13038027.
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