Evidence map›Paper›PMID 35729589›Full record

ArticleChild and adolescent psychiatry and mental health2022

Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT).

Syed Usman Hamdani, Zill-E Huma, Asad Tamizuddin-Nizami, Um-Ul Baneen, Nadia Suleman, Hashim Javed, Aiysha Malik, Duolao Wang, Samra Mazhar, Shahzad Alam Khan and 2 more

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
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.

NCT04254393 nacompletednot on this map

Early Adolescent Skills for Emotions (EASE) - A Skills Based Program to Address Psychosocial Distress Among Young Adolescents Studying in Public Schools of Pakistan. Pilot Cluster Randomized Controlled Trial (cRCT)

TypeinterventionalSponsorHuman Development Research Foundation, PakistanRan2020 to 2020Enrolled60ConditionsPsychological Distress, Emotional Problem, Anxiety, DepressionArmsEarly Adolescent Skills for Emotions (EASE) Program, Treatment As Usual (TAU)
NCT06881342 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluating the Feasibility of a School-based Stepped Care Program for Internalizing Symptoms in Adolescents in Pakistan

TypeinterventionalSponsorGlobal Institute of Human DevelopmentRan2025 to 2025Enrolled137ConditionsDepression, Anxiety, Distress, Emotional, Psychosocial Problem, Functioning, PsychosocialArmsEnhanced School Mental Health Program (eSMHP)
NCT07399314 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluating the Effectiveness of a School-based Stepped Care Treatment Model for Adolescent Depression in Pakistan

TypeinterventionalSponsorGlobal Institute of Human DevelopmentRan2025 to 2026Enrolled600ConditionsDepression Anxiety Disorder, Psychological Distress, Well-Being, PsychologicalArmsUniversal Intervention & CBT-based Guided Self-Help Application
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
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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

12 authors at 6 institutions in 2 countries.

Syed Usman HamdaniHuman Development Research Foundation (HDRF), Islamabad, Pakistan. syedusmanhamdani@gmail.com.
Zill-E HumaHuman Development Research Foundation (HDRF), Islamabad, Pakistan.
Asad Tamizuddin-NizamiBenazir Bhutto Hospital, Institute of Psychiatry, Rawalpindi Medical University, Rawalpindi, Pakistan.
Um-Ul BaneenHuman Development Research Foundation (HDRF), Islamabad, Pakistan.
Nadia SulemanHuman Development Research Foundation (HDRF), Islamabad, Pakistan.
Hashim JavedHuman Development Research Foundation (HDRF), Islamabad, Pakistan.
Aiysha Malik, London, UK.
Duolao WangGlobal Health Trials Unit, Liverpool School of Tropical Medicine, Liverpool, UK.
Samra MazharMinistry of National Health Services, Regulations and Coordination, Islamabad, Pakistan.
Shahzad Alam KhanWorld Health Organization (WHO), Pakistan Office, Islamabad, Pakistan.
Fareed Aslam MinhasGlobal Institute of Human Development, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Atif RahmanDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Shifa Tameer-e-Millat University · PKLiverpool School of Tropical Medicine · GBMinistry of National Health Services Regulation and Coordination · PKRawalpindi Medical University · PKUniversity of Liverpool · GBWorld Health Organization - Pakistan · PK

Funding

Medical Research Council MR/R022410/1World Health Organization 001
6 · The paper itself

Abstract

backgroundChild and adolescent mental health problems are a global public mental health priority. However, there is a lack of evidence-based scalable psychological interventions for adolescents living in low resource settings. This trial was designed to evaluate the feasibility and acceptability of delivering the World Health Organization's Early Adolescent Skills for Emotions (EASE) intervention at public schools in a rural sub-district in Rawalpindi, Pakistan.

methodsA two arm, single blinded, feasibility cluster randomized controlled trial with mixed-methods evaluation was conducted with 59 adolescents and their caregivers from 8 public schools. In the 4 intervention arm schools, 6 non-specialist facilitators delivered the culturally-adapted EASE group sessions to the adolescents (n = 29) and their caregivers with desired fidelity under the supervision of in-country supervisors.

resultsThe participation rate of adolescents in the intervention sessions was 83%. The intervention strategies were implemented by the adolescents. However, attending biweekly sessions at schools was challenging for caregivers with only 50% caregivers attending the sessions.

conclusionsThe results of this study support the feasibility and acceptability of delivering this culturally adapted intervention through non-specialist facilitators in school settings in Pakistan and pave the way to conduct a fully powered cluster randomized controlled trial to test the effectiveness of intervention to improve psychological outcomes in adolescents. Trial registration Trial registered with Clinicaltrials.gov prospectively; NCT04254393.

Indexed as

AdolescentsCluster randomized control trialFeasibilityLow resource school settingsPsychological interventionsPsychosocial distressSchool mental health

Identifiers

PMID35729589
PMCPMC9210054
OpenAlexW4283260399

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.