Evidence map›Paper›PMID 36573376›Full record

ArticleBJPsych open2022

Pilot randomised controlled trial of a remotely delivered online intervention for adolescent mental health problems in India: lessons learned about low acceptability and feasibility during the COVID-19 pandemic.

Pattie P Gonsalves, Bhargav Bhat, Rhea Sharma, Abhijeet Jambhale, Bindiya Chodankar, Mamta Verma, Eleanor Hodgson, Helen A Weiss, Baptiste Leurent, Kate Cavanagh and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Review
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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

14 authors at 6 institutions in 5 countries.

Pattie P GonsalvesPRIDE, Sangath, India; and School of Psychology, University of Sussex, UK.ORCID https://orcid.org/0000-0003-3780-4523
Bhargav BhatPRIDE, Sangath, India.
Rhea SharmaPRIDE, Sangath, India.
Abhijeet JambhalePRIDE, Sangath, India.
Bindiya ChodankarPRIDE, Sangath, India.
Mamta VermaPRIDE, Sangath, India.
Eleanor HodgsonPRIDE, Sangath, India.
Helen A WeissMedical Research Council Tropical Epidemiology Group, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, UK.
Baptiste LeurentMedical Research Council Tropical Epidemiology Group, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, UK.
Kate CavanaghSchool of Psychology, University of Sussex, UK.
Christopher G FairburnDepartment of Psychiatry, University of Oxford, UK.
Pim CuijpersDepartment of Clinical Psychology, Vrije Universiteit, The Netherlands.ORCID https://orcid.org/0000-0001-5497-2743
Daniel MichelsonSchool of Psychology, University of Sussex, UK; and Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0001-7370-8788
Vikram PatelDepartment of Clinical Psychology, Vrije Universiteit, The Netherlands; and Department of Global Health and Social Medicine, Harvard Medical School, Massachusetts, USA.
Sangath · INUniversity of Sussex · GBLondon School of Hygiene & Tropical Medicine · GBHarvard University · USUniversity of Oxford · GBVrije Universiteit Amsterdam · NL

Funding

Wellcome Trust 106919/A/15/Z
6 · The paper itself

Abstract

background'POD Adventures' is a gamified problem-solving intervention delivered via smartphone app, and supported by non-specialist counsellors for a target population of secondary school students in India during the COVID-19 pandemic.

aimsTo evaluate the feasibility and acceptability of undertaking a randomised controlled trial of POD Adventures when delivered online with telephone support from counsellors.

methodWe conducted a parallel, two-arm, individually randomised pilot-controlled trial with 11 secondary schools in Goa, India. Participants received either the POD Adventures intervention delivered over 4 weeks or usual care comprising information about local mental health services and national helplines. Outcomes were assessed at two timepoints: baseline and 6 weeks post-randomisation.

resultsSeventy-nine classroom sensitisation sessions reaching a total of 1575 students were conducted. Ninety-two self-initiated study referrals (5.8%) were received, but only 11 participants enrolled in the study. No intervention arm participants completed the intervention. Outcomes at 6 weeks were not available for intervention arm participants (

conclusionsDespite modifications to address barriers arising from COVID-19 restrictions, online delivery was not feasible in the study context. Low recruitment and missing feasibility and acceptability data make it difficult to draw conclusions about intervention engagement and indicative clinical outcomes. Prior findings showing high uptake, adherence and engagement with POD Adventures when delivered in a school-based context suggest that an online study and delivery posed the biggest barriers to study participation and engagement.

Indexed as

anxiety disordersinformation technologieslow- and middle-income countriespsychosocial interventionsRandomised controlled trial

Identifiers

PMID36573376
PMCPMC9798210
OpenAlexW4313248792

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.