Trial reportFrontiers in public health2025
From research to real-life implementation: an evaluation of the scale up of a guided digital mental health intervention in Lebanon: Step-by-Step.
Trial report in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03720769 (Increasing Access to Mental Health Care for People Living in Lebanon), which is not on this map. Not yet cited in PubMed.
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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.
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.
Increasing Access to Mental Health Care for People Living in Lebanon: An E-Mental Health Intervention
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0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Digital mental health interventions offer a promising approach for addressing the global mental health treatment gap. However, concerns remain regarding their effectiveness and scalability in real-world settings, particularly in crisis-affected low-and middle-income countries (LMICs). Following randomized clinical trial research, the World Health Organization's Step-by-Step (SbS) guided digital self-help intervention for depression and anxiety was scaled up in a pilot implementation by the National Mental Health Programme (NMHP) in Lebanon. This paper outlines results from this pilot and its integration into healthcare in a setting facing political, financial, and humanitarian crises. Methods: A mixed-methods implementation study using the RE-AIM framework assessed the reach, effectiveness, adoption, implementation, and maintenance of SbS in Lebanon. Quantitative analyses evaluated clinical, satisfaction, and uptake outcomes. Forty two key informant interviews with SbS users, staff, and key stakeholders assessed the public health impact and implementation success in Lebanon. Results: Despite contextual challenges affecting SbS's reach and adoption, findings indicate that SbS had high uptake with 1,942 users completing the baseline assessment. Significant reduction in symptoms of depression was observed with an effect size of Discussion: Results suggest that SbS has the potential to provide evidence-based treatment for depression across the whole of Lebanon, potentially as a first-step treatment within the model in primary care. Reach can be expanded through social media, mass media, and outreach. Long-term sustainability will depend on securing stable funding, robust and formal integration models, and enhancing user adherence. Clinical trial registration: The initial clinical trial registration of the RCT phase was ClinicalTrials.gov, identifier NCT03720769.
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