PRIDE
PRemIum for aDolescEnts
Completed project (2016-2022).
The Aim of the Study:
PRIDE, a study led by Dr. Vikram Patel, Dr. Daniel Michelson, and Dr. Kanika Malik (Sangath, India), was a five-year research program seeking to develop psychosocial interventions for school-going adolescents aged 11-19 years with mental health problems in India.
The Background:
With India hosting one-fifth of the world's adolescent population, the Premium for Adolescents (PRIDE) project was initiated to devise and evaluate a comprehensive set of scalable, evidence-based, transdiagnostic interventions. These interventions were aimed at addressing prevalent mental health issues such as anxiety, depression, and conduct disorders among school-going adolescents in India.
The Project Plan:
PRIDE was characterized by its novel approach, incorporating five major design innovations to ensure the effectiveness and reach of its interventions:
Practice Elements: Identification and systematic incorporation of evidence-based practices tailored to address common mental health problems among adolescents, contextualized to the local environment.
Delivery by Lay Counselors: Utilizing lay counselors for intervention delivery, capitalizing on evidence supporting the acceptability and cost-effectiveness of task-sharing models.
Stepped Care Architecture: Employing a resource-efficient, stepped care model that aligns with a progressive approach to mental health care delivery.
Digital Technology Utilization: Leveraging digital technologies to enhance the delivery, scalability, and engagement of interventions.
Adolescent Engagement: Actively involving adolescents in the co-design of interventions, ensuring their voices and needs shape the interventions.
PRIDE School Mental Health Architecture
The PRIDE program is structured into distinct steps to facilitate a comprehensive care approach:
PRIDE's ongoing public engagement initiative, “It’s Ok To Talk” aims to enable a dialogue with young people around issues related to mental health through digital and community-based activities. The project launched a website, www.itsoktotalk.in, as a platform dedicated to encouraging young people to share their mental health experiences.
Supporters and Project Duration:
The Wellcome Trust, UK, provided funding for PRIDE, which spanned from 2016 to 2022. This period marked a pivotal chapter in advancing adolescent mental health care in India, showcasing the potential of innovative, scalable solutions to make a substantial impact in low-resource settings.
To read more about the project, visit: PRIDE | Sangath, or write to Dr. Kanika Malik at kanika.malik@sangath.in
Findings:
PRIDE stands as one of the most extensive adolescent mental health research initiatives ever conducted in a low- and middle-income country context. Through its execution:
Publications:
- November 2023: Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India
- June 2023: Coach-supported versus self-guided digital training course for a problem-solving psychological intervention for non-specialists: Protocol for a pre- and poststudy nested randomized controlled trial
- January 2023: Feasibility and Acceptability of a Remote Stepped Care Mental Health Programme for Adolescents during the COVID-19 Pandemic in India
- January 2023: 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
- November 2022: A qualitative analysis of collaborative efforts to build a school-based intervention for multiple common adolescent mental health difficulties in India
- August 2022: A pilot study to evaluate feasibility and acceptability of training mental health workers in India to select case-specific intervention procedures within a dynamic modular treatment designed for a low-resource setting
- March 2022: Development of a transdiagnostic stepped care programme for common adolescent mental health problems in Indian secondary schools: lessons from a pilot study examining acceptability and feasibility
- February 2022: If there is a tension about something, I can solve it: A qualitative investigation of change processes in a trial of brief problem-solving interventions for common adolescent mental health problems in India
- October 2021: A Guided Internet-Based Problem-Solving Intervention Delivered Through Smartphones for Secondary School Pupils During the COVID-19 Pandemic in India: Protocol for a Pilot Randomized Controlled Trial
- September 2021: Effectiveness and costs associated with a lay counselor-delivered, brief problem-solving mental health intervention for adolescents in urban, low-income schools in India: 12-month outcomes of a randomized controlled trial
- June 2021: Increasing demand for school counselling through a lay counsellor-delivered classroom sensitisation intervention: a stepped-wedge cluster randomised controlled trial in New Delhi, India
- February 2021: App-based guided problem-solving intervention for adolescent mental health: a pilot cohort study in Indian schools
- October 2020: Design process and protocol description for a multi-problem mental health intervention within a stepped care approach for adolescents in India
- August 2020: Effectiveness of a brief lay counsellor-delivered, problem-solving intervention for adolescent mental health problems in urban, low-income schools in India: a randomised controlled trial
- August 2019: Priorities and preferences for school-based mental health services in India: a multi-stakeholder study with adolescents, parents, school staff, and mental health providers
- August 2019: Design and Development of the POD Adventures Smartphone Game: A Blended Problem-Solving Intervention for Adolescent Mental Health in India
- May 2019: It is like a mind attack: stress and coping among urban school-going adolescents in India
- April 2019: India's response to adolescent mental health: a policy review and stakeholder analysis