School-based intervention to improve the mental health of low-income, secondary school students in Santiago, Chile (YPSA): Study protocol for a randomized controlled trial

Ricardo Araya*, Alan A. Montgomery, Rosemarie Fritsch, David Gunnell, Paul Stallard, Sian Noble, Vania Martinez, Sergio Barroilhet, Paul Vohringer, Viviana Guajardo, Felix Cova, Jorge Gaete, Alejandro Gomez, Graciela Rojas

*Autor correspondiente de este trabajo

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

14 Citas (Scopus)

Resumen

Background
Depression is common and can have devastating effects on the life of adolescents. Psychological interventions are the first-line for treating or preventing depression among adolescents. This proposal aims to evaluate a school-based, universal psychological intervention to reduce depressive symptoms among student's aged 13-14 attending municipal state secondary schools in Santiago, Chile.
Study design. This is a cluster randomised controlled trial with schools as the main clusters. We compared this intervention with a control group in a study involving 22 schools, 66 classes and approximately 2,600 students. Students in the active schools attended 11 weekly and 3 booster sessions of an intervention based on cognitive-behavioural models. The control schools received their usual but enhanced counselling sessions currently included in their curriculum. Mean depression scores and indicators of levels of functioning were assessed at 3 and 12 months after the completion of the intervention in order to assess the effectiveness of the intervention. Direct and indirect costs were measured in both groups to assess the cost-effectiveness of this intervention. Discussion
As far as we are aware this is the first cluster randomised controlled trial of a school intervention for depression among adolescents outside the Western world.
Idioma originalInglés
Número de artículo49
PublicaciónTrials
Volumen12
DOI
EstadoPublicada - 19 feb. 2011

Palabras clave

  • Adolescent
  • Adolescent Psychology
  • Chile
  • Cluster Analysis
  • Cognitive Therapy
  • Depression
  • Female
  • Humans
  • Male
  • Mental Health
  • Mental Health Services
  • Psychiatric Status Rating Scales
  • Research Design
  • School Health Services
  • Schools
  • Single-Blind Method
  • Students
  • Time Factors
  • Treatment Outcome

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