PREMIUM FOR ADOLESCENTS (PRIDE)

PROJECT OVERVIEW

PRIDE is a Wellcome Trust-funded programme (2016-22) that aims to develop and test a suite of scalable, evidence-based interventions addressing the major share of the adolescent mental health burden (i.e., anxiety, depression and conduct difficulties) in India. The country is home to the largest concentration of adolescents in the world, comprising 20% of the total global population of 10-19-year-olds. Previous research has shown that as many as 23.3% of secondary school students experience significant mental health morbidity, and suicide is the leading cause of mortality in Indian adolescents (Roy et al., 2019).

Designed initially for urban, low-income secondary schools in New Delhi and Goa, the PRIDE intervention model incorporates three design innovations. First, the content is built around a core set of active ingredients that were systematically identified by matching evidence-based practices to common adolescent problems found in the local context. These building blocks are combined within a structured transdiagnostic protocol from which a ‘menu’ of behavioural modules are selected, titrated and sequenced according to clinical presentations. The parsimonious use of a single intervention framework for multiple problems is intended to improve both efficiency and utility, especially in “real-world” service settings where psychosocial complexity and comorbidity are commonplace. Second, PRIDE employs non-specialist (“lay”) counsellors as the primary delivery agents, in line with evidence for the cost-effectiveness of task-sharing for mental health care in diverse low-resourced settings. A low-cost digital training package has been developed to enable capacity building at scale. Third, a stepped care architecture allows for further resource efficiency. A broad-based problem-solving intervention (“Step 1”) is delivered as a brief first-line intervention, followed by a more tailored, higher-intensity second step (“Step 2”) for non-responders.

 

The conceptual development of the PRIDE stepped care model has been detailed in a series of linked publications (Boustani et al., 2020; Chorpita et al., 2020; Michelson et al., 2020a). Subsequently, Step 1 has been trialled as a standalone intervention (Michelson et al., 2020b) using a brief (3-week) face-to-face counselling format, and compared against problem-solving booklets alone. The counselling format had a significant effect on self-reported psychosocial problem severity at 6 and 12 weeks, with the effect sustained over 12 months (Malik et al., in submission). Other PRIDE studies have included a stepped-wedge, cluster-randomised controlled trial of a classroom-based sensitisation intervention designed to generate demand for the Step 1 problem-solving intervention (Parikh et al., 2021), as well as a pilot evaluation of the complete stepped care protocol (Malik et al., in submission). A digital version of the problem-solving intervention has also been developed (Gonsalves et al., 2021), with a trial planned for 2022. A further trial will evaluate the learning outcomes of online training provided for prospective PRIDE counsellors without prior experience in psychological therapies.

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LOCATION

New Delhi, Goa

PROJECT DURATION

PROJECT GOAL

KEY IMPACT

PRIDE aimed to develop and evaluate a suite of transdiagnostic interventions targeting common mental health problems among school-going students.

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TEAM

For further details please write to us at contactus@sangath.in 

FUNDERS

PARTNERS

RELEVANT LINKS

RESOURCES

TRIAL PAPERS

Sonal Mathur; Helen A Weiss; Melissa Neuman; Andy P Field; Baptiste Leurent; Tejaswi Shetty; James E. J; Pooja Nair; Rhea Mathews; Kanika Malik; Daniel Michelson; Vikram Patel

JMIR RESEARCH PROTOCOL, JMIR Research Protocols,

2023

Gonsalves Pattie, Sharma Rhea, Jambhale Abhijeet, Chodankar Bindiya, Verma, M., Hodgson, E. S., Weiss, H. A., Laurent, B., Cavanagh, K., Fairburn, C., Cuijpers, P., Michelson, D. & Patel Vikram.

BJPsych Open,

2022

Kanika Malik, Rachana Parikh, Rooplata Sahu, Paulomi Sudhir, Christopher G. Fairburn, Vikram Patel, Daniel Michelson

Psychology and Psychotherapy: Theory Research and Practice,

2022

Pattie Gonsalves, Rhea Sharma, Eleanor Hodgson, Bhargav Bhat, Abhijeet Jambhale, Helen A Weiss, Christopher G Fairburn, Kate Cavanagh, Pim Cuijpers, Daniel Michelson, Vikram Patel

JMIR Research Protocols,

2021

Kanika Malik , Daniel Michelson , Aoife M. DoyleI , Helen A. WeissI , Giulia Greco , Rooplata Sahu , James E. , Sonal MathurI , Paulomi SudhirI , Michael KingI , Pim CuijpersI , Bruce ChorpitaI , Christopher G. Fairburn , Vikram PatelI

Plos Medicine,

2021

Rachana Parikh, Adriaan Hoogendoorn, Daniel Michelson, Jeroen Ruwaard, Rhea Sharma, Bhargav Bhat, Kanika Malik, Rooplata Sahu, Pim Cuijpers, Vikram Patel

BMJ Global Health,

2021

Daniel Michelson, Kanika Malik, Rachana Parikh, Helen A Weiss, Aoife M Doyle, Bhargav Bhat, Rooplata Sahu, Bhagwant Chilhate, Sonal Mathur, Madhuri Krishna, Rhea Sharma, Paulomi Sudhir, Michael King, Pim Cuijpers, Bruce Chorpita, Christopher G Fairburn, Vikram Patel

Open Access, The Lancet,

2020

INTERVENTION DEVELOPMENT PAPERS

Pattie P Gonsalves , Eleanor Sara Hodgson, Bhargav Bhat, Rhea Sharma, Abhijeet Jambhale, Daniel Michelson, Vikram Patel

BMJ Mental Health,

2023

Malik, K., Shetty, T., Mathur, S., James, E.J., Mathews, R., Manogya, S., Chauhan, P., Nair, P., Patel, V. & Michelson, D.

International Journal of Environmental Research and Public Health,

2023

Resham Gellatly, Kendra Knudsen, Maya M. Boustani, Daniel Michelson, Kanika Malik, Sonal Mathur, Pooja Nair, Vikram Patel, Bruce F. Chorpita

Frontiers, Frontiers in Psychiatry,

2022

Kendra S. Knudsen MA, Kimberly D. Becker PhD, Karen Guan PhD, Resham Gellatly PhD, Vikram H. Patel MD, Kanika Malik PhD, Maya M. Boustani PhD, Sonal Mathur PhD, Bruce F. Chorpita PhD

Journal of Evaluation in Clinical Practice,

2022

Kanika Malik, Maliha Ibrahim, Sonal Mathur, James E. Jose, Pooja Nair, Rooplata Sahu, Madhuri Krishna, Deepak Jangra, Rhea Mathews, Pim Cuijpers, Bruce Chorpita, Christopher G. Fairburn, Vikram Patel and Daniel Michelson

Cambridge University Press, Global Mental Health,

2022

Bruce F. Chorpitaa , Eric L. Daleiden , Kanika Malik , Resham Gellatly , Maya M. Boustani , Daniel Michelson , Kendra Knudsen , Sonal Mathur , Vikram H. Patel

Elsevier,

2020

Maya M. Boustani, Eric Daleiden, Adam Bernstein, Daniel Michelson, Resham Gellatly, Kanika Malik, Vikram Patel & Bruce Chorpita

Global Health Action, Taylor & Francis,

2020

Daniel Michelson, Kanika Malik, Madhuri Krishna, Rhea Sharma, Sonal Mathur, Bhargav Bhat, Rachana Parikh, Kallol Roy, Akankasha Joshi, Rooplata Sahu, Bhagwant Chilhate, Maya Boustani, Pim Cuijpers, Bruce Chorpita, Christopher G. Fairburn, Vikram Patel

Behaviour Research and Therapy,

2019

FORMATIVE PAPERS

R. Parikh, D. Michelson , M. Sapru , R. Sahu , A. Singh , P. Cuijpers and V. Patel

Cambridge University Press, Global Mental Health,

2019

Rachana Parikh, Mahima Sapru, Madhuri Krishna, Pim Cuijpers, Vikram Patel & Daniel Michelson

BMC Psychology,

2019

Kallol Roy, Sachin Shinde, Bidyut K. Sarkar, Kanika Malik, Rachana Parikh & Vikram Patel

Springer,

2019

PRESS MENTIONS

Ritu Shrivastava, Lochan Sharma, Mehak Jolly, Romi Ahuja, Radhika Sharma, John A Naslund, Jyotsna Agrawal, Rahul Shidhaye, Seema Mehrotra, Steve D Hollon, Vikram Patel, Deepak Tugnawat, Ananth Kumar, Anant Bhan, Ameya P Bondre

Soc Sci Med,

2023

Jan M. Heijdra Suasnabar, Abhijit Nadkarni, Benjamin Palafox

Wiley Online Library,

2023

Ritu Shrivastava, Abhishek Singh, Azaz Khan, Shivangi Choubey, Juliana Restivo Haney, Eirini Karyotaki, Deepak Tugnawat, Anant Bhan, John A. Naslund

SSM-Mental Health,

2023

Abhijit Nadkarni, Yashi Gandhi, Urvita Bhatia and Richard Velleman

Cambridge University Press, Global Mental Health,

2022

Ameya P. Bondre, Ritu Shrivastava, Harikeerthan Raghuram, Deepak Tugnawat, Azaz Khan, Snehil Gupta, Mohit Kumar, Urvakhsh Meherwan Mehta, Matcheri Keshavan, Tanvi Lakhtakia, Prabhat Kumar Chand, Jagadisha Thirthalli, Vikram Patel, John Torous, Abhijit R. Rozatkar, John A. Naslund, Anant Bhan

SSM - Mental Health,

2022

Kendra S. Knudsen MA, Kimberly D. Becker PhD, Karen Guan PhD, Resham Gellatly PhD, Vikram H. Patel MD, Kanika Malik PhD, Maya M. Boustani PhD, Sonal Mathur PhD, Bruce F. Chorpita PhD

Journal of Evaluation in Clinical Practice,

2022

MANUALS

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