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| Name | Class |
|---|---|
| World Health Organization | OTHER |
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The study aims to assess the feasibility of a chatbot-based stress management intervention among youth in Lithuania.
The intervention is a chatbot-based stress management intervention developed by the World Health Organization (WHO). It consists of 10 sessions which include: Introduction (1), Psychoeducation (2), Emotion Regulation (3, 4), Behavior Activation (5, 6), Managing Problems (7), Thought Challenging (8, 9), and Relapse Prevention (10). Each session consists of psychoeducation and exercise parts. Trained e-helpers contact participants to support them individually on a weekly basis.
The effect of the intervention will be compared against a control group which gets basic psychoeducation. The intervention is provided in Lithuanian.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | The intervention group will get a 10-session chatbot-based stress management intervention. |
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| Control group | Other | The control group will get basic psychoeducation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| STARS (Scalable Technology for Adolescents and youth to Reduce Stress) | Behavioral | The intervention is a chatbot-based stress management intervention developed by the World Health Organization (WHO). It consists of 10 sessions, which include: Introduction (1), Psychoeducation (2), Emotion Regulation (3, 4), Behavior Activation (5, 6), Managing Problems (7), Thought Challenging (8, 9), and Relapse Prevention (10). Each session consists of psychoeducation and exercise parts. Trained e-helpers contact participants to support them individually weekly. The effect of the intervention will be compared against a control group that receives basic psychoeducation. The intervention is provided in Lithuanian. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in The Patient Health Questionnaire-9 | Changes in symptoms of depression are measured. The Patient Health Questionnaire-9 (PHQ-9, Kroenke et al., 2001) is a self-report measure comprising 9 items about symptoms of depression. All items are answered on a 4-point Likert scale that ranges from 0 (not at all) to 3 (nearly every day). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The Generalized Anxiety Disorder-7 | Changes in symptoms of anxiety are measured. The Generalized Anxiety Disorder-7 (GAD-7, Spitzer et al., 2006) is a self-report measure comprising 7 items about symptoms of anxiety. All items are answered on a 4-point Likert scale that ranges from 0 (not at all) to 3 (nearly every day). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Kessler-6 | Changes in psychological distress are measured. Kessler-6 (K6, Kessler et al., 2002) is a self-report measure comprising 6 questions about psychological distress. All items are answered on a 5-point Likert scale that ranges from 0 (none of the time) to 4 (all of the time). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vilnius University | Vilnius | 01131 | Lithuania |
Individual participant data can be shared upon a reasonable request.
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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| Basic psychoeducation | Behavioral | Basic psychoeducation includes basic information on stress management. |
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| Changes in The Brief Adjustment Disorder Measure-8 | Changes in symptoms of adjustment disorder are measured. The Brief Adjustment Disorder Measure-8 (ADNM-8, Kazlauskas et al., 2018) is a self-report measure comprising 8 items about symptoms of adjustment disorder. All items are answered on a 4-point Likert scale that ranges from 1 (never) to 4 (often). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The SIDAS | Changes in suicidal ideation are measured. The SIDAS (Van Spijker et al., 2014) is a self-report measure comprising 5 questions about suicidal ideation. All items are answered on a 10-point Likert scale that ranges from 0 (never, no control, not close at all, not at all) to 10 (always, full control, made an attempt, extremely). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The WHODAS 2.0 | Changes in functioning are measured. The WHODAS 2.0 (Ustun et al., 2010) is a self-report measure comprising 12 questions about functioning. All items are answered on a 5-point Likert scale that ranges from 0 (none) to 4 (extreme or cannot do). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The World Health Organization Well-being Index-5 | Changes in psychological well-being are measured. The World Health Organization Well-being Index-5 (WHO-5, Bech, 2004) is a self-report measure comprising 5 items about psychological well-being. All items are answered on a 5-point Likert scale that ranges from 0 (at no time) to 4 (all of the time). A higher score indicates more pronounced psychological well-being. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The International Trauma Questionnaire | Changes in symptoms of post-traumatic stress disorders are measured. International Trauma Questionnaire (ITQ, Cloitre et al., 2018) is a self-report measure comprising 18 items. All items are answered on a 5-point Likert scale that ranges from 0 (not at all) to 4 (extremely). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The Resilience scale | Changes in resilience are measured. The Resilience scale (RS-14, Wagnild, 2011) is a self-report measure comprising 14 items about resilience. All items are answered on a 7-point Likert scale that ranges from 1 (strongly disagree) to 7 (strongly agree). A higher score indicates more pronounced resilience. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Changes in The Client Services Receipt Inventory | Changes in client service are measured. The Client Services Receipt Inventory (CSRI, Beeacham and Knapp, 2001) is a self-report measure comprising questions about client service. The CSRI covers a broad range of services that may be utilized, including primary and secondary care services, other services, and informal care. | Before the intervention, 3-months after the intervention |
| Changes in The EQ-5D-5L | Changes in health are measured. The EQ-5D-5L (EuroQol Research Foundation, 2019) is a self-report measure comprising 5 items about health. All items are answered on a 5-point Likert scale that ranges from 1 (I have no problems or similar) to 5 (I am unable or similar). A higher score indicates more pronounced symptoms. | Before the intervention, immediately after the intervention, 3-months after the intervention |
| Recruitment rate | Recruitment rate recorded as the number of eligible participants who consent to participate in the study will be assessed. | Before the intervention |
| Drop-out rates | Drop-out rates recorded as the number of randomized participants who do not complete the intervention, the post-test assessment, and three-month follow-up assessment will be assessed. | Immediately after the intervention, 3-months after the intervention |
| Number of adverse events and serious adverse events | Number of adverse events and serious adverse events will be assessed. | Immediately after the intervention |