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Step-by-Step: a new WHO digital mental health intervention for depression


Carswell, Kenneth; Harper-Shehadeh, Melissa; Watts, Sarah; van't Hof, Edith; Abi Ramia, Jinane; Heim, Eva; Wenger, Andreas; van Ommeren, Mark (2018). Step-by-Step: a new WHO digital mental health intervention for depression. mHealth, 4:34.

Abstract

The World Health Organization is developing a range of interventions, including technology supported interventions, to help address the mental health treatment gap, particularly in low and middle-income countries. One of these, Step-by-Step, is a guided, technology supported, intervention for depression. It provides psychoeducation and training in behavioural activation through an illustrated narrative with additional therapeutic techniques such as stress management (slow breathing), identifying strengths, positive self-talk, increasing social support and relapse prevention. Step-by-Step has been designed so that it can be adapted for use in settings with different cultural contexts and resource availability and to be meaningful in communities affected by adversity. This paper describes the process of developing Step-by-Step and highlights particular design features aimed at increasing feasibility of implementation in a wide variety of settings.

Abstract

The World Health Organization is developing a range of interventions, including technology supported interventions, to help address the mental health treatment gap, particularly in low and middle-income countries. One of these, Step-by-Step, is a guided, technology supported, intervention for depression. It provides psychoeducation and training in behavioural activation through an illustrated narrative with additional therapeutic techniques such as stress management (slow breathing), identifying strengths, positive self-talk, increasing social support and relapse prevention. Step-by-Step has been designed so that it can be adapted for use in settings with different cultural contexts and resource availability and to be meaningful in communities affected by adversity. This paper describes the process of developing Step-by-Step and highlights particular design features aimed at increasing feasibility of implementation in a wide variety of settings.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Swiss Research Institute for Public Health and Addiction
06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:1 August 2018
Deposited On:03 Oct 2018 15:07
Last Modified:22 Nov 2018 11:11
Publisher:AME Publishing Company
ISSN:2306-9740
OA Status:Closed
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.21037/mhealth.2018.08.01
PubMed ID:30225240

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