Using Group Interpersonal Psychotherapy to Improve the Well-Being of Adolescent Girls

George Washington University (GW)

Status: Completed

Conditions: Mental Depression

Treatments: Behavioral: IPT-G; Behavioral: Unconditional Cash Transfer

Study type: Interventional

Funder types: Other

Identifiers

NCT03966833

SMU/BRAC 2019

Details and patient eligibility

About

Adolescent girls in developing countries face high rates of adversity and are at an elevated risk of depression and other forms of psychological distress. Untreated depression can have negative consequences on life outcomes such as early pregnancies, social exclusion and school dropout. These can result in a cycle of poverty for young women and their families. Despite this being a very pressing problem there is little evidence on what types of interventions can help break the vicious cycle of poor mental health and poverty.

This research program aims to evaluate, through the use of a cluster-Randomized Control Trial (cluster- RCT), the effect of group-based interpersonal psychotherapy (IPT-G) and unconditional cash transfers on adolescent girls' mental health and social functioning. Working with Strong Minds Uganda in collaboration with BRAC Uganda's Empowerment and Livelihood for Adolescents (ELA) clubs, the evidence generated from this research will create a better understanding of whether adolescent mental health improves through this cost-effective approach, and whether improved mental health impacts other outcomes of interest.

Enrollment: 1,914 patients

Sex: Female

Ages: 13 to 19 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 13-19 year old female who scores 10 or above on PHQ-8

Exclusion criteria

• male
• Score below 10 on PHQ-8

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,914 participants in 3 patient groups

group-based interpersonal therapy (IPT-G)

Experimental group

Description:

14 weeks of group-based interpersonal therapy (IPT-G): StrongMinds is focused on treating depression in Uganda by training community members (in this case ELA club mentors) to act as mentors in IPT-G techniques. This intervention will be offered to 13-19 year old young women who score a 10 or higher on the PHQ-8. These adolescents who take up the offer will then be enrolled in the 14 weeks of therapy. Group therapy sessions build bonds between young women and encourage them to actively engage in the healing process and to support each other in the exploration of their depression triggers. With new healthier patterns and skills, women can learn to manage their current depression and ensure future depressive episodes can be quickly identified and resolved before the onset of any long-term consequences.

Treatment:

Behavioral: IPT-G

IPT-G + Unconditional Cash Transfer:

Experimental group

Description:

A one time lump sum of 200,000 UGX (\~$54) be provided to all study participants in a random sub-set of intervention (IPT-G) clusters near or at the conclusion of the 14-week therapy. This treatment variation will allow for determination of whether complimentary income support enhances the effects of IPT-G on psychological wellbeing and other outcomes of interest.

Treatment:

Behavioral: IPT-G

Behavioral: Unconditional Cash Transfer

control

No Intervention group

Description:

ELA clubs function as normal