Design and cultural adaptation of an e-mental health intervention for depression

Diplôme Thèse Design and cultural adaptation of an e-mental health intervention for depression eng 2020-02-24 author Harper Shehadeh Mélissa Joanne 781867 director Flahault Antoine 815316 10.13097/archive-ouverte/unige:145930 urn:nbn:ch:unige-1459308 Sc. Bioméd. - S. Glob. 7 This thesis employs mixed methodologies, including systematic review and meta-analysis, qualitative research and pre-post design empirical testing. It comprises the in-depth formative work for designing and testing the Step-by-Step e-mental health intervention for depression. We found that a Western only model of mental distress does not capture important local features relevant to informing the design and conduction of efficacy studies of interventions for common mental disorders. We also found that local adaption of self-help psychological interventions can contribute to increased intervention efficacy. Systematically carrying out cultural adaptation of Step-by-Step with local actors was crucial. The feasibility testing of Step-by-Step provided valuable information to inform the design of future large-scale efficacy testing and hinted that Step-by-Step is a potentially promising intervention for reducing the symptoms of depression. An adapted, minimally guided, internet-delivered intervention like Step-by-Step could help close the treatment gap for depression if integrated responsibly into an existing care system. Mental health Digital health Lebanon Depression E-mental health Santé mentale Santé digitale Liban Dépression Dewey 613 Autre The Step-by-Step project was funded by Fondation d'Harcourt 66 Institut de santé globale 22A1 false 0c0150f1-8422-439c-9134-61926723a305 Thesis Public entire_thesis_for_submission.pdf 4923726 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de santé globale

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Harper, Mélissa