Diffusion and spillover effects of an evidence-based mental health intervention among peers and caregivers of high risk youth in Sierra Leone: study protocol

摘要: Evidence-based mental health interventions have helped address services gaps, but their reach and societal benefit can be limited in low resource settings. The current study extends an ongoing scale-up of a cognitive behavioral therapy (CBT)-based intervention, the Youth Readiness Intervention (YRI), among high risk youth post-conflict Sierra Leone to investigate mechanisms diffusion spillover effects YRI peers caregivers who receive intervention. We will recruit enroll index participants control (ages 18–30). Index complete standardized ego-network survey nominate three social networks identify primary cohabitating caregiver. Identified consent participate quantitative assessment battery on outcomes, emotion regulation, daily functioning at baseline 8-month follow-up. Study outcomes also incorporate common indicators for implementation science, including measures project context, evaluation, scaleup. Social network analysis components across peer networks. Linear growth modeling examine caregivers. Incremental costs benefits participants’ assessed through cost-effectiveness return investment analysis. Assessing research penetration as distinct provide key information about success implementation. Lessons learned could inform decisions increase scale up efforts Sub-Saharan Africa other