[article]
| Titre : |
Sustained mental health outcomes from the youth readiness intervention: A four-year effectiveness follow-up of a hybrid type II trial in Sierra Leone |
| Type de document : |
texte imprimé |
| Auteurs : |
Wijnand VAN DEN BOOM, Auteur ; Kathryn NOON, Auteur ; Shuangshuang YANG, Auteur ; Renee MENART, Auteur ; Fatoma MOMOH, Auteur ; Abdulai Jawo BAH, Auteur ; Matias PLACENCIO-CASTRO, Auteur ; Theresa S. BETANCOURT, Auteur |
| Article en page(s) : |
p.1537-1546 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Youth Readiness Intervention cognitive-behavioral therapy entrepreneurship training implementation science hybrid type II cluster-randomized trial mental health emotion regulation daily functioning Sierra Leone |
| Index. décimale : |
PER Périodiques |
| Résumé : |
Background Strategies to expand access to care and sustain evidence-based mental health interventions (EBIs) must be tested within novel delivery platforms to extend the reach of services in fragile and conflict-affected settings. Integration into broader development programs may help maintain long-term effects. This study presents a four-year follow-up of a previously conducted Hybrid Type II implementation-effectiveness cluster-randomized trial (CRT) of the Youth Readiness Intervention (YRI)?an EBI drawing on cognitive-behavioral, interpersonal, and mindfulness-based approaches?delivered within a youth entrepreneurship program in Sierra Leone (2018?2019). Methods Long-term mental health outcomes (emotion regulation, psychological distress, and interpersonal functioning) were examined among a randomly selected subgroup of 584 participants across three study arms: a control group, a group that only received entrepreneurship training (?ENTR?), and a group that received both YRI and ENTR (?YRI?+?ENTR?). Linear mixed-effect models accounted for the nested structure of the data. Impact of the COVID-19 pandemic was also assessed through economic and relationship stressors using structural equation modeling. Results Four years postintervention, YRI?+?ENTR-youth maintained improvements in depression (??=??.057; 95% CI ?0.09 to ?0.02; [effect size] d?=??.111) and combined depression/anxiety symptoms (??=??.047; 95% CI ?0.08 to ?0.01; [effect size] d?=??.096) though no sustained effects were observed for daily functioning or emotion regulation. No differences were found for ENTR-only participants versus controls and YRI?+?ENTR. COVID-19-related economic stressors mediated the relationship between study arm and mental health, revealing small but significant effects. Conclusions In low-income settings like Sierra Leone, where formal mental health services are scarce, sustainable community-based interventions such as the combined YRI?+?ENTR intervention offer a critical approach to reducing psychological distress. Sustained long-term benefits suggest that participants developed coping strategies that supported resilience during challenges like the COVID-19 pandemic. These gains may also foster broader community resilience, enhancing both individual well-being and collective capacity to withstand future adversity. |
| En ligne : |
https://doi.org/10.1111/jcpp.70158 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=592 |
in Journal of Child Psychology and Psychiatry > 67-9 (September 2026) . - p.1537-1546
[article] Sustained mental health outcomes from the youth readiness intervention: A four-year effectiveness follow-up of a hybrid type II trial in Sierra Leone [texte imprimé] / Wijnand VAN DEN BOOM, Auteur ; Kathryn NOON, Auteur ; Shuangshuang YANG, Auteur ; Renee MENART, Auteur ; Fatoma MOMOH, Auteur ; Abdulai Jawo BAH, Auteur ; Matias PLACENCIO-CASTRO, Auteur ; Theresa S. BETANCOURT, Auteur . - p.1537-1546. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 67-9 (September 2026) . - p.1537-1546
| Mots-clés : |
Youth Readiness Intervention cognitive-behavioral therapy entrepreneurship training implementation science hybrid type II cluster-randomized trial mental health emotion regulation daily functioning Sierra Leone |
| Index. décimale : |
PER Périodiques |
| Résumé : |
Background Strategies to expand access to care and sustain evidence-based mental health interventions (EBIs) must be tested within novel delivery platforms to extend the reach of services in fragile and conflict-affected settings. Integration into broader development programs may help maintain long-term effects. This study presents a four-year follow-up of a previously conducted Hybrid Type II implementation-effectiveness cluster-randomized trial (CRT) of the Youth Readiness Intervention (YRI)?an EBI drawing on cognitive-behavioral, interpersonal, and mindfulness-based approaches?delivered within a youth entrepreneurship program in Sierra Leone (2018?2019). Methods Long-term mental health outcomes (emotion regulation, psychological distress, and interpersonal functioning) were examined among a randomly selected subgroup of 584 participants across three study arms: a control group, a group that only received entrepreneurship training (?ENTR?), and a group that received both YRI and ENTR (?YRI?+?ENTR?). Linear mixed-effect models accounted for the nested structure of the data. Impact of the COVID-19 pandemic was also assessed through economic and relationship stressors using structural equation modeling. Results Four years postintervention, YRI?+?ENTR-youth maintained improvements in depression (??=??.057; 95% CI ?0.09 to ?0.02; [effect size] d?=??.111) and combined depression/anxiety symptoms (??=??.047; 95% CI ?0.08 to ?0.01; [effect size] d?=??.096) though no sustained effects were observed for daily functioning or emotion regulation. No differences were found for ENTR-only participants versus controls and YRI?+?ENTR. COVID-19-related economic stressors mediated the relationship between study arm and mental health, revealing small but significant effects. Conclusions In low-income settings like Sierra Leone, where formal mental health services are scarce, sustainable community-based interventions such as the combined YRI?+?ENTR intervention offer a critical approach to reducing psychological distress. Sustained long-term benefits suggest that participants developed coping strategies that supported resilience during challenges like the COVID-19 pandemic. These gains may also foster broader community resilience, enhancing both individual well-being and collective capacity to withstand future adversity. |
| En ligne : |
https://doi.org/10.1111/jcpp.70158 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=592 |
|  |
Sustained mental health outcomes from the youth readiness intervention: A four-year effectiveness follow-up of a hybrid type II trial in Sierra Leone in Journal of Child Psychology and Psychiatry, 67-9 (September 2026)
