Sustained mental health outcomes from the youth readiness intervention: A four‐year effectiveness follow‐up of a hybrid type II trial in Sierra Leone.
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...
| Publicado en: | Journal of Child Psychology & Psychiatry Vol. 67; no. 9; pp. 1537 - 1547 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Sep2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=196036105&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 196036105 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00219630 JYY jtl: Journal of Child Psychology & Psychiatry issn: 00219630 maglogo: Y pubinfo: dt: Sep2026 vid: 67 iid: 9 pid: 480 pub: Wiley-Blackwell artinfo: ui: 196036105 10.1111/jcpp.70158 ppf: 1537 ppct: 10 formats: tig: atl: Sustained mental health outcomes from the youth readiness intervention: A four‐year effectiveness follow‐up of a hybrid type II trial in Sierra Leone. aug: au: Van Den Boom, Wijnand Noon, Kathryn Yang, Shuangshuang Menart, Renee Momoh, Fatoma Bah, Abdulai Jawo Placencio‐Castro, Matias Betancourt, Theresa S. affil: Research Program on Children and Adversity, School of Social Work, Boston College, Chestnut Hill MA,, USA Innovation for Poverty in Action, New Haven CT,, USA su: United States Sierra Leone Mental health Adolescent health Mindfulness Evaluation of human services programs Anxiety Cognitive therapy Mental depression Effect sizes (Statistics) Emotion regulation Interpersonal psychotherapy Research funding Cronbach's alpha Entrepreneurship Functional assessment Descriptive statistics Structural equation modeling Chi-squared test Intraclass correlation Factor analysis Data analysis software Confidence intervals sug: subj: Mental health Adolescent health Mindfulness Evaluation of human services programs Anxiety Cognitive therapy Mental depression United States Sierra Leone Offices of Mental Health Practitioners (except Physicians) Effect sizes (Statistics) Emotion regulation Interpersonal psychotherapy Research funding Cronbach's alpha Entrepreneurship Functional assessment Descriptive statistics Structural equation modeling Chi-squared test Intraclass correlation Factor analysis Data analysis software Confidence intervals keyword: cognitive‐behavioral therapy daily functioning emotion regulation entrepreneurship training hybrid type II cluster‐randomized trial implementation science mental health Youth Readiness Intervention cognitive‐behavioral therapy daily functioning emotion regulation entrepreneurship training hybrid type II cluster‐randomized trial implementation science mental health Youth Readiness Intervention ab: 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 (β = −.057; 95% CI −0.09 to −0.02; [effect size] d = −.111) and combined depression/anxiety symptoms (β = −.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. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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