Pilot Study of a One-Time Booster Session for the Problem Management Plus Mental Health Program in the Bahamas

What This Trial Is About

Researchers are evaluating the development, feasibility, and acceptability of a one-time booster session for Problem Management Plus PM, a World Health Organization behavioral intervention. This pilot randomized controlled trial focuses on adults in Grand Bahama experiencing mild to moderate depression and anxiety symptoms. The study aims to support mental health by enhancing the existing PM program, delivered by trained local therapists at the Grand Bahama Resilience Center GBRC. The study includes three phases training GBRC counselors in PM, collaboratively creating a one-time booster session, and conducting a pilot trial with 50 adult clients. Participants first receive five individual PM sessions focusing on skills like diaphragmatic breathing and problem management. After completing PM, participants are randomly assigned either to receive a booster session three months later or to a control group receiving a reminder phone call. The booster session reviews PM strategies and helps develop future plans. Participants complete self-report surveys before PM, one week after, at three months, and six months post-treatment. Researchers assess anxiety and depression levels, functioning, and psychological outcomes using validated scales such as the Hospital Anxiety and Depression Scale and PHQ-9. Qualitative interviews with participants and providers provide deeper insight into intervention acceptability. The study spans approximately 6 to 7 months per participant, with ongoing monitoring and evaluation to inform future mental health support programs.

Developing a Booster Session for Problem Management Plus in the Bahamas: A Pilot Randomized Controlled Trial