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Carswell K, Harper-Shehadeh M, Watts S, et al. Step-by-Step: a new WHO digital mental health intervention for depression. Mhealth. 2018;4:34doi: 10.21037/mhealth.2018.08.01.
Carswell, K., Harper-Shehadeh, M., Watts, S., Van't Hof, E., Abi Ramia, J., Heim, E., Wenger, A., & van Ommeren, M. (2018). Step-by-Step: a new WHO digital mental health intervention for depression. mHealth, 434. https://doi.org/10.21037/mhealth.2018.08.01
Carswell, Kenneth, et al. "Step-by-Step: a new WHO digital mental health intervention for depression." mHealth vol. 4 (2018): 34. doi: https://doi.org/10.21037/mhealth.2018.08.01
Carswell K, Harper-Shehadeh M, Watts S, Van't Hof E, Abi Ramia J, Heim E, Wenger A, van Ommeren M. Step-by-Step: a new WHO digital mental health intervention for depression. Mhealth. 2018 Aug 13;4:34. doi: 10.21037/mhealth.2018.08.01. eCollection 2018. PMID: 30225240; PMCID: PMC6131163.
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Mhealth. 2018 Aug 13;4:34. doi: 10.21037/mhealth.2018.08.01. eCollection 2018.

Step-by-Step: a new WHO digital mental health intervention for depression.

mHealth

Kenneth Carswell, Melissa Harper-Shehadeh, Sarah Watts, Edith Van't Hof, Jinane Abi Ramia, Eva Heim, Andreas Wenger, Mark van Ommeren

Affiliations

  1. Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.
  2. National Mental Health Program (NMHP), Ministry of Public Health, Lebanon.
  3. Department of Psychology, University of Zurich, Zurich, Switzerland.
  4. Swiss Research Institute for Public Health and Addiction, Zurich, Switzerland.

PMID: 30225240 PMCID: PMC6131163 DOI: 10.21037/mhealth.2018.08.01

Abstract

The World Health Organization is developing a range of interventions, including technology supported interventions, to help address the mental health treatment gap, particularly in low and middle-income countries. One of these, Step-by-Step, is a guided, technology supported, intervention for depression. It provides psychoeducation and training in behavioural activation through an illustrated narrative with additional therapeutic techniques such as stress management (slow breathing), identifying strengths, positive self-talk, increasing social support and relapse prevention. Step-by-Step has been designed so that it can be adapted for use in settings with different cultural contexts and resource availability and to be meaningful in communities affected by adversity. This paper describes the process of developing Step-by-Step and highlights particular design features aimed at increasing feasibility of implementation in a wide variety of settings.

Keywords: Mental health; developing countries; digital divide; psychological techniques; telemedicine

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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