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Table 1 Outline of WHO EASE adolescents and caregivers’ sessions, time-points and intervention strategies

From: Feasibility and acceptability of a multicomponent, group psychological intervention for adolescents with psychosocial distress in public schools of Pakistan: a feasibility cluster randomized controlled trial (cRCT)

Time-points

Sessions

Intervention strategies

Week 1

Youth session 1

Psychoeducation (understanding my feelings)

Homework: participants try to identify as many feelings as they can each day and put them in the ‘Feelings Pots’ in their workbooks

Week 2

Youth session 2

Stress management (calming my body)

Homework: the participants practice slow breathing once a day and shade or colour the balloon after they have practiced the slow breathing in their workbooks

Participants keep identifying their feelings and fill the ‘feelings pot’ each day

Week 3

Caregiver session 1

Psychoeducation (understanding big and difficult feelings)

Homework: active listening and quality time home practice

Youth session 3

Behavioural activation (changing my actions part 1)

Homework: participants complete their first planned step for ‘changing my actions’ using their staircase drawing

Participants keep identifying their feelings and fill ‘feelings pot’ and colour ‘balloon’ after practicing slow breathing exercise each day

Week 4

Youth session 4

Behavioural activation (changing my actions part 2)

Homework: participants complete their planned steps for ‘changing my actions’ using their staircase drawing

Participants keep identifying their feelings and fill ‘feelings pot’ and colour ‘balloon’ after practicing slow breathing each day

Week 5

Youth session 5

Problem solving (managing my problems part 1)

Homework: participants to complete their action plan for their best idea in Managing My Problems

Participants keep identifying their feelings and fill ‘feeling pot’; colour ‘balloon’ after practicing slow breathing exercise each day and complete their plans for changing my actions in their workbooks

Caregiver session 2

Praise (the power of praise)

Homework: praise home practice

Week 6

Youth session 6

Problem solving (managing my problems part 2)

Homework: participants complete their action plan for their new best idea in ‘Managing My Problems’

Participants keep identifying their feelings and fill ‘feeling pot’; colour ‘balloon’ after practicing slow breathing exercise each day and complete their complete plans for changing my actions

Week 7

Youth session 7

Relapse prevention (brighter futures)

Caregiver session 3

Caregiver self-care and relapse prevention (brighter futures)