Improving mental health treatment for adolescents in Pakistani schools

School based stepped care TrEatment for adolescent depression in Pakistan- a Sequential Multiple Assignment Randomized Trial (SMART-STEP)

['FUNDING_R01'] · SHIFA TAMEER-E-MILLAT UNIVERSITY · NIH-10881908

This study is working to improve mental health support for teenagers in Pakistan by training teachers and using a helpful chatbot to guide students in managing their feelings, especially if they're dealing with depression or anxiety.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorSHIFA TAMEER-E-MILLAT UNIVERSITY (nih funded)
Locations1 site (ISLAMABAD, PAKISTAN)
Trial IDNIH-10881908 on ClinicalTrials.gov

What this research studies

This research aims to enhance mental health support for adolescents in Pakistan by implementing a school-based stepped care treatment program for depression and anxiety. It involves training teachers through an online program and utilizing a self-help chatbot based on Cognitive Behavioral Therapy (CBT) to assist students in managing their mental health. The project seeks to address the significant prevalence of emotional problems among school-going adolescents in Pakistan, where traditional mental health services are lacking. By integrating these innovative interventions into schools, the research hopes to create a sustainable model for mental health care in low-resource settings.

Who could benefit from this research

Good fit: Ideal candidates for this research are adolescents aged 12-18 years attending public schools in Pakistan who are experiencing symptoms of depression or anxiety.

Not a fit: Patients outside the age range of 12-18 or those not enrolled in public schools in Pakistan may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could provide accessible mental health support to adolescents, significantly improving their emotional well-being and academic performance.

How similar studies have performed: Previous research has shown success in implementing school-based mental health programs in various countries, indicating the potential effectiveness of this approach in Pakistan.

Where this research is happening

ISLAMABAD, PAKISTAN

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.