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Table 1 Key features of the advanced prototype

From: Technology-assisted peer therapy: a new way of delivering evidence-based psychological interventions

Area

Features

General structure

Android Application; eight sessions based on Thinking Healthy Programme manual; Avatar ‘therapist’ and supporting characters; operated by peer; co-designing and user testing to ensure cultural acceptability and feasibility

Active ingredients

Uses CBT-based strategies of cognitive restructuring, behavioural activation and problem solving in 3 key areas: self, relationship with newborn, and relationship with significant others

Fidelity and dose

App-directed session with set time allocated for each segment of therapy; record of goal setting and progress achieved

Training and supervision

In-built training and supervision modules not requiring a specialist trainer; includes step-by-step instructions for operating the App and delivering sessions; in-built peer-assessment of competency; guidelines for peer-supervision

Screening and monitoring

In-built pictorial Community Informant Detection Tool for maternal depression to identify high-risk women; 4-item Patient Health Questions for confirmation and 3-monthly monitoring and risk assessment