Developing an Adaptive Intervention for the Mental Health and Psychosocial Support of Health Workers in the Philippines under COVID-19 Pandemic using the Sequential, Multiple Assignment, Randomized Trial (SMART)

INTERVENTION: Psychological counseling and stress management training are provided to the high‐risk group. In the first intervention phase, participants are randomly assigned to either two PCs or a combination of two PCs and STM. This initial intervention phase lasts 2‐3 weeks, after which a second assessment is conducted. Those who respond will have completed the treatment. Those who do not respond will be randomly assigned to receive either two additional PC sessions or two additional sessions of PC combined with STM. The third evaluation will take place six weeks after the first one. Psychological First Aid and stress management training will be given to the low‐risk group. A control group will be established. In the first intervention phase, participants will be randomized into three groups: the first group will receive PFA, the second group will receive SMT, and the third group will be the control. 2‐3 weeks later, a second assessment will be conducted, Those who respond will have completed the treatment; those who do not respond to both PFA and SMT will be randomly assigned to receive the treatment they did not receive or a combination of both for 2‐3 weeks. The third assessment is done 6 weeks after the first assessment. The control group will also be assessed 2‐3 weeks after the intervention group and 4‐6 weeks after the intervention group. CONDITION: Depression and anxiety PRIMARY OUTCOME: Depression: Patient Health Questionnaire 9(PHQ‐9); Anxiety: General Anxiety Disorder Scale (GAD‐7) INCLUSION CRITERIA: