STUDY PROTOCOL Open Access
Resiliency Engagement and Care in Health
(REaCH): a telephone befriending
intervention for upskilled rural youth in the
context of COVID-19 pandemic—study
protocol for a multi-centre cluster
randomised controlled trial
Saju Madavanakadu Devassy
1,2*
, Komal Preet Allagh
1,2
, Anuja Maria Benny
1,2
, Lorane Scaria
1,2
,
Natania Cheguvera
1,2
and I. P. Sunirose
1
Abstract
Background: The lockdown associated with the COVID-19 pandemic is likely to impact people’s mental health,
especially those from economically disadvantaged and vulnerable sections of society. Mental health can be affected
by many factors, including fear of disease transmission, from response measures against the pandemic like social
distancing, movement restriction, fear of being in quarantine, loneliness, depression due to isolation, fear of losing
work and livelihood and avoiding health care due to fear of being infected. Telephonic befriending intervention by
non-specialists will be used to provide social and emotional support to the youth from the Deen Dayal Upadhyaya
Grameen Kaushalya Yojana (DDUGKY), an initiative of the Government of India. This study aims to promote mental
wellbeing and reduce depressive symptoms by assisting participants to mobilise social support from family, friends
and significant others by using the telephonic befriending intervention.
Methods: In this article, we report the design and protocol of a multi-centre cluster randomised controlled trial. In
total, 1440 participants aged 18–35 years who have recently completed their course out of the DDU-GKY initiative
will be recruited in the study from 12 project-implementing agencies (PIAs) across six geographical zones of India.
Participants from 6 of these agencies will be assigned to the telephonic befriending intervention arm, and the
other six agency participants will be assigned to the general enquiry phone call arm (control). The primary
outcomes of this study are mental wellbeing, depressive symptoms and perceived social support. Baseline
assessments and follow-up assessments will be carried out 1 month following the intervention using WHO-5, PHQ
and MSPSS-12 questionnaires. The befriending intervention will be provided by DDU-GKY staff, whom a virtual
training programme will train.
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* Correspondence: saju@rajagiri.edu; sajumadavan@gmail.com
1
Rajagiri College of Social Sciences (Autonomous), Rajagiri P.O, Kalamassery,
Cochin, Kerala 683 104, India
2
Rajagiri International Centre for Consortium Research in Social Care (ICRS),
Cochin, Kerala, India
Devassy et al. Trials (2021) 22:500
https://doi.org/10.1186/s13063-021-05465-5