Evidence map›Paper›PMID 42336784›Full record

Trial reportBMJ open2026

Feasibility and acceptability of lay counsellor-delivered single-session therapy: a pragmatic mixed-methods pilot cohort study protocol.

Beatrice Kudzaishe Shava, Jermaine Dambi, Rufaro H Mushonga, Tapiwa Takaona, Lloyd Dzapasi, Thandiwe Mashunye, Cloudius Mugumba Mukoki, Esther Tumbare, Ruth Verhey, Dixon Chibanda

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Beatrice Kudzaishe ShavaResearch and Evidence Synthesis Unit, Friendship Bench, Harare, Zimbabwe beatrice.shava@friendshipbench.io.ORCID http://orcid.org/0000-0002-9130-7010
Jermaine DambiResearch and Evidence Synthesis Unit, Friendship Bench, Harare, Zimbabwe.ORCID http://orcid.org/0000-0002-2446-7903
Rufaro H MushongaMental Health Unit, University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.
Tapiwa TakaonaStrategic Information and Evaluation, Friendship Bench, Harare, Zimbabwe.
Lloyd DzapasiLivelihoods, Friendship Bench, Harare, Zimbabwe.
Thandiwe MashunyePrograms and Government Relations, Friendship Bench, Harare, Zimbabwe.
Cloudius Mugumba MukokiPrograms and Government Relations, Friendship Bench, Harare, Zimbabwe.
Esther TumbareCEO, Friendship Bench, Harare, Zimbabwe.
Ruth VerheyGlobal, Friendship Bench Zimbabwe, Harare, Zimbabwe.ORCID http://orcid.org/0000-0002-5959-1891
Dixon ChibandaGlobal, Friendship Bench Zimbabwe, Harare, Zimbabwe.ORCID http://orcid.org/0000-0003-2505-8607

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCommon mental disorders (CMDs) are endemic globally. The availability of evidence-based mental health interventions has grown rapidly, with many services focused on psychotherapy. Most psychotherapies require multiple sessions, resulting in lengthy waiting times due to limited provider availability. These delays can lead to higher morbidity, poorer adherence and less favourable outcomes.Recent research indicates that single-session therapy (SST) can be as effective as multi-session approaches and offers cost savings. This pragmatic, prospective mixed-methods pilot cohort study assesses the uptake, feasibility, acceptability, appropriateness and preliminary clinical effectiveness of SST in individuals receiving the Friendship Bench intervention. The Friendship Bench is a task-shifting mental health intervention for individuals with low to moderate symptoms of CMDs. METHODS AND ANALYSIS: We will conduct a pragmatic, prospective, mixed-methods pilot interventional cohort study involving 350 first-time clients of the Friendship Bench intervention in Harare and surrounding periurban areas. We will primarily explore the intervention's feasibility, uptake, appropriateness and acceptability including the feasibility of a larger follow-up clinical trial. Secondary outcomes include changes in CMDs severity, depression and anxiety symptoms, social connectedness, functional status, hope, resilience, health-related quality of life and therapeutic alliance. Participants will be followed for 6 weeks, with data collected at baseline and at 2, 4 and 6 weeks postintervention time points. A qualitative component will explore participants' perspectives and experiences with SST. Quantitative data will be analysed using descriptive statistics, bivariate analysis, Cox proportional hazards models and generalised mixed models with maximum likelihood estimation. Qualitative data will be analysed thematically. DISSEMINATION AND ETHICS: Ethical approval was granted by the Medical Research Council of Zimbabwe. Findings from this study will contribute to the evidence base for SST in the management of CMDs and may inform mental health service delivery in low-resource settings. Results will be disseminated through peer-reviewed publications, conference presentations, social media platforms and policy briefs. CLINICAL

trial registrationPACTR202605687485459.

Indexed as

CounselingMental DisordersPatient Acceptance of Health CarePsychotherapyAdultFeasibility StudiesFemaleHumansMalePilot ProjectsProspective StudiesQuality of LifeResearch DesignTask ShiftingTreatment OutcomeCommon Mental DisordersMental health servicesPragmatic cohort studySingle Session TherapyTask Shifting

Identifiers

PMID42336784
PMCPMC13295822

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.