Using the NASSS–Complexity Assessment Tool to Evaluate the Implementation of “Cadê O Kauê?”: Chat-Story Intervention for Youth Participation in Mental Health Promotion in Brazil - Report - MDSpire

Using the NASSS–Complexity Assessment Tool to Evaluate the Implementation of “Cadê O Kauê?”: Chat-Story Intervention for Youth Participation in Mental Health Promotion in Brazil

  • By

  • Sakshi Setia

  • Gabriela Pavarini

  • Mona Koshkouei

  • Sheila Giardini Murta

  • May 27, 2026

  • 0 min

Share

Clinical Report: Evaluating the Implementation of the 'Cadê O Kauê?' Chat-Story Intervention

Overview

The 'Cadê O Kauê?' intervention aims to enhance youth engagement in mental health promotion in Brazil through a digital storytelling chatbot. This initiative addresses significant mental health challenges faced by adolescents in Brazil, particularly in the context of sociocultural determinants and the impact of the COVID-19 pandemic.

Background

Mental health disorders are the leading cause of disability among individuals aged 10-24 years, with Brazil experiencing high rates of anxiety and depression among its youth. The COVID-19 pandemic exacerbated these issues, highlighting the urgent need for effective mental health interventions. Digital solutions, particularly those co-designed with young people, offer promising avenues for addressing these challenges in low- and middle-income countries.

Data Highlights

No numerical or trial data provided in the source material.

Key Findings

  • The 'Cadê O Kauê?' intervention is a digital storytelling chatbot designed to promote mental health among Brazilian adolescents.
  • It was co-designed with input from adolescents, teachers, and mental health professionals to ensure cultural relevance.
  • The intervention aims to enhance youth skills in supporting peers and engaging in collective action for mental health.
  • Schools serve as a natural environment for implementing mental health promotion initiatives, leveraging peer networks.
  • The intervention addresses sociocultural determinants that impact mental health outcomes in Brazil.

Clinical Implications

The 'Cadê O Kauê?' intervention highlights the importance of integrating digital tools in school settings to promote mental health among adolescents. Engaging young people in the co-design process ensures that interventions are culturally relevant and effective in addressing their specific needs.

Conclusion

The 'Cadê O Kauê?' initiative represents a scalable model for enhancing youth engagement in mental health promotion, addressing critical gaps in care and support for adolescents in Brazil.

Related Resources & Content

  1. WHO, Mental health of adolescents, 2025 -- Adolescent mental health fact sheet
  2. The Effectiveness of AI Chatbots in Alleviating Mental Distress and Promoting Health Behaviors Among Adolescents and Young Adults: Systematic Review and Meta-Analysis, PubMed, 2025
  3. Frontiers in Digital Health — Co-creating a program theory and evaluability assessment for an Irish single-session, synchronous chat-based youth mental health intervention: implications for outcome evaluation
  4. npj Digital Medicine — Assessing Youth Mental Health Needs Through an Adaptive Digital Tool: Findings from a Cross-Sectional Analysis
  5. Pediatric Cardiology — Cultural Adaptation of a Prenatal Counseling Survey for Congenital Heart Disease in Brazilian Portuguese
  6. International Journal of Mental Health Systems (Springer) — Participatory systems modelling for youth mental health: agility and adaptiveness to enhance stakeholder engagement and knowledge sharing
  7. Mental health of adolescents
  8. The Effectiveness of AI Chatbots in Alleviating Mental Distress and Promoting Health Behaviors Among Adolescents and Young Adults: Systematic Review and Meta-Analysis - PubMed
  9. Randomized Trial of a Generative AI Chatbot for... : NEJM AI

Original Source(s)

Related Content