Limitations
The small sample size, though intentional, prevents us from conducting meaningful subgroup analyses to understand whether EASE may show trends in change overtime for certain demographic groups, or in situations of higher adolescent and caregiver participation in the intervention. This will be explored in a forthcoming fully-powered RCT. This feasibility trial was registered retrospectively which limits the ability to guarantee non-selective outcome reporting. The full RCT has been registered prospectively. Furthermore, the applicability and impact of the EASE intervention may have been under-estimated due to a sample that overall was not scoring high on distress at baseline. Intervention costs and health economic analyses are important in definitive trials to estimate cost-effectiveness of interventions, and feasibility of collecting relevant data could have been piloted in this study. Lastly, while we conducted follow up interviews with drop-outs from the intervention to understand the reasons, relatively little is known about the perceptions and barriers for engagement of those community members who we approached but declined to participate. Understanding these experiences would be helpful to inform outreach and engagement activities and inform future service delivery.