Cited by 198Digital Mental Health InterventionsMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Randomized Clinical Trial of an Internet-Based Depression Prevention Program for Adolescents (Project CATCH-IT) in Primary Care: 12-Week Outcomes

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Van Voorhees, Benjamin W., Fogel, Joshua, Reinecke, Mark A., Gladstone, Tracy, Stuart, Scott, Gollan, Jackie, Bradford, Nathan, Domanico, Rocco +20 more·2009·Journal of Developmental & Behavioral Pediatrics

Abstract

OBJECTIVE: The authors sought to evaluate 2 approaches with varying time and complexity in engaging adolescents with an Internet-based preventive intervention for depression in primary care. The authors conducted a randomized controlled trial comparing primary care physician motivational interview (MI, 5-10 minutes) + Internet program versus brief advice (BA, 1-2 minutes) + Internet program. SETTING: Adolescent primary care patients in the United States, aged 14 to 21 years. PARTICIPANTS: Eighty-four individuals (40% non-white) at increased risk for depressive disorders (subthreshold depressed mood >3-4 weeks) were randomly assigned to either the MI group (n = 43) or the BA group (n = 40). MAIN OUTCOME MEASURES: Patient Health Questionnaire-Adolescent and Center for Epidemiologic Studies Depression Scale (CES-D). RESULTS: Both groups substantially engaged the Internet site (MI, 90.7% vs BA 77.5%). For both groups, CES-D-10 scores declined (MI, 24.0 to 17.0, p < .001; BA, 25.2 to 15.5, p < .001). The percentage of those with clinically significant depression symptoms based on CES-D-10 scores declined in both groups from baseline to 12 weeks, (MI, 52% to 12%, p < .001; BA, 50% to 15%, p < .001). The MI group demonstrated declines in self-harm thoughts and hopelessness and was significantly less likely than the BA group to experience a depressive episode (4.65% vs 22.5%, p = .023) or to report hopelessness (MI group of 2% vs 15% for the BA group, p = .044) by 12 weeks. CONCLUSIONS: An Internet-based prevention program in primary care is associated with declines in depressed mood and the likelihood of having clinical depression symptom levels in both groups. Motivational interviewing in combination with an Internet behavior change program may reduce the likelihood of experiencing a depressive episode and hopelessness.

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  1. [13]Tylee A. Identifying and managing depression in primary care in the United kingdom. J Clin Psychiatry. 2006; 67 Suppl 6: 41– 45. 16848677
  2. [28]Stuart SRM. Interpersonal Psychotherapy A Clinicians Guide. New York, New York: Oxford University Press; 2003.

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Authors
Van Voorhees, B. W., Fogel, J., Reinecke, M. A., Gladstone, T., Stuart, S., Gollan, J., Bradford, N., Domanico, R., Fagan, B., Ross, R., Larson, J., Watson, N., Paunesku, D., Melkonian, S., Kuwabara, S., Holper, T., Shank, N., Saner, D., Butler, A., Chandler, A., Louie, T., Weinstein, C., Collins, S., Baldwin, M., Wassel, A., Vanderplough-Booth, K., Humensky, J., & Bell, C.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Northwestern University (US)
  • Illinois Institute of Technology (US)
  • University of Iowa (US)
  • University of Chicago (US)
  • John H. Stroger, Jr. Hospital of Cook County (US)
Corresponding author
  • Stuart, Scott
  • Watson, Natalie
  • Melkonian, Stephanie
  • Kuwabara, Sachiko
  • Butler, Amy
  • Chandler, Amy
  • Louie, Tina
  • Weinstein, Cynthia
  • Collins, Shannon
  • Baldwin, Melinda
  • Wassel, Abigail
Venue
Journal of Developmental & Behavioral Pediatrics
Published
2009-02
Volume
30
Issue
1
Pages
23-37
ISSN
0196-206X (ISSN-L)
OpenAlex
W2055937548
Cited by
197
References
52
Citations by year
2026: 5 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 7 · 2021: 13 · 2020: 7 · 2019: 14 · 2018: 12 · 2017: 16 · 2016: 18 · 2015: 17 · 2014: 15 · 2013: 17 · 2012: 8
FWCI
14.91
Type
journal article
Language
en
Open access
Locations
  • Journal of Developmental & Behavioral Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Alliance for Research on Schizophrenia and Depression
  • National Institute of Mental Health (R01MH090035, K08MH072918)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
adolescent depression, depression prevention, online intervention, motivational interviewing, brief advice, primary care, subthreshold depression, hopelessness, self-harm thoughts, depressive episodes, behavior change
MeSH terms
Adolescent, Combined Modality Therapy, Counseling, Depression, Female, Humans, Interview, Psychological, Male, Motivation, Primary Health Care, Psychiatric Status Rating Scales, Time Factors, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Young Adult

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