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Randomized Clinical Trial of an Internet-Based Depression Prevention Program for Adolescents (Project CATCH-IT) in Primary Care: 12-Week Outcomes
Open accessAbstract
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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“the remaining studies (83%) described moderate or mixed adherence [56,63-65] and usage [60]”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [64]
In the citing paper
“Four studies examining fidelity reported mixed results [62-65], particularly healthcare provider adherence to the program.”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [64]
In the citing paper
“but to a surprising degree, many adolescents and parents appeared to shift from passive to pro-active problem solving with evident benefit.53,54”
From Adolescent and parent experiences with a primary care/Internet-based depression prevention intervention (CATCH-IT) (2011) · cites this paper as [53]
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“Techniques from CBT have also been successfully implemented in Internet-based preventive interventions for depressive symptoms in adolescents (Van Voorhees et al., 2009), mood problems in the workplace (Billings, Cook, Hendrickson, & Dove, 2008), and for enhancing stress management and promoting…”
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“Young people with MH needs during the transition to adulthood can have tremendously compromised functioning in the realms of work, independent living, and staying out of legal trouble (Davis & Koroloff, 2007; Davis & Vander Stoep, 1997; Embry, Vander Stoep, Evens, Ryan, & Pollock, 2000; Newman, 2009; Planty et al., 20…”
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Collaborative and integrated care for adolescent depression
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“(CES-D10); (2) effective components of information and training to encode responses to future threats that can then be deployed at some future points using information (operationalized as internet modules completed, time on site); (3) a motivational framework to boost response to behavior prescription (intrinsic motiv…”
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MethodLessons Learned from 50 Years of Violence Prevention Activities in the African American Community
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Prevention of Adolescent Depression in Primary Care
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“In the last decade, the field of public health has begun exploring complex psychosocial preventive interventions that use technology to target high-cost conditions such as depression (Arnberg, Linton, Hultcrantz, Heintz, & Jonsson, 2014; Lokkerbol et al., 2014; Van Voorhees et al., 2011).”
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Abuwalla, Z., Clark, M. D., Burke, B. J., Tannenbaum, V., Patel, S., Mitacek, R., Gladstone, T. R. G., & Voorhees, B. W. V. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.11.006 · Cited by 14
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“…intervention is acceptable to adolescents from a range of social, economic, and racial backgrounds, and that the use of this intervention is associated with long-term decreases in depressive symptoms and disorders at follow-up intervals ranging from 6 to 12 months (Van Voorhees et al. 2008, 2009).”
BackgroundSelf-citationThe Role of Human Support on Engagement in an Online Depression Prevention Program for Youth
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“These individuals with subthreshold depression are also more © 2017 the Clifford Beers foundation KEY WORDS Depression; adolescents; Internet; prevention; primary care ARTICLE HISTORY received 6 June 2016 accepted 11 March 2017 CONTACT Benjamin W. Van Voorhees bvanvoor@uic.edu likely to experience functional impairmen…”
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“Many depression prevention interventions focus on ameliorating factors related to “cognitive” or “interpersonal behaviors” that closely track with psychotherapy theories (Van Voorhees et al. 2015).”
MethodResultInfluentialSelf-citationSoares, E. E., Giordano, B. L., Rogers, J., Leykin, Y., Cordova, M. J., Voorhees, B. W. V., Gladstone, T. R. G., & Bunge, E. L. (2022) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-022-00249-3 · Cited by 2
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Self-citation
Metadata
- 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
- ORCID
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2009-02
- Volume
- 30
- Issue
- 1
- Pages
- 23-37
- ISSN
- 0196-206X (ISSN-L)
- PMC
- PMC6290998
- 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
- green
- europepmc.org
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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