The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.
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]
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“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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Citations
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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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