Long-term telemental health prevention interventions for youth: A rapid review.

Abuwalla, Zach; Clark, Maureen D.; Burke, Brendan; Tannenbaum, Viktorya; Patel, Shivani; Mitacek, Ryan; Gladstone, Tracy R. G.; Voorhees, Benjamin W. Van

doi:10.1016/j.invent.2017.11.006

Cited by 14 publications

(15 citation statements)

References 46 publications

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“…7,8,28 While most internet interventions demonstrate favorable changes in depressed mood, our study did not demonstrate between group differences for mood or functional status. 10 However, this is similar to the phase 2 clinical trial of CATCH-IT, which demonstrated lower cumulative prevalence of depressive episodes, but not between group differences in depressed mood. 38 It is possible the extensive human contact within this trial had an ameliorating effect on mood and strengthened functional status, effectively blurring between group results.…”

Section: Discussionsupporting

confidence: 73%

“…9 Another review of traditional therapies augmented with computerized communications demonstrated small to moderate effect sizes for depressive symptoms. 10 A systematic review of primary care-based interventions targeting depression identified 14 randomized clinical trials (RCTs); only one included adolescents, and average effect sizes were small. 11 Targeted interventions that show success during trials may not be scalable due to practical issues such as cost, or prove ineffective in the broader community.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Internet-Based Cognitive Behavioral Humanistic and Interpersonal Training vs Internet-Based General Health Education on Adolescent Depression in Primary Care

et al. 2018

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IMPORTANCE Although 13% to 20% of American adolescents experience a depressive episode annually, no scalable primary care model for adolescent depression prevention is currently available.OBJECTIVE To study whether competent adulthood transition with cognitive behavioral humanistic and interpersonal training (CATCH-IT) lowers the hazard for depression in at-risk adolescents identified in primary care, as compared with a general health education (HE) attention control. DESIGN, SETTING, AND PARTICIPANTSThis multicenter, randomized clinical trial, a phase 3 singleblind study, compares CATCH-IT with HE. Participants were enrolled from 2012 to 2016 and assessed at 2, 6, 12, 18, and 24 months postrandomization in a primary care setting. Eligible adolescents were aged 13 to 18 years with subsyndromal depression and/or history of depression and no current depression diagnosis or treatment. Of 2250 adolescents screened for eligibility, 446 participants completed the baseline interview, and 369 were randomized into CATCH-IT (n = 193) and HE (n = 176). INTERVENTIONS The internet-based intervention, CATCH-IT, is a 20-module (15 adolescent modules and 5 parent modules) online psychoeducation course that includes a parent program, supported by 3 motivational interviews. MAIN OUTCOMES AND MEASURES Time to event for depressive episode; depressive symptoms at 6 months. RESULTS Of 369 participants (mean [SD] age, 15.4 [1.5] years; 251 women [68%]) included in this trial, 193 were randomized into CATCH-IT and 176 into HE. Among these participants, 28% had both a past episode and subsyndromal depression; 12% had a past episode only, 59% had subsyndromal depression only, and 1% had borderline subsyndromal depression. The outcome of time to event favored CATCH-IT but was not significant with intention-to-treat analyses (unadjusted hazard ratio [HR], 0.59; 95% CI, 0.27-1.29; P = .18; adjusted HR, 0.53; 95% CI, 0.23-1.23; P = .14). Adolescents with higher baseline Center for Epidemiologic Studies Depression scale (CES-D 10 ) scores showed a significantly stronger effect of CATCH-IT on time to event relative to those with lower baseline scores (HR 0.82; 95% CI, 0.67-0.99; P = .04). For example, the hazard ratio for a CES-D 10 score of 15 was 0.20 (95% CI, 0.05-0.77), compared with a hazard ratio of 1.44 (95% CI, 0.41-5.03) for a CES-D 10 (continued) Key Points Questions Does an internet-based depression prevention program (competent adulthood transition with cognitive behavioral humanistic and interpersonal training) lower the hazard for depression in at-risk adolescents relative to health education attention control? Findings In this randomized clinical trial of adolescents with subsyndromal depression or history of depression randomized to receive internet-based behavioral humanistic interpersonal training or an internet-based general health education control, those who received the CATCH-IT intervention did not evidence fewer episodes of depression in the full intention-to-treat sample, but adolescents with subsyndromal depression may...

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Effect of Internet-Based Cognitive Behavioral Humanistic and Interpersonal Training vs Internet-Based General Health Education on Adolescent Depression in Primary Care

et al. 2018

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“…TMH held the promise to reach a larger population of youngsters that relies on paediatric or primary care, school, and juvenile correctional populations for their mental health assessment and treatment [ 8 , 17 ]. Overall, the youngsters usually display a greater comfort and satisfaction in receiving a treatment through technology compared to earlier generations, including their parents [ 5 , 17 , 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review on TeleMental Health in Youth Mental Health: Focus on Anxiety, Depression and Obsessive-Compulsive Disorder

et al. 2021

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Background and Objectives: The Internet is widely used and disseminated amongst youngsters and many web-based applications may serve to improve mental health care access, particularly in remote and distant sites or in settings where there is a shortage of mental health practitioners. However, in recent years, specific digital psychiatry interventions have been developed and implemented for special populations such as children and adolescents. Materials and Methods: Hereby, we describe the current state-of-the-art in the field of TMH application for young mental health, focusing on recent studies concerning anxiety, obsessive-compulsive disorder and affective disorders. Results: After screening and selection process, a total of 56 studies focusing on TMH applied to youth depression (n = 29), to only youth anxiety (n = 12) or mixed youth anxiety/depression (n = 7) and youth OCD (n = 8) were selected and retrieved. Conclusions: Telemental Health (TMH; i.e., the use of telecommunications and information technology to provide access to mental health assessment, diagnosis, intervention, consultation, supervision across distance) may offer an effective and efficacious tool to overcome many of the barriers encountering in the delivery of young mental health care.

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“…We have proposed and published the technology-based behavioral vaccine model as an integrated conceptual framework for understanding the prevention of depression across the lifespan through internet-based interventions in community settings [10,29,40]. Based on this model, we propose moderators within this conceptualization: (1) a life course schedule that is theory-driven and that includes booster doses operationalized as patient or participant factors influencing response over the life course, including demographics such as gender, race, ethnicity, age, parental education, and site; vulnerability factors (CES-D10, Adolescent Life Events Questionnaire, Beck Hopelessness Scale, Child Report of Parental Behavior Inventory); child comorbid psychopathology (Child Anxiety Related Emotional Disorders; Disruptive Behaviors Disorder Scale; substance abuse, using CRAFFT [Car, Relax, Alone, Forget, Friends, Trouble]); and parent psychopathology (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);…”

Section: Covariates In Moderation Analysesmentioning

confidence: 99%

“…In a review [9] examining 83 studies targeting depressive outcomes in youth, of which 8 were delivered online, only one-third (32/83) specifically focused on reducing the risk of depressive episodes rather than symptoms; small effect size reductions of depressive symptoms were found postintervention, and there was a modest absolute risk reduction of depressive episodes [9]. This limitation, in part, results from a lack of prospective studies examining the long-term outcomes necessary to detect depression onset [7,10]. A prior randomized clinical trial of CATCH-IT [11][12][13], the internet-based depression prevention intervention evaluated in this study, demonstrated lower depressive symptoms at 6, 12, and 30 months, relative to baseline.…”

Section: Introductionmentioning

confidence: 99%

24-Month Outcomes of Primary Care Web-Based Depression Prevention Intervention in Adolescents: Randomized Clinical Trial

Voorhees¹,

Gladstone²,

Sobowale³

et al. 2020

J Med Internet Res

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Background Adolescent depression carries a high burden of disease worldwide, but access to care for this population is limited. Prevention is one solution to curtail the negative consequences of adolescent depression. Internet interventions to prevent adolescent depression can overcome barriers to access, but few studies examine long-term outcomes. Objective This study compares CATCH-IT (Competent Adulthood Transition with Cognitive Behavioral Humanistic and Interpersonal Training), an internet-based intervention, to a general health education active control for depression onset at 12 and 24 months in adolescents presenting to primary care settings. Methods A 2-site randomized trial, blinded to the principal investigators and assessors, was conducted comparing Competent Adulthood Transition with Cognitive Behavioral Humanistic and Interpersonal Training to health education to prevent depressive episodes in 369 adolescents (193 youths were randomly assigned to Competent Adulthood Transition with Cognitive Behavioral Humanistic and Interpersonal Training and 176 to health education) with subthreshold depressive symptoms or prior depressive episodes. Participants were recruited from primary care settings in the United States. The primary outcome was the occurrence of a depressive episode, determined by the Depression Symptom Rating. The secondary outcome was functioning, measured by the Global Assessment Scale. Results In intention-to-treat analyses, the adjusted hazard ratio favoring Competent Adulthood Transition with Cognitive Behavioral Humanistic and Interpersonal Training for first depressive episode was not statistically significant at 12 months (hazard ratio 0.77, 95% CI 0.42-1.40, P=.39) and 24 months (hazard ratio 0.87, 95% CI 0.52-1.47, P=.61). Competent Adulthood Transition with Cognitive Behavioral Humanistic and Interpersonal Training provided preventive benefit for first depressive episode for those with mild hopelessness or at least moderate paternal monitoring at baseline. Global Assessment Scale scores improved comparably in both groups (intention-to-treat). Conclusions A technology-based intervention for adolescent depression prevention implemented in primary care did not have additional benefit at 12 or 24 months. Further research is necessary to determine whether internet interventions have long-term benefit. Trial Registration ClinicalTrials.gov NCT01893749; http://clinicaltrials.gov/ct2/show/NCT01893749.

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Long-term telemental health prevention interventions for youth: A rapid review.

Cited by 14 publications

References 46 publications

Effect of Internet-Based Cognitive Behavioral Humanistic and Interpersonal Training vs Internet-Based General Health Education on Adolescent Depression in Primary Care

Effect of Internet-Based Cognitive Behavioral Humanistic and Interpersonal Training vs Internet-Based General Health Education on Adolescent Depression in Primary Care

A Systematic Review on TeleMental Health in Youth Mental Health: Focus on Anxiety, Depression and Obsessive-Compulsive Disorder

24-Month Outcomes of Primary Care Web-Based Depression Prevention Intervention in Adolescents: Randomized Clinical Trial

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