Moderated online social therapy for depression relapse prevention in young people: pilot study of a ‘next generation’ online intervention

Rice, Simon; Gleeson, John; Davey, Christopher G.; Hetrick, Sarah; Parker, Alexandra G.; Lederman, Reeva; Wadley, Greg; Murray, Greg; Herrman, Helen; Chambers, Richard; Russon, Penni; Miles, Christopher; D’Alfonso, Simon; Thurley, Melissa; Chinnery, Gina; Gilbertson, Tamsyn; Eleftheriadis, Dina; Barlow, Emma; Cagliarini, Daniella; Toh, Jia-Wern; McAlpine, Stuart; Koval, Peter; Bendall, Sarah; Jansen, Jens Einar; Hamilton, Matthew; McGorry, Patrick D.; Álvarez‐Jiménez, Mario

doi:10.1111/eip.12354

Cited by 106 publications

(113 citation statements)

References 72 publications

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“…While the use of online social media‐based interventions is in its infancy, pioneering efforts indicate that these interventions are safe, engaging, and have the potential to improve clinical and social outcomes in both patients and their relatives. That said, online interventions have failed up to now to be adopted by mental health services.…”

Section: Online Social Network: Faulty Connections or False Dichotomy?mentioning

confidence: 99%

The “online brain”: how the Internet may be changing our cognition

et al. 2019

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The impact of the Internet across multiple aspects of modern society is clear. However, the influence that it may have on our brain structure and functioning remains a central topic of investigation. Here we draw on recent psychological, psychiatric and neuroimaging findings to examine several key hypotheses on how the Internet may be changing our cognition. Specifically, we explore how unique features of the online world may be influencing: a) attentional capacities, as the constantly evolving stream of online information encourages our divided attention across multiple media sources, at the expense of sustained concentration; b) memory processes, as this vast and ubiquitous source of online information begins to shift the way we retrieve, store, and even value knowledge; and c) social cognition, as the ability for online social settings to resemble and evoke real-world social processes creates a new interplay between the Internet and our social lives, including our self-concepts and self-esteem. Overall, the available evidence indicates that the Internet can produce both acute and sustained alterations in each of these areas of cognition, which may be reflected in changes in the brain. However, an emerging priority for future research is to determine the effects of extensive online media usage on cognitive development in youth, and examine how this may differ from cognitive outcomes and brain impact of uses of Internet in the elderly. We conclude by proposing how Internet research could be integrated into broader research settings to study how this unprecedented new facet of society can affect our cognition and the brain across the life course.

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Section: Online Social Network: Faulty Connections or False Dichotomy?mentioning

confidence: 99%

The “online brain”: how the Internet may be changing our cognition

et al. 2019

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“…The MOST model incorporates three main components: online social networking, expert and peer moderation, and therapeutic content delivered in various formats including graphic medicine comics. Successive iterations of the MOST model have been adapted for, and evaluated with, young people with psychosis [30], and at high risk of developing psychosis [31], young people with depression [32], and social anxiety [33], help-seeking young people [34], and carers of young people with psychosis [35]. To date, however, those at high risk of suicide have been excluded from participating in these studies, and are also typically excluded from other studies of online interventions for mental health problems [36].…”

Section: Introductionmentioning

confidence: 99%

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Bailey

Álvarez‐Jiménez

Robinson

et al. 2020

IJERPH

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Online social networking interventions have potential to support young people who experience suicidal thoughts by specifically addressing interpersonal risk factors for suicide, but may also pose a risk of harm. This uncontrolled, single-group pilot study aimed to evaluate the safety, feasibility, and acceptability of an enhanced online social networking intervention (“Affinity”) among a sample of young people who experienced active suicidal ideation, and to explore potential changes in clinical outcomes and the therapeutic targets of the intervention. Twenty young people with current or recent suicidal ideation who were receiving treatment for depression at a tertiary-level mental health service were given access to Affinity for two months. Participants were assessed at baseline and 8-week follow-up; 90 percent reported clinical suicidal ideation at baseline. A priori criteria related to feasibility, safety and acceptability were satisfied. In terms of potential clinical effects, significant and reliable pre-post improvements were found on self-report outcomes including suicidal ideation. This study provides initial world-first evidence to support the use of an online intervention incorporating social networking as an adjunct to treatment for young people who experience suicidal ideation. The effectiveness of Affinity needs to be evaluated in a randomised controlled trial.

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“…However, the inclusion of human supporters reduces intervention scalability due to the cost of providing care and limited availability of supporters (20). Thus, the need for innovative solutions to improve engagement and manage attrition has been voiced (21). …”

Section: Introductionmentioning

confidence: 99%

Harnessing Peer Support in an Online Intervention for Older Adults with Depression

Tomasino

Lattie

et al. 2017

The American Journal of Geriatric Psychiatry

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Objective This pilot study evaluated the feasibility and efficacy of 2 methods of delivering a cognitive behaviorally informed internet intervention for depression for adults 65-years and older. Methods Forty-seven participants were enrolled and assigned to receive one of 2 versions of the internet intervention, either delivered individually (III) or with peer support (II+PS), or to a wait list control group (WLC). Primary outcomes included change in depressive symptoms from baseline to post-intervention (week 8), site use, self-reported usability, and coach time. Secondary outcomes included measures of social support and isolation and anxiety. Results Follow-up data was provided by 85.1% (40/47) of enrolled participants. There were significant differences in depression change across groups (F2,37 =3.81, P=.03). Greater reductions in depressive symptoms for the III (P=.02) and II+PS (P=.03) compared to WLC, and significantly less coach time was required to support II+PS (P=.003). Conclusions These results highlight the potential of cognitive-behaviorally informed internet interventions for older adults with depression, and indicate that peer supported programs are both acceptable and equivalent to individually-delivered internet interventions. Including peer support may be a viable and potentially more cost-effective option for disseminating online treatments for depression for older adults.

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Moderated online social therapy for depression relapse prevention in young people: pilot study of a ‘next generation’ online intervention

Abstract: The Rebound intervention was shown to be acceptable, feasible, highly usable and safe in young people with major depression.

Cited by 106 publications

References 72 publications

The “online brain”: how the Internet may be changing our cognition

The “online brain”: how the Internet may be changing our cognition

An Enhanced Social Networking Intervention for Young People with Active Suicidal Ideation: Safety, Feasibility and Acceptability Outcomes

Harnessing Peer Support in an Online Intervention for Older Adults with Depression

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