Randomized Clinical Trial of Primary Care Based Online Depression Prevention Intervention: Impact on Adolescent Modifiable Factors and Behaviors

Kushagra B. Gupta, Calvin Rusiewski, Camilla Koczara, Marian Fitzgibbon, Mark Reinecke, Joshua Fogel, Linda Schiffer, Miae Lee, Emily Sykes, Kathy Griffiths, Tracy R. G. Gladstone and Benjamin W. Van Voorhees
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Kushagra B. Gupta: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
Calvin Rusiewski: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
Camilla Koczara: Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
Marian Fitzgibbon: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
Mark Reinecke: Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Joshua Fogel: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
Linda Schiffer: Institute for Health Research and Policy, School of Public Health, University of Illinois at Chicago, Chicago, IL 60608, USA
Miae Lee: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
Emily Sykes: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA
Kathy Griffiths: Research School of Psychology, College of Health & Medicine, The Australian National University, Canberra 2601, Australia
Tracy R. G. Gladstone: The Robert S. and Grace W. Stone Primary Prevention Initiatives, Wellesley Centers for Women, Wellesley College, Wellesley, MA 02481, USA
Benjamin W. Van Voorhees: Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA

Social Sciences, 2021, vol. 10, issue 10, 1-17

Abstract: The developmental period of adolescence can pose a risk for the onset of depressive disorders, but is also a time when potentially modifiable factors and behaviors related to depressive episode onset can develop. An online health intervention can provide an opportunity to reach at-risk adolescents in between primary care visits and could impact these modifiable factors and behaviors to support healthy development. We explore the Competent Adulthood Transition with Cognitive-Behavioral, Humanistic, and Interpersonal Therapy (CATCH-IT), a self-directed online cognitive behavioral therapy prevention intervention, and its impact on modifiable factors and behaviors related to: (1) program completion, (2) normative adolescent development, (3) coping, (4) family relations, (5) general health behaviors, and (6) externalizing behaviors, in a primary care sample of adolescents at intermediate to high risk of developing depression. Adolescents were enrolled into either CATCH-IT or Health Education (HE) control group and followed for 24 months. CATCH-IT improved some factors related to program completion (e.g., motivation, recommendation to peers for depression prevention, and physician positive relationship), coping (e.g., perceived behavior change), and family relations (e.g., parental psychological control, sibling relative status) as compared to HE. HE improved normative adolescent development (e.g., health and loss life events) as compared to CATCH-IT. CATCH-IT utilized in primary care may benefit some at-risk adolescents in selective factors and behaviors.

Keywords: adolescents; prevention and control; primary health care; depression; clinical trial (search for similar items in EconPapers)
JEL-codes: A B N P Y80 Z00 (search for similar items in EconPapers)
Date: 2021
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