The YouthMood Project: A cluster randomized controlled trial of an online cognitive behavioral program with adolescents.

Calear, Alison L.; Christensen, Helen; Mackinnon, Andrew; Griffiths, Kathleen M; O’Kearney, Richard

doi:10.1037/a0017391

Cited by 287 publications

(351 citation statements)

References 53 publications

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“…Therefore, despite a relatively steady stream of research identifying the positive impact technology can have on mental health outcomes [17] [18] [40]- [46], the attitudes of clinicians in their willingness to engage young people through ICT does not appear to be changing quickly. Much of this earlier research was focused primarily on self-help computerized programs [17] [43] [45] [46] and it is possible that to date clinicians have tried to largely ignore these new therapeutic options, or, have seen them as completely separate resources to be used as an adjunct to therapy and therefore, are not interfering with their current service approach. The current research however appears to be particularly concerning for mental health professionals who now fear that ICT could be encroaching upon their specialized skill set.…”

Section: Discussionmentioning

confidence: 99%

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Bradford

Rickwood²,

Boer³

2014

Health

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Psychosocial assessments can help mental health professionals establish good therapeutic relationships while simultaneously conducting holistic assessments of their young clients. Using technology to conduct assessments may increase disclosure by young people; however, the uptake of new technologies into current face-to-face practice has been slow. In the current study, we were interested in exploring the attitudes of mental health workers to using an electronic psychosocial assessment tool (e-tool) within face-to-face service delivery with adolescents and young adults. An exploratory design was used to identify and qualitatively describe the views of 46 mental health workers from services across the ACT and Victoria, Australia. Data were coded using an inductive thematic approach. Comments indicated that mental health workers held both positive and negative views about the e-tool. Some participants believed that it would allow disclosure to occur in a stepped process, normalize questions, give youth greater input, and be time efficient. However, the majority believed that the e-tool would infringe on their work because they needed to respond to their clients immediately, it would not provide an accurate representation of the client, young people did not have the necessary capabilities to engage in the process, they would miss non-verbal cues from the young person, and they were more likely to gain information from organic conversations. The results suggest that many mental health professionals may be fearful of incorporating new technologies in current practice. Specific training and supportive implementation guidelines must be developed to support use of these new technologies and change practice.

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Section: Discussionmentioning

confidence: 99%

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Bradford

Rickwood²,

Boer³

2014

Health

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“…At one end of the involvement spectrum are pure self-help programs with no therapist input, whereas at the other end are programs requiring considerable therapist contribution or oversight. Early dropping out from treatment has been high in some studies (Melville et al 2010) especially from entirely self-directed or open access Web-based interventions (Calear et al 2009). Conversely, support of e-therapy by a clinician can improve adherence (Christensen et al 2004) and efficacy (Andersson and Cuijpers 2009) for adults.…”

Section: Therapist Involvementmentioning

confidence: 99%

“…However, MoodGYM has been tested universally in a large school-based trial and has shown promise of effectiveness in the prevention of the development of depressive symptoms (Calear et al 2009) and, on the other hand, an online program CATCH-IT has been demonstrated to reduce vulnerability to depression as well as reducing current depressive symptoms (Van Voorhees et al 2009). Recent meta-analyses suggest that depression prevention programs (usually delivered by teachers or health professionals in classrooms) may reduce the onset of depressive disorders, hence the development and testing of computerized interventions for prevention may be a promising way forward (Merry 2014).…”

Section: From Treatment To Preventionmentioning

confidence: 99%

Computer-Based and Online Therapy for Depression and Anxiety in Children and Adolescents

Stasiak

Fleming

Lucassen

et al. 2016

Journal of Child and Adolescent Psychopharmacology

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Objective: The purpose of this study was to provide an overview of computer-based and online therapies (e-therapy) to treat children and adolescents with depression and/or anxiety, and to outline programs that are evidence based or currently being researched. Methods: We began by defining the topic and highlighting the issues at the forefront of the field. We identified computer and Internet-based interventions designed to prevent or treat depression or anxiety that were tested with children and young people <18 years of age (or inclusive of this age range together with emerging adults). We included randomized controlled trials (RCTs). We summarized available relevant systematic reviews. Results: There is an increasing body of evidence that supports the use of computers and the Internet in the provision of interventions for depression and anxiety in children and adolescents. A number of programs have been shown to be effective in well-designed RCTs. Replication and long-term follow-up studies are needed to confirm results. Conclusions: There are now a range of effective computerized interventions for young people with depression and anxiety. This is likely to impact positively on attempts to make psychological therapies widely available to children and young people. We expect to see increased program sophistication and a proliferation of programs in the coming years. Research efforts, when developing programs, need to align with technological advances to maximize appeal. Implementation research is needed to determine the optimal modes of delivery and effectiveness of e-therapies in clinical practice. Given the large number of unproven program on the Internet, ensuring that there is clear information for patients about evidence for individual programs is likely to present a challenge.

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“…However, these low recruitment rates may not be unusual for a fully online intervention and may be consistent with the finding that only 10 to 20 percent of adults are interested in an Internet-based lifestyle change at any given time [45][46]. Furthermore, the moderate depression pre/post ESs were less than those seen in treatment interventions involving therapist and discussion group contact (VETS PRE-VAIL ES = 0.45 vs Internet plus therapist contact ES = 0.93) [21,[47][48] but comparable with preventive interventions using an Internet-only approach (male adolescents ES = 0.29) [47,49]. Similarly, this intervention demonstrated pre/post ESs comparable to an Internet-only PTSD intervention but lower than those reported in one with therapist contact (VETS PREVAIL ES = 0.30 vs ES = 0.45 for Internet-only or ES = 0.76 for Internet plus therapist) [50][51].…”

Section: Discussionmentioning

confidence: 98%

Pilot study of Internet-based early intervention for combat-related mental distress

Voorhees¹,

Gollan

Fogel

2012

JRRD

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Abstract-This article evaluates an Internet-based early intervention combining online cognitive-behavioral therapy (CBT) with electronic peer-to-peer support intended to promote mental health and well-being among combat veterans. We conducted a phase 1 clinical trial of 50 Iraq and Afghanistan veterans using a pre and post single-arm design. We evaluated feasibility and changes in mental health symptoms (depression and posttraumatic stress disorder [PTSD]), functional status, and attitudes toward treatment seeking at baseline and weeks 4, 8, and 12. A diverse group of veterans was enrolled (26% ethnic minority, 90% male, 66% with income <$30,000/year, 88% with no prior treatment for depression). Participants completed a mean of 4 of 6 lessons (standard deviation = 2.54). From baseline to week 12, there were significant declines in the Center for Epidemiologic Studies-Depression scale score (effect size [ES] = 0.41) and PTSD Checklist-Military version score (ES = 0.53). There were significant improvements in willingness to accept diagnosis (ES = 1.08) and perceived social norms and stigma regarding friends (ES = 1.51). Although lack of a control group is a limitation, the Internet-based program combining CBT-based coping skills training and peer-topeer support demonstrated potential feasibility and evidenced benefit in symptom remediation for depression and PTSD.Clinical Trial Registration: ClinicalTrials.gov; NCT01231711, "Improving Quality-of-life and Depressive Symptoms of Combat Veterans Via Internet-based Interventions"; http://www.clinicaltrials.gov.

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The YouthMood Project: A cluster randomized controlled trial of an online cognitive behavioral program with adolescents.

Cited by 287 publications

References 53 publications

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Health Professionals’ Attitudes towards Electronic Psychosocial Assessments in Youth Mental Healthcare

Computer-Based and Online Therapy for Depression and Anxiety in Children and Adolescents

Pilot study of Internet-based early intervention for combat-related mental distress

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