scholarly journals Adaptation of an Evidence-Based Online Depression Prevention Intervention for College Students: Intervention Development and Pilot Study Results

2021 ◽  
Vol 10 (10) ◽  
pp. 398
Author(s):  
Tracy R. G. Gladstone ◽  
L. Sophia Rintell ◽  
Katherine R. Buchholz ◽  
Taylor L. Myers
Keyword(s):  
Depressive Symptoms ◽  
Pilot Study ◽  
Liberal Arts ◽  
Internalizing Symptoms ◽  
Intervention Development ◽  
College Counseling ◽  
The United States ◽  
Prevention Intervention ◽  
Depression Prevention ◽  
Study Results

College and university students across the United States are experiencing increases in depressive symptoms and risk for clinical depression. As college counseling centers strive to address the problem through wellness outreach and psychoeducation, limited resources make it difficult to reach students who would most benefit. Technology-based prevention programs have the potential to increase reach and address barriers to access encountered by students in need of mental health support. Part 1 of this manuscript describes the development of the Willow intervention, an adaptation of the technology-based CATCH-IT depression prevention intervention using a community participatory approach, for use by students at a women’s liberal arts college. Part 2 presents data from a pilot study of Willow with N = 34 (mean age = 19.82, SD = 1.19) students. Twenty-nine participants (85%) logged onto Willow at least once, and eight (24%) completed the full intervention. Participants positively rated the acceptability, appropriateness, and feasibility of Willow. After eight weeks of use, results suggested decreases in depressive symptoms (95% CI (0.46–3.59)), anxiety symptoms (95% CI (0.41–3.04)), and rumination (95% CI (0.45–8.18)). This internet-based prevention intervention was found to be acceptable, feasible to implement, and may be associated with decreased internalizing symptoms.

scholarly journals Randomized Clinical Trial of an Internet-Based Adolescent Depression Prevention Intervention in Primary Care: Internalizing Symptom Outcomes

2020 ◽  
Vol 17 (21) ◽  
pp. 7736
Author(s):  
Tracy Gladstone ◽  
Katherine R. Buchholz ◽  
Marian Fitzgibbon ◽  
Linda Schiffer ◽  
Miae Lee ◽  
...  
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Primary Care Physicians ◽  
Internalizing Symptoms ◽  
Adolescent Depression ◽  
Prevention Intervention ◽  
Depression Prevention ◽  
Positive Effects ◽  
Adulthood Transition ◽  
Depressive Episodes

Approximately 20% of people will experience a depressive episode by adulthood, making adolescence an important developmental target for prevention. CATCH-IT (Competent Adulthood Transition with Cognitive-behavioral, Humanistic, and Interpersonal Training), an online depression prevention intervention, has demonstrated efficacy in preventing depressive episodes among adolescents reporting elevated symptoms. Our study examines the effects of CATCH-IT compared to online health education (HE) on internalizing symptoms in adolescents at risk for depression. Participants, ages 13–18, were recruited across eight US health systems and were randomly assigned to CATCH-IT or HE. Assessments were completed at baseline, 2, 6, 12, 18, and 24 months. There were no significant differences between groups in change in depressive symptoms (b = −0.31 for CATCH-IT, b = −0.27 for HE, p = 0.80) or anxiety (b = −0.13 for CATCH-IT, b = −0.11 for HE, p = 0.79). Improvement in depressive symptoms was statistically significant (p < 0.05) for both groups (p = 0.004 for CATCH-IT, p = 0.009 for HE); improvement in anxiety was significant for CATCH-IT (p = 0.04) but not HE (p = 0.07). Parental depression and positive relationships with primary care physicians (PRPC) moderated the anxiety findings, and adolescents’ externalizing symptoms and PRPC moderated the depression findings. This study demonstrates the long-term positive effects of both online programs on depressive symptoms and suggests that CATCH-IT demonstrates cross-over effects for anxiety as well.

scholarly journals Symptom Cluster-Matching Antidepressant Treatment: A Case Series Pilot Study

2021 ◽  
Vol 14 (6) ◽  
pp. 526
Author(s):  
Sławomir Murawiec ◽  
Marek Krzystanek
Keyword(s):  
Depressive Symptoms ◽  
Pilot Study ◽  
Antidepressant Treatment ◽  
Case Series ◽  
Symptom Cluster ◽  
Study Results ◽  
Cluster Matching ◽  
The Individual ◽  
Meta Analyses ◽  
Effectiveness Studies

Despite treating depression with antidepressants, their effectiveness is often insufficient. Comparative effectiveness studies and meta-analyses show the effectiveness of antidepressants; however, they do not provide clear indications as to the choice of a specific antidepressant. The rational choice of antidepressants may be based on matching their mechanisms of action to the symptomatic profiles of depression, reflecting the heterogeneity of symptoms in different patients. The authors presented a series of cases of patients diagnosed with depression in whom at least one previous antidepressant treatment was shown to be ineffective before drug targeted symptom cluster-matching treatment (SCMT). The presented pilot study shows for the first time the effectiveness of SCMT in the different clusters of depressive symptoms. All the described patients obtained recovery from depressive symptoms after introducing drug-targeted SCMT. Once validated in clinical trials, SCMT might become an effective and rational method of selecting an antidepressant according to the individual profile of depressive symptoms, the mechanism of their formation, and the mechanism of drug action. Although the study results are preliminary, SCMT can be a way to personalize treatment, increasing the likelihood of improvement even in patients who meet criteria for treatment-resistant depression.

scholarly journals Enhancing Older Adults’ Sense of Belonging and Subjective Well-Being Through Sport Game Attendance, Team Identification, and Emotional Support

2019 ◽  
Vol 32 (7-8) ◽  
pp. 530-542 ◽  
Author(s):  
Yuhei Inoue ◽  
Daniel L. Wann ◽  
Daniel Lock ◽  
Mikihiro Sato ◽  
Christopher Moore ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Emotional Support ◽  
Sense Of Belonging ◽  
Well Being ◽  
The United States ◽  
Team Identification ◽  
Subjective Well Being ◽  
Study Results ◽  
Game Attendance

Objective: We investigate how (a) attendance at sport games and (b) identification with a sport team as fans (i.e., team identification) influence older adults’ perceptions of emotional support, belonging, and subjective well-being (SWB). Method: An experimental pilot study was conducted with 50 older adults, followed by a main survey study administered to 534 older adults from various communities across the United States. Results: Pilot study results indicated that game attendance and team identification had a positive and significant influence on older adults’ perceptions of emotional support from fellow team fans. These results were replicated in the main study, which also showed that older adults’ perceived emotional support from fellow fans was positively associated with their sense of belonging which predicted their SWB. Discussion: The findings provide insights into how older adults may be engaged in meaningful forms of social life to help them maintain and enhance mental health.

scholarly journals Prioritizing partnership: Critical steps towards relationship development for sustaining community-university partnerships

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Stephanie Baker ◽  
Ann Meletzke
Keyword(s):  
Public Health ◽  
Liberal Arts ◽  
Local Community ◽  
Intervention Development ◽  
Community Based Participatory Research ◽  
The United States ◽  
Structured Learning ◽  
Local Public Health ◽  
Partnership Development ◽  
Key Steps

The increase in undergraduate programs in public health within liberal arts institutions in the United States creates an opportunity for community-engaged research with local public health organisations. This type of engagement is one way to connect community members, agency representatives, students, staff, and faculty around social justice organizing efforts that impact entire communities. Authentic relationships and partnerships can reduce real barriers to building bases of support for intervention development, local advocacy efforts, and policy change, to achieve a more just and equitable society. This practice-based article describes key steps to partnership development between a private, engaged-teaching liberal arts institution and a local public health nonprofit located in central North Carolina. The partnership was formed to use community-based participatory research (CBPR) approaches to address health equity. To create an authentic CBPR partnership, an intentional partnership development process took place with key steps that were integral to the formation. Structured learning experiences and mentorship provided by previously established CBPR partnerships were critical to partnership development. Shared capacity building experiences, consistent meetings and goal setting facilitated progress. This partnership has lasted since 2015 and continues to grow. Partnership development is an important foundational activity for CBPR and is feasible for local community organizations and undergraduate public health studies departments outside of Schools of Public Health.

Sign in / Sign up

Export Citation Format

Share Document