Archives of Women's Mental Health

, Volume 21, Issue 3, pp 273–285 | Cite as

Efficacy of an Internet-based depression intervention to improve rates of treatment in adolescent mothers

  • M. Cynthia LogsdonEmail author
  • John Myers
  • Jeff Rushton
  • Jennifer L. Gregg
  • Allan M. Josephson
  • Deborah Winders Davis
  • Kyle Brothers
  • Kristin Baisch
  • Anissa Carabello
  • Krista Vogt
  • Kayla Jones
  • Jennifer Angermeier
Original Article


Approximately 400,000 adolescents give birth in the USA annually. Although one-half experience depressive symptoms, less than 25% comply with referrals for depression evaluation and treatment. The current study tested the effectiveness of an Internet-based depression intervention on seeking depression treatment. Based upon the theory of planned behavior (TPB), the intervention included vignettes, questions and answers, and resources. Before the intervention, immediately after the intervention, and 2 weeks later the adolescent mothers (n = 151) answered questions related to TPB variables and depression treatment. Data were compared to adolescent mothers (n = 138) in the control group. Data were collected in community organizations or home visits for the control group. Adolescent mothers in the intervention group answered questions and completed the intervention from a computer of their choice. The adolescents were primarily African American (89.2%), less than high school educated (51.7%), had given birth in last year (97.1%), with a mean age 18.2 years. The intervention led to significant changes in attitude, perceived control, intention to seek mental health treatment, and actually seeking depression treatment. Untreated postpartum depression dramatically impacts a mother’s relationship with her child, her functioning at work and school, health care-seeking behaviors, mothering skills, and her development as well as the development of her child. An Internet-based depression intervention is an inexpensive method to increase rates of depression treatment.


Adolescent Depression Internet Intervention 


Funding information

The study was supported by funding from the National Institute of Nursing Research, Award no. R15NR013563.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statement

The study was approved by the Human Subjects Protection Program of the University, as well as the research committees of each clinical site. Participants provided informed consent.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2017

Authors and Affiliations

  • M. Cynthia Logsdon
    • 1
    • 2
    Email author
  • John Myers
    • 3
  • Jeff Rushton
    • 4
  • Jennifer L. Gregg
    • 5
  • Allan M. Josephson
    • 6
  • Deborah Winders Davis
    • 3
  • Kyle Brothers
    • 7
  • Kristin Baisch
    • 2
  • Anissa Carabello
    • 8
  • Krista Vogt
    • 2
  • Kayla Jones
    • 8
  • Jennifer Angermeier
    • 9
  1. 1.University of Louisville Hospital/James Brown Cancer CenterLouisvilleUSA
  2. 2.School of NursingUniversity of LouisvilleLouisvilleUSA
  3. 3.Department of Pediatrics, Child & Adolescent Research Design & Support (CAHRDS) UnitUniversity of Louisville School of MedicineLouisvilleUSA
  4. 4.University of LouisvilleLouisvilleUSA
  5. 5.University of Massachusetts BostonBostonUSA
  6. 6.Child and Adolescent Psychiatry, Department of PediatricsUniversity of Louisville School of MedicineLouisvilleUSA
  7. 7.Department of Pediatrics, School of MedicineUniversity of LouisvilleLouisvilleUSA
  8. 8.University of Louisville HospitalLouisvilleUSA
  9. 9.Westport Tapp SchoolLouisvilleUSA

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