Community Mental Health Journal

, Volume 45, Issue 5, pp 349–354 | Cite as

From Prototype to Product: Development of a Primary Care/Internet Based Depression Prevention Intervention for Adolescents (CATCH-IT)

  • Josephine Landback
  • Micah Prochaska
  • Justin Ellis
  • Karoline Dmochowska
  • Sachiko A. Kuwabara
  • Tracy Gladstone
  • John Larson
  • Scott Stuart
  • Jackie Gollan
  • Carl Bell
  • Nathan Bradford
  • Mark Reinecke
  • Joshua Fogel
  • Benjamin W. Van Voorhees
Brief Report

Abstract

We describe the prototype to product development process of a low cost, socio-culturally relevant, easily implemented Internet-based depression prevention intervention for adolescents in primary care. The intervention named “Project CATCH-IT” (Competent Adulthood Transition with Cognitive-behavioral, Humanistic and Interpersonal Training) includes an initial motivational interview in primary care to engage the adolescent, fourteen Web-based modules based on behavioral activation, cognitive behavioral and interpersonal psychotherapy which target known risk factors, and a follow-up motivational interview in primary care. This was successfully fielded in a pilot study with 25 adolescents. We know of no other similar interventions developed for the prevention of depression in youth that is potentially universally available at low cost and that utilizes existing systems of healthcare providers.

Keywords

Depressive disorder Adolescents Prevention Internet Primary care Intervention 

References

  1. Barrera, M., Jr. (2006). Directions for expanding the prevention of depression in children and adolescents. American Journal of Preventive Medicine, 31(6 Suppl 1), S182–S183.PubMedCrossRefGoogle Scholar
  2. Beardslee, W. R., Gladstone, T. R., Wright, E. J., & Cooper, A. B. (2003). A family-based approach to the prevention of depressive symptoms in children at risk: Evidence of parental and child change. Pediatrics, 112(2), e119–e131.PubMedCrossRefGoogle Scholar
  3. Bell, C. C. (2001). Cultivating resiliency in youth. Journal of Adolescent Health, 29(5), 375–381.PubMedCrossRefGoogle Scholar
  4. Bower, P., Garralda, E., Kramer, T., Harrington, R., & Sibbald, B. (2001). The treatment of child and adolescent mental health problems in primary care: A systematic review. Family Practice, 18(4), 373–382.PubMedCrossRefGoogle Scholar
  5. Christensen, H., Griffiths, K. M., & Jorm, A. F. (2004). Delivering interventions for depression by using the internet: Randomised controlled trial. BMJ, 328(7434), 265. Epub 2004 Jan 2023.Google Scholar
  6. Clarke, G. N. (1995). The adolescent coping with stress class: Leader manual. Portland, OR: Kaiser Permenente Center for Health Research.Google Scholar
  7. Clarke, G. N. (2002). Adolescent use of web-based depression treatment programs. OR: Portland.Google Scholar
  8. Clarke, G. N., Hawkins, W., Murphy, M., Sheeber, L. B., Lewinsohn, P. M., & Seeley, J. R. (1995). Targeted prevention of unipolar depressive disorder in an at-risk sample of high school adolescents: A randomized trial of a group cognitive intervention. Journal of American Academic Child and Adolescent Psychiatry, 34(3), 312–321.CrossRefGoogle Scholar
  9. Clarke, G. N., Hornbrook, M., Lynch, F., Polen, M., Gale, J., Beardslee, W., et al. (2001). A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents. Archives of General Psychiatry, 58(12), 1127–1134.PubMedCrossRefGoogle Scholar
  10. Compas, B. E., Hinden, B. R., & Gerhardt, C. A. (1995). Adolescent development: Pathways and processes of risk and resilience. Annual Review of Psychology, 46, 265–293.PubMedCrossRefGoogle Scholar
  11. Cuijpers, P., Van Straten, A., & Smit, F. (2005). Preventing the incidence of new cases of mental disorders: A meta-analytic review. Journal of Nervous and Mental Disease, 193(2), 119–125.PubMedCrossRefGoogle Scholar
  12. Davison, K. P., Pennebaker, J. W., & Dickerson, S. S. (2000). Who talks? The social psychology of illness support groups. American Psychologist, 55(2), 205–217.PubMedCrossRefGoogle Scholar
  13. Fleming, M. F., Mundt, M. P., French, M. T., Manwell, L. B., Stauffacher, E. A., & Barry, K. L. (2002). Brief physician advice for problem drinkers: Long-term efficacy and benefit-cost analysis. Alcoholism, Clinical and Experimental Research, 26(1), 36–43.PubMedGoogle Scholar
  14. Friedman, R. A. (2006). Uncovering an epidemic–screening for mental illness in teens. New England Journal of Medicine, 355(26), 2717–2719.PubMedCrossRefGoogle Scholar
  15. Gagne, R. M., Briggs, L., & Wager, W. W. (1992). Principles of instructional design. Fort Worth, TX: Harcourt Brace Jovanovich College Publishers.Google Scholar
  16. Garber, J. (2006). Depression in children and adolescents: Linking risk research and prevention. American Journal of Preventive Medicine, 31, S104–S125.PubMedCrossRefGoogle Scholar
  17. Gillham, J. E., Shatte, A. J., & Freres, D. R. (2000). Preventing depression: A review of cognitive-behavioral and family interventions. Applied and Preventive Psychology, 9(2), 63–88.CrossRefGoogle Scholar
  18. Gutman, L. M., & Sameroff, A. J. (2004). Continuities in depression from adolescence to young adulthood: Contrasting ecological influences. Development and Psychopathology, 16(4), 967–984.PubMedCrossRefGoogle Scholar
  19. Hankin, B. L. (2006). Adolescent depression: Description, causes, and interventions. Epilepsy & Behavior, 8(1), 102–114.CrossRefGoogle Scholar
  20. Horowitz, J. L., Garber, J., Ciesla, J. A., Young, J. F., & Mufson, L. (2007). Prevention of depressive symptoms in adolescents: A randomized trial of cognitive-behavioral and interpersonal prevention programs. Journal of Consulting and Clinical Psychology, 75(5), 693–706.PubMedCrossRefGoogle Scholar
  21. Jacobson, N. S., Martell, C. R., & Dimdjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8(3), 255–270.CrossRefGoogle Scholar
  22. Jaycox, L. H., Asarnow, J. R., Sherbourne, C. D., Rea, M. M., LaBorde, A. P., & Wells, K. B. (2006). Adolescent primary care patients’ preferences for depression treatment. Administration and Policy In Mental Health, 33(2), 198–207.PubMedCrossRefGoogle Scholar
  23. Jaycox, L. H., Miranda, J., Meredith, L. S., Duan, N., Benjamin, B., & Wells, K. (2003). Impact of a primary care quality improvement intervention on use of psychotherapy for depression. Mental Health Services Research, 5(2), 109–120.PubMedCrossRefGoogle Scholar
  24. Joffe, A., Radius, S., & Gall, M. (1988). Health counseling for adolescents: What they want, what they get, and who gives it. Pediatrics, 82(3 Pt 2), 481–485.PubMedGoogle Scholar
  25. Kessler, R. C., & Walters, E. E. (1998). Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety, 7(1), 3–14.PubMedCrossRefGoogle Scholar
  26. Mufson, L., Dorta, K. P., Moreau, D., & Weissman, M. M. (2004). Interpersonal psychotherapy for depressed adolescents. New York, New York: Guilford Press.Google Scholar
  27. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measures, 1, 385–401.CrossRefGoogle Scholar
  28. Radloff, L. S. (1991). The use of the center for epidemiologic studies depression scale in adolescents and young adults. Journal of Youth and Adolescence, 20(2), 149–166.CrossRefGoogle Scholar
  29. Reinecke, M., & Simmons, A. (2005). Vulnerability to depressionamong adolescents: Implications for cogntive treatment. Cognitive and Behavioral Practice, 12, 166–176.CrossRefGoogle Scholar
  30. Sims, B. E., Nottelmann, E., Koretz, D., & Pearson, J. (2006). Prevention of depression in children and adolescents. American Journal of Preventive Medicine, 31(6 Suppl 1), S99–103.PubMedCrossRefGoogle Scholar
  31. Stuart, S., & Robertson, M. (2003). Interpersonal psychotherapy a clinicians guide. New York, New York: Oxford University Press.Google Scholar
  32. Tylee, A. (2006). Identifying and managing depression in primary care in the United Kingdom. Journal of Clinical Psychiatry, 67(Suppl 6), 41–45.PubMedGoogle Scholar
  33. Van Voorhees, B. W., Ellis, J. M., Gollan, J. L., Bell, C., Stuart, S., Fogel, J., Corrigan, P., et al. (2009). Development and process evaluation of a primary care internet-based intervention to prevent depression in emerging adults. Journal of Clinical Psychiatry Primary Care Companion (in press).Google Scholar
  34. Van Voorhees, B. W., Ellis, J. M., Gollan, J. K., Bell, C. C., Stuart, S. S., Fogel, J., et al. (2007). Development and process evaluation of a primary care internet-based intervention to prevent depression in young adults. Primary Care Companion Journal of Clinical Psychiatry, 9(5), 346–355.CrossRefGoogle Scholar
  35. Van Voorhees, B. W., Ellis, J. M., Stuart, S., Fogel, J., & Ford, D. (2005). Pilot study of a primary care depression prevention intervention for late adolescents. Canadian Child and Adolescent Psychiatry Review, 14(2), 40–43.PubMedGoogle Scholar
  36. Van Voorhees, B. W., Paunesku, D., Kuwabara, S. A., Basu, A., Gollan, J., Hankin, B. L., et al. (2008). Protective and vulnerability factors predicting new-onset depressive episode in a representative of US adolescents. Journal of Adolescent Health, 42(6), 605–616.PubMedCrossRefGoogle Scholar
  37. Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centered models. American Journal of Community Psychology, 31(3–4), 227–242.PubMedCrossRefGoogle Scholar
  38. Wing, R. R., Hamman, R. F., Bray, G. A., Delahanty, L., Edelstein, S. L., Hill, J. O., et al. (2004). Achieving weight and activity goals among diabetes prevention program lifestyle participants. Obesity Research, 12(9), 1426–1434.PubMedCrossRefGoogle Scholar
  39. Wisdom, J. P., Clarke, G. N., & Green, C. A. (2006). What teens want: Barriers to seeking care for depression. Administration and Policy In Mental Health, 33(2), 133–145.PubMedCrossRefGoogle Scholar
  40. Zabinski, M. F., Wilfley, D. E., Pung, M. A., Winzelberg, A. J., Eldredge, K., & Taylor, C. B. (2001). An interactive internet-based intervention for women at risk of eating disorders: A pilot study. International Journal of Eating Disorders, 30(2), 129–137.PubMedCrossRefGoogle Scholar
  41. Zuckerbrot, R. A., Maxon, L., Pagar, D., Davies, M., Fisher, P. W., & Shaffer, D. (2007). Adolescent depression screening in primary care: Feasibility and acceptability. Pediatrics, 119(1), 101–108.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Josephine Landback
    • 1
  • Micah Prochaska
    • 1
  • Justin Ellis
    • 1
  • Karoline Dmochowska
    • 1
  • Sachiko A. Kuwabara
    • 9
  • Tracy Gladstone
    • 8
  • John Larson
    • 4
  • Scott Stuart
    • 7
  • Jackie Gollan
    • 5
  • Carl Bell
    • 6
  • Nathan Bradford
    • 10
  • Mark Reinecke
    • 5
  • Joshua Fogel
    • 11
  • Benjamin W. Van Voorhees
    • 1
    • 2
    • 3
  1. 1.Section of General Internal Medicine, Department of MedicineThe University of ChicagoChicagoUSA
  2. 2.Department of PsychiatryUniversity of ChicagoChicagoUSA
  3. 3.Department of PediatricsUniversity of ChicagoChicagoUSA
  4. 4.Department of PsychologyIllinois Institute of TechnologyChicagoUSA
  5. 5.Department of PsychiatryNorthwestern UniversityChicagoUSA
  6. 6.Department of PsychiatryUniversity of Illinois ChicagoChicagoUSA
  7. 7.Department of PsychiatryUniversity of IowaIowa CityUSA
  8. 8.Wellesley Centers for WomenWellesley CollegeWellesleyUSA
  9. 9.Department of Mental Hygiene, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreUSA
  10. 10.Anderson Area Medical CenterAndersonUSA
  11. 11.Department of EconomicsBrooklyn College, City University of New YorkBrooklynUSA

Personalised recommendations