A Psycho-Educational Intervention for People with a Family History of Depression: Pilot Results
We developed and pilot-tested the first online psycho-educational intervention that specifically targets people with a family history of depression (‘LINKS’). LINKS provides genetic risk information and evidence-rated information on preventive strategies for depression and incorporates a risk assessment tool and several videos using professional actors. LINKS was pilot-tested in the general practitioner (GP) setting. The patient sample included people with a family history of at least one first-degree relative (FDR) with major depressive disorder (MDD) or bipolar disorder (BD). Patients attending participating GP practices were invited to enroll in the study by letter from their GP. Patients who self-identified as having at least one first-degree relative (FDR) with MDD or BD were eligible. Patients completed questionnaires, pre-post viewing LINKS, with measures assessing satisfaction, relevance, emotional impact and perceived improvement of understanding. Six GP practices participated, and 24 patients completed both questionnaires. Of these, all reported that they were satisfied or very satisfied with LINKS, and 74 % reported that LINKS met their expectations, and 21 % that it exceeded their expectations. LINKS was judged highly acceptable by this sample of GP attendees, and results indicate that an assessment of its effectiveness in a larger controlled trial is warranted.
KeywordsFamily history Major depressive disorder Bipolar disorder Online intervention Psycho-education Prevention
- Department of Health and Ageing (2013). National Mental Health Report 2013: Tracking progress of mental health reform in Australia, 1993–2011. Canberra: Commonwealth of Australia.Google Scholar
- Gates, S., Williams, M., Withers, E., et al. (2009). Does a monetary incentive improve the response to a postal questionnaire in a randomised controlled trial? The MINT incentive study. Trials, 10. doi:10.1186/1745-6215-1110-1144.
- Larun L, Nordheim L, Ekeland E, et al. (2006) Exercise in prevention and treatment of anxiety and depression among children and young people. Cochrane Database of Systematic Reviews.Google Scholar
- Meiser, B., Schofield, P., Trevena, L., et al. (2013). Cluster randomized controlled trial of a psycho-educational intervention for people with a family history of depression for use in general practice. BMC Psychiatry, 13.Google Scholar
- National Health & Medical Research Council. (1999). How to present the evidence for consumers. Canberra: Commonwealth of Australia.Google Scholar
- Peay, H., & Austin, J. (2011). How to talk with families about genetics and psychiatric illness. New York: W.W. Norton Company Inc..Google Scholar
- Skarupski K, Tangney C, Li H, et al. (2013) Mediterranean diet and depressive symptoms over time. Journal of Nutrition, Health and Aging 17.Google Scholar