Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health.
adolescent
depression
internet intervention
intervention
mental health
online interventions
single-session intervention
youth
Journal
JMIR mental health
ISSN: 2368-7959
Titre abrégé: JMIR Ment Health
Pays: Canada
ID NLM: 101658926
Informations de publication
Date de publication:
30 Jun 2020
30 Jun 2020
Historique:
received:
20
05
2020
accepted:
14
06
2020
revised:
07
06
2020
entrez:
1
7
2020
pubmed:
1
7
2020
medline:
1
7
2020
Statut:
epublish
Résumé
Many youths with mental health needs are unable to access care. Single-session interventions (SSIs) have helped reduce youth psychopathology across multiple trials, promising to broaden access to effective, low-intensity supports. Online, self-guided SSIs may be uniquely scalable, particularly if they are freely available for as-needed use. However, the acceptability of online SSI and their efficacy have remained unexamined outside of controlled trials, and their practical utility is poorly understood. We evaluated the perceived acceptability and proximal effects of Project YES (Youth Empowerment & Support), an open-access platform offering three online SSIs for youth internalizing distress. After selecting one of three SSIs to complete, participants (ages 11-17 years) reported pre- and post-SSI levels of clinically relevant outcomes that SSIs may target (eg, hopelessness, self-hate) and perceived SSI acceptability. User-pattern variables, demographics, and depressive symptoms were collected to characterize youths engaging with YES. From September 2019 through March 2020, 694 youths accessed YES, 539 began, and 187 completed a 30-minute, self-guided SSI. SSI completers reported clinically elevated depressive symptoms, on average, and were diverse on several dimensions (53.75% non-white; 78.10% female; 43.23% sexual minorities). Regardless of SSI selection, completers reported pre- to post-program reductions in hopelessness (d Results support the perceived acceptability and utility of open-access, free-of-charge SSIs for youth experiencing internalizing distress. Open Science Framework; osf.io/e52p3.
Sections du résumé
BACKGROUND
BACKGROUND
Many youths with mental health needs are unable to access care. Single-session interventions (SSIs) have helped reduce youth psychopathology across multiple trials, promising to broaden access to effective, low-intensity supports. Online, self-guided SSIs may be uniquely scalable, particularly if they are freely available for as-needed use. However, the acceptability of online SSI and their efficacy have remained unexamined outside of controlled trials, and their practical utility is poorly understood.
OBJECTIVE
OBJECTIVE
We evaluated the perceived acceptability and proximal effects of Project YES (Youth Empowerment & Support), an open-access platform offering three online SSIs for youth internalizing distress.
METHODS
METHODS
After selecting one of three SSIs to complete, participants (ages 11-17 years) reported pre- and post-SSI levels of clinically relevant outcomes that SSIs may target (eg, hopelessness, self-hate) and perceived SSI acceptability. User-pattern variables, demographics, and depressive symptoms were collected to characterize youths engaging with YES.
RESULTS
RESULTS
From September 2019 through March 2020, 694 youths accessed YES, 539 began, and 187 completed a 30-minute, self-guided SSI. SSI completers reported clinically elevated depressive symptoms, on average, and were diverse on several dimensions (53.75% non-white; 78.10% female; 43.23% sexual minorities). Regardless of SSI selection, completers reported pre- to post-program reductions in hopelessness (d
CONCLUSIONS
CONCLUSIONS
Results support the perceived acceptability and utility of open-access, free-of-charge SSIs for youth experiencing internalizing distress.
TRIAL REGISTRATION
BACKGROUND
Open Science Framework; osf.io/e52p3.
Identifiants
pubmed: 32602846
pii: v7i6e20513
doi: 10.2196/20513
pmc: PMC7367540
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e20513Subventions
Organisme : NIH HHS
ID : DP5 OD028123
Pays : United States
Informations de copyright
©Jessica Lee Schleider, Mallory Dobias, Jenna Sung, Emma Mumper, Michael C Mullarkey. Originally published in JMIR Mental Health (http://mental.jmir.org), 30.06.2020.
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