PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting
The majority of mental, emotional, and behavioral (MEB) disorders have an initial onset before age 24, with 20% annual incidence, and with major depressive disorder (MDD) being the most common MEB. Health systems may be able to reduce costs by transitioning from the current treatment-focused model f...
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2022
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ftaurorahc:oai:institutionalrepository.aah.org:allother-1212 2023-07-23T04:18:25+02:00 PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting Gladstone, Tracy R Feinstein, Rebecca T Fitzgibbon, Marian L Schiffer, Linda Berbaum, Michael L Lefaiver, Cheryl Pössel, Patrick Diviak, Kathleen Wang, Tianxiu Knepper, Amanda K Sanchez-Flack, Jennifer Rusiewski, Calvin Potts, Diane Buchholz, Katherine R Myers, Taylor L Van Voorhees, Benjamin W 2022-06-01T07:00:00Z https://institutionalrepository.aah.org/allother/213 https://doi.org/10.1016/j.cct.2022.106763 https://libkey.io/libraries/1712/pmid/35436622 unknown Advocate Aurora Health Institutional Repository https://institutionalrepository.aah.org/allother/213 doi:10.1016/j.cct.2022.106763 https://libkey.io/libraries/1712/pmid/35436622 All Other Contributions Adolescents Cognitive-behavioral prevention Comparative effectiveness Depression Group therapy Internet intervention Advocate Aurora Research Institute Advocate Neonatal-Perinatal Medicine Faculty - Park Ridge Advocate Pediatric Critical Care Medicine Faculty - Park Ridge Pediatric and Adolescent Medicine Advocate Pediatric Hospital Medicine Faculty - Park Ridge text 2022 ftaurorahc https://doi.org/10.1016/j.cct.2022.106763 2023-07-05T20:22:41Z The majority of mental, emotional, and behavioral (MEB) disorders have an initial onset before age 24, with 20% annual incidence, and with major depressive disorder (MDD) being the most common MEB. Health systems may be able to reduce costs by transitioning from the current treatment-focused model for MDD to a prevention model. However, evidence is needed for (1) the comparative effectiveness of a "scalable intervention" and (2) an implementation model for such a scalable intervention in the primary care setting. This paper describes a comparative effectiveness trial evaluating the efficacy of two evidence-based cognitive-behavioral prevention (CBP) programs: Teens Achieving Mastery over Stress (TEAMS), the "gold standard," group therapy model, and Competent Adulthood Transition with Cognitive Behavioral, Humanistic and Interpersonal Training (CATCH-IT), a scalable, self-directed, technology-based model. Eligible adolescents, age 13-19, are offered one of these two depression prevention programs across five health systems (30 clinics) in urban and suburban Chicago, IL, rural Western IL, and Louisville, KY. We are comprehensively evaluating patient-centered outcomes and stakeholder-valued moderators of effect versus baseline at two, six, 12, and 18-month assessment points. Using a hybrid clinical trial design that simultaneously examines the implementation process, the study is also assessing adolescents', parents', and providers' experiences (e.g., efficacy, time commitment, cultural acceptability) within each intervention approach. Text Aurora Research Institute Aurora Health Care Digital Repository Contemporary Clinical Trials 117 106763 |
institution |
Open Polar |
collection |
Aurora Health Care Digital Repository |
op_collection_id |
ftaurorahc |
language |
unknown |
topic |
Adolescents Cognitive-behavioral prevention Comparative effectiveness Depression Group therapy Internet intervention Advocate Aurora Research Institute Advocate Neonatal-Perinatal Medicine Faculty - Park Ridge Advocate Pediatric Critical Care Medicine Faculty - Park Ridge Pediatric and Adolescent Medicine Advocate Pediatric Hospital Medicine Faculty - Park Ridge |
spellingShingle |
Adolescents Cognitive-behavioral prevention Comparative effectiveness Depression Group therapy Internet intervention Advocate Aurora Research Institute Advocate Neonatal-Perinatal Medicine Faculty - Park Ridge Advocate Pediatric Critical Care Medicine Faculty - Park Ridge Pediatric and Adolescent Medicine Advocate Pediatric Hospital Medicine Faculty - Park Ridge Gladstone, Tracy R Feinstein, Rebecca T Fitzgibbon, Marian L Schiffer, Linda Berbaum, Michael L Lefaiver, Cheryl Pössel, Patrick Diviak, Kathleen Wang, Tianxiu Knepper, Amanda K Sanchez-Flack, Jennifer Rusiewski, Calvin Potts, Diane Buchholz, Katherine R Myers, Taylor L Van Voorhees, Benjamin W PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
topic_facet |
Adolescents Cognitive-behavioral prevention Comparative effectiveness Depression Group therapy Internet intervention Advocate Aurora Research Institute Advocate Neonatal-Perinatal Medicine Faculty - Park Ridge Advocate Pediatric Critical Care Medicine Faculty - Park Ridge Pediatric and Adolescent Medicine Advocate Pediatric Hospital Medicine Faculty - Park Ridge |
description |
The majority of mental, emotional, and behavioral (MEB) disorders have an initial onset before age 24, with 20% annual incidence, and with major depressive disorder (MDD) being the most common MEB. Health systems may be able to reduce costs by transitioning from the current treatment-focused model for MDD to a prevention model. However, evidence is needed for (1) the comparative effectiveness of a "scalable intervention" and (2) an implementation model for such a scalable intervention in the primary care setting. This paper describes a comparative effectiveness trial evaluating the efficacy of two evidence-based cognitive-behavioral prevention (CBP) programs: Teens Achieving Mastery over Stress (TEAMS), the "gold standard," group therapy model, and Competent Adulthood Transition with Cognitive Behavioral, Humanistic and Interpersonal Training (CATCH-IT), a scalable, self-directed, technology-based model. Eligible adolescents, age 13-19, are offered one of these two depression prevention programs across five health systems (30 clinics) in urban and suburban Chicago, IL, rural Western IL, and Louisville, KY. We are comprehensively evaluating patient-centered outcomes and stakeholder-valued moderators of effect versus baseline at two, six, 12, and 18-month assessment points. Using a hybrid clinical trial design that simultaneously examines the implementation process, the study is also assessing adolescents', parents', and providers' experiences (e.g., efficacy, time commitment, cultural acceptability) within each intervention approach. |
format |
Text |
author |
Gladstone, Tracy R Feinstein, Rebecca T Fitzgibbon, Marian L Schiffer, Linda Berbaum, Michael L Lefaiver, Cheryl Pössel, Patrick Diviak, Kathleen Wang, Tianxiu Knepper, Amanda K Sanchez-Flack, Jennifer Rusiewski, Calvin Potts, Diane Buchholz, Katherine R Myers, Taylor L Van Voorhees, Benjamin W |
author_facet |
Gladstone, Tracy R Feinstein, Rebecca T Fitzgibbon, Marian L Schiffer, Linda Berbaum, Michael L Lefaiver, Cheryl Pössel, Patrick Diviak, Kathleen Wang, Tianxiu Knepper, Amanda K Sanchez-Flack, Jennifer Rusiewski, Calvin Potts, Diane Buchholz, Katherine R Myers, Taylor L Van Voorhees, Benjamin W |
author_sort |
Gladstone, Tracy R |
title |
PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
title_short |
PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
title_full |
PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
title_fullStr |
PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
title_full_unstemmed |
PATH 2 Purpose: Design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
title_sort |
path 2 purpose: design of a comparative effectiveness study of prevention programs for adolescents at-risk for depression in the primary care setting |
publisher |
Advocate Aurora Health Institutional Repository |
publishDate |
2022 |
url |
https://institutionalrepository.aah.org/allother/213 https://doi.org/10.1016/j.cct.2022.106763 https://libkey.io/libraries/1712/pmid/35436622 |
genre |
Aurora Research Institute |
genre_facet |
Aurora Research Institute |
op_source |
All Other Contributions |
op_relation |
https://institutionalrepository.aah.org/allother/213 doi:10.1016/j.cct.2022.106763 https://libkey.io/libraries/1712/pmid/35436622 |
op_doi |
https://doi.org/10.1016/j.cct.2022.106763 |
container_title |
Contemporary Clinical Trials |
container_volume |
117 |
container_start_page |
106763 |
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1772180746982653952 |