Moderated online social therapy for depression relapse prevention in young people: pilot study of a ‘next generation’ online intervention

Moderated online social therapy for depression relapse prevention in young people: pilot study of a ‘next generation’ online intervention

Aim Implementation of targeted e‐mental health interventions offers a promising solution to reducing the burden of disease associated with youth depression. A single‐group pilot study was conducted to evaluate the acceptability, feasibility, usability and safety of a novel, moderated online social t...

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Published in:Early intervention in psychiatry Vol. 12; no. 4; pp. 613 - 625
Main Authors: Rice, Simon, Gleeson, John, Davey, Christopher, Hetrick, Sarah, Parker, Alexandra, Lederman, Reeva, Wadley, Greg, Murray, Greg, Herrman, Helen, Chambers, Richard, Russon, Penni, Miles, Christopher, D'Alfonso, Simon, Thurley, Melissa, Chinnery, Gina, Gilbertson, Tamsyn, Eleftheriadis, Dina, Barlow, Emma, Cagliarini, Daniella, Toh, Jia‐Wern, McAlpine, Stuart, Koval, Peter, Bendall, Sarah, Jansen, Jens Einar, Hamilton, Matthew, McGorry, Patrick, Alvarez‐Jimenez, Mario
Format: Journal Article
Language:English
Published: Australia Wiley Subscription Services, Inc 01-08-2018
Subjects:
Acceptability
Adolescent
Adult
Child & adolescent psychiatry
depression
Depression - therapy
Feasibility studies
Female
Humans
Internet
Intervention
Male
Mental depression
Mental health
Peer Group
Pilot Projects
Recurrence
Remission Induction
secondary prevention
Secondary Prevention - methods
Social Networking
Teenagers
Telemedicine - methods
Therapy
Young Adult
Young adults
recurrence
adolescent
secondary prevention
Internet
depression
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Summary:Aim Implementation of targeted e‐mental health interventions offers a promising solution to reducing the burden of disease associated with youth depression. A single‐group pilot study was conducted to evaluate the acceptability, feasibility, usability and safety of a novel, moderated online social therapy intervention (entitled Rebound) for depression relapse prevention in young people. Methods Participants were 42 young people (15–25 years) (50% men; mean age = 18.5 years) in partial or full remission. Participants had access to the Rebound platform for at least 12 weeks, including the social networking, peer and clinical moderator and therapy components. Results Follow‐up data were available for 39 (92.9%) participants. There was high system usage, with 3034 user logins (mean = 72.2 per user) and 2146 posts (mean = 51.1). Almost 70% of users had ≥10 logins over the 12 weeks, with 78.5% logging in over at least 2 months of the pilot. A total of 32 (84%) participants rated the intervention as helpful. There was significant improvement between the number of participants in full remission at baseline (n = 5; none of whom relapsed) relative to n = 19 at 12‐week follow‐up (P < 0.001). Six (14.3%) participants relapsed to full threshold symptoms at 12 weeks. There was a significant improvement to interviewer‐rated depression scores (Montgomery–Asberg Depression Rating Scale (MADRS); P = 0.014, d = 0.45) and a trend for improved strength use (P = 0.088, d = 0.29). The single‐group design and 12‐week treatment phase preclude a full understanding of the clinical benefits of the Rebound intervention. Conclusions The Rebound intervention was shown to be acceptable, feasible, highly usable and safe in young people with major depression.
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ISSN:1751-7885
1751-7893
DOI:10.1111/eip.12354