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Auteur Melinda R. ACHILLES |
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A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health / Bridianne O'DEA in Journal of Child Psychology and Psychiatry, 61-8 (August 2020)
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Titre : A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health Type de document : Texte imprimé et/ou numérique Auteurs : Bridianne O'DEA, Auteur ; Jin HAN, Auteur ; Philip J. BATTERHAM, Auteur ; Melinda R. ACHILLES, Auteur ; Alison L. CALEAR, Auteur ; Aliza WERNER-SEIDLER, Auteur ; Belinda PARKER, Auteur ; Fiona SHAND, Auteur ; Helen CHRISTENSEN, Auteur Article en page(s) : p.899-913 Langues : Anglais (eng) Mots-clés : Adolescence depression e-health mental health relationships Index. décimale : PER Périodiques Résumé : BACKGROUND: This study evaluated the acceptability and effectiveness of a relationship-focussed mobile phone application (WeClick) for improving depressive symptoms and other mental health outcomes in adolescents. METHODS: A randomised controlled trial involving 193 youth (M age: 14.82, SD: 0.94, 86.5% female) from Australia was conducted. Youth were recruited via the Internet and randomly allocated to the intervention or a 4-week wait list control condition, stratified for age and gender. The primary outcome was change in depressive symptom scores measured using the Patient Health Questionnaire for Adolescents (PHQ-A) at baseline, 4-week post-test and 12-week follow-up. Secondary outcomes included anxiety, psychological distress, wellbeing, help-seeking intentions for mental health, social self-efficacy and social support. Participants in the intervention condition received access to the intervention for four weeks. Thematic analysis was utilised to identify and examine acceptability. RESULTS: The change in PHQ-A scores from baseline to 4-week post-test did not differ significantly (d = 0.26, p = .138) between the intervention (Mchange = -2.9, SD = 5.3) and wait list control conditions (Mchange = -1.7, SD = 4.3). However, significant between-group improvements were observed in wellbeing (d = 0.37, p = .023), help-seeking intentions (d = 0.36, p = .016) and professional help-seeking intentions for mental health problems (d = 0.36, p = .008). Increases in help-seeking intentions were sustained at follow-up in the intervention condition. No differential effects were found for generalised anxiety, separation anxiety, social self-efficacy or for any social support outcomes. Over 90% of participants indicated the app was enjoyable, interesting and easy to use. The app provided 'advice and direction' (n = 42; 46.15%), an 'opportunity for self-reflection' (n = 33; 36.3%) and 'normalised experiences' (n = 21; 23.1%). CONCLUSIONS: The WeClick app was found to be effective for improving wellbeing and help-seeking intentions for mental health in adolescents. A larger, adequately powered trial is now required to establish differential effects on depressive symptoms. This trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12618001982202. En ligne : http://dx.doi.org/10.1111/jcpp.13294 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429
in Journal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.899-913[article] A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health [Texte imprimé et/ou numérique] / Bridianne O'DEA, Auteur ; Jin HAN, Auteur ; Philip J. BATTERHAM, Auteur ; Melinda R. ACHILLES, Auteur ; Alison L. CALEAR, Auteur ; Aliza WERNER-SEIDLER, Auteur ; Belinda PARKER, Auteur ; Fiona SHAND, Auteur ; Helen CHRISTENSEN, Auteur . - p.899-913.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.899-913
Mots-clés : Adolescence depression e-health mental health relationships Index. décimale : PER Périodiques Résumé : BACKGROUND: This study evaluated the acceptability and effectiveness of a relationship-focussed mobile phone application (WeClick) for improving depressive symptoms and other mental health outcomes in adolescents. METHODS: A randomised controlled trial involving 193 youth (M age: 14.82, SD: 0.94, 86.5% female) from Australia was conducted. Youth were recruited via the Internet and randomly allocated to the intervention or a 4-week wait list control condition, stratified for age and gender. The primary outcome was change in depressive symptom scores measured using the Patient Health Questionnaire for Adolescents (PHQ-A) at baseline, 4-week post-test and 12-week follow-up. Secondary outcomes included anxiety, psychological distress, wellbeing, help-seeking intentions for mental health, social self-efficacy and social support. Participants in the intervention condition received access to the intervention for four weeks. Thematic analysis was utilised to identify and examine acceptability. RESULTS: The change in PHQ-A scores from baseline to 4-week post-test did not differ significantly (d = 0.26, p = .138) between the intervention (Mchange = -2.9, SD = 5.3) and wait list control conditions (Mchange = -1.7, SD = 4.3). However, significant between-group improvements were observed in wellbeing (d = 0.37, p = .023), help-seeking intentions (d = 0.36, p = .016) and professional help-seeking intentions for mental health problems (d = 0.36, p = .008). Increases in help-seeking intentions were sustained at follow-up in the intervention condition. No differential effects were found for generalised anxiety, separation anxiety, social self-efficacy or for any social support outcomes. Over 90% of participants indicated the app was enjoyable, interesting and easy to use. The app provided 'advice and direction' (n = 42; 46.15%), an 'opportunity for self-reflection' (n = 33; 36.3%) and 'normalised experiences' (n = 21; 23.1%). CONCLUSIONS: The WeClick app was found to be effective for improving wellbeing and help-seeking intentions for mental health in adolescents. A larger, adequately powered trial is now required to establish differential effects on depressive symptoms. This trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12618001982202. En ligne : http://dx.doi.org/10.1111/jcpp.13294 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429