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

Rice, S; Gleeson, J; Davey, C; Hetrick, S; Parker, A; Lederman, R; Wadley, G; Murray, G; Herrman, H; Chambers, R; Russon, P; Miles, C; D'Alfonso, S; Thurley, M; Chinnery, G; Gilbertson, T; Eleftheriadis, D; Barlow, E; Cagliarini, D; Toh, J-W; McAlpine, S; Koval, P; Bendall, S; Jansen, JE; Hamilton, M; McGorry, P; Alvarez-Jimenez, M

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

Rice, S Gleeson, J Davey, C Hetrick, S Parker, A Lederman, R Wadley, G Murray, G Herrman, H Chambers, R Russon, P

Miles, C D'Alfonso, S Thurley, M Chinnery, G Gilbertson, T Eleftheriadis, D Barlow, E Cagliarini, D Toh, J-W McAlpine, S Koval, P Bendall, S Jansen, JE Hamilton, M McGorry, P Alvarez-Jimenez, M

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Early Interv Psychiatry, 2018, 12, (4), pp. 613-625
Issue Date:: 2018-08

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Field	Value	Language
dc.contributor.author	Rice, S
dc.contributor.author	Gleeson, J
dc.contributor.author	Davey, C
dc.contributor.author	Hetrick, S
dc.contributor.author	Parker, A
dc.contributor.author	Lederman, R
dc.contributor.author	Wadley, G
dc.contributor.author	Murray, G
dc.contributor.author	Herrman, H
dc.contributor.author	Chambers, R
dc.contributor.author	Russon, P https://orcid.org/0000-0001-7899-7451
dc.contributor.author	Miles, C
dc.contributor.author	D'Alfonso, S
dc.contributor.author	Thurley, M
dc.contributor.author	Chinnery, G
dc.contributor.author	Gilbertson, T
dc.contributor.author	Eleftheriadis, D
dc.contributor.author	Barlow, E
dc.contributor.author	Cagliarini, D
dc.contributor.author	Toh, J-W
dc.contributor.author	McAlpine, S
dc.contributor.author	Koval, P
dc.contributor.author	Bendall, S
dc.contributor.author	Jansen, JE
dc.contributor.author	Hamilton, M
dc.contributor.author	McGorry, P
dc.contributor.author	Alvarez-Jimenez, M
dc.date.accessioned	2022-09-08T01:15:10Z
dc.date.available	2016-04-20
dc.date.available	2022-09-08T01:15:10Z
dc.date.issued	2018-08
dc.identifier.citation	Early Interv Psychiatry, 2018, 12, (4), pp. 613-625
dc.identifier.issn	1751-7885
dc.identifier.issn	1751-7893
dc.identifier.uri	http://hdl.handle.net/10453/161503
dc.description.abstract	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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Early Interv Psychiatry
dc.relation.isbasedon	10.1111/eip.12354
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology
dc.subject.classification	Psychiatry
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Depression
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Peer Group
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Recurrence
dc.subject.mesh	Remission Induction
dc.subject.mesh	Secondary Prevention
dc.subject.mesh	Social Networking
dc.subject.mesh	Telemedicine
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Recurrence
dc.subject.mesh	Remission Induction
dc.subject.mesh	Pilot Projects
dc.subject.mesh	Depression
dc.subject.mesh	Peer Group
dc.subject.mesh	Telemedicine
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Secondary Prevention
dc.subject.mesh	Young Adult
dc.subject.mesh	Social Networking
dc.title	Moderated online social therapy for depression relapse prevention in young people: pilot study of a 'next generation' online intervention.
dc.type	Journal Article
utslib.citation.volume	12
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/School of Communication
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-08T01:15:08Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	12
utslib.citation.issue	4

Abstract:

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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http://hdl.handle.net/10453/161503