Megan L Ranney1, Joshua R Freeman2, Gerianne Connell2, Anthony Spirito3, Edward Boyer4, Maureen Walton5, Kate Morrow Guthrie3, Rebecca M Cunningham5. 1. Department of Emergency Medicine, Emergency Digital Health Innovation Program, Alpert Medical School, Brown University, Providence, Rhode Island. Electronic address: mranney@lifespan.org. 2. Department of Emergency Medicine, Emergency Digital Health Innovation Program, Alpert Medical School, Brown University, Providence, Rhode Island. 3. Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island. 4. Department of Emergency Medicine, University of Massachusetts Worcester, North Worcester, Massachusetts. 5. Department of Psychiatry, Addiction Center, Injury Center, University of Michigan, Ann Arbor, Michigan.
Abstract
PURPOSE: To evaluate acceptability and feasibility of a theoretically based two-part (brief in-person + 8-week automated text message) depression prevention program, "intervention for DepressiOn and Violence prevention in the Emergency department" (iDOVE), for high-risk adolescents. METHODS: English-speaking emergency department (ED) patients (age 13-17, any chief complaint) were sequentially approached for consent on a convenience sample of shifts and screened for inclusion based on current depressive symptoms and past-year violence. After consent, baseline assessments were obtained; all participants were enrolled in the two-part intervention (brief in-ED + 8-week two-way text messaging). At 8 weeks, quantitative and qualitative follow-up assessments were obtained. Measures included feasibility, acceptability, and preliminary data on efficacy. Qualitative data were transcribed verbatim, double coded, and interpreted using thematic analysis. Quantitative results were analyzed descriptively and with paired t tests. RESULTS: As planned, 16 participants (eight each gender) were recruited (75% of those who were eligible; 66% nonwhite, 63% low income, mean age 15.4). The intervention had high feasibility and acceptability: 93.8% completed 8-week follow-up; 80% of daily text messages received responses; 31% of participants requested ≥1 "on-demand" text message. In-person and text message portions were rated as good/excellent by 87%. Qualitatively, participants articulated: (1) iDOVE was welcome and helpful, if unexpected in the ED; (2) the daily text message mood assessment was "most important"; (3) content was "uplifting"; and (4) balancing intervention "relatability" and automation was challenging. Participants' mean ΔBDI-2 (Beck Depression Inventory) from baseline to 8-week follow-up was -4.9, (p = .02). CONCLUSIONS: This automated preventive text message intervention is acceptable and feasible. Qualitative data emphasize the importance of creating positive, relevant, and interactive digital health tools for adolescents.
PURPOSE: To evaluate acceptability and feasibility of a theoretically based two-part (brief in-person + 8-week automated text message) depression prevention program, "intervention for DepressiOn and Violence prevention in the Emergency department" (iDOVE), for high-risk adolescents. METHODS: English-speaking emergency department (ED) patients (age 13-17, any chief complaint) were sequentially approached for consent on a convenience sample of shifts and screened for inclusion based on current depressive symptoms and past-year violence. After consent, baseline assessments were obtained; all participants were enrolled in the two-part intervention (brief in-ED + 8-week two-way text messaging). At 8 weeks, quantitative and qualitative follow-up assessments were obtained. Measures included feasibility, acceptability, and preliminary data on efficacy. Qualitative data were transcribed verbatim, double coded, and interpreted using thematic analysis. Quantitative results were analyzed descriptively and with paired t tests. RESULTS: As planned, 16 participants (eight each gender) were recruited (75% of those who were eligible; 66% nonwhite, 63% low income, mean age 15.4). The intervention had high feasibility and acceptability: 93.8% completed 8-week follow-up; 80% of daily text messages received responses; 31% of participants requested ≥1 "on-demand" text message. In-person and text message portions were rated as good/excellent by 87%. Qualitatively, participants articulated: (1) iDOVE was welcome and helpful, if unexpected in the ED; (2) the daily text message mood assessment was "most important"; (3) content was "uplifting"; and (4) balancing intervention "relatability" and automation was challenging. Participants' mean ΔBDI-2 (Beck Depression Inventory) from baseline to 8-week follow-up was -4.9, (p = .02). CONCLUSIONS: This automated preventive text message intervention is acceptable and feasible. Qualitative data emphasize the importance of creating positive, relevant, and interactive digital health tools for adolescents.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Rebecca M Cunningham; Stephen T Chermack; Marc A Zimmerman; Jean T Shope; C Raymond Bingham; Frederic C Blow; Maureen A Walton Journal: Pediatrics Date: 2012-05-21 Impact factor: 7.124
Authors: Maureen A Walton; Stephen T Chermack; Jean T Shope; C Raymond Bingham; Marc A Zimmerman; Frederic C Blow; Rebecca M Cunningham Journal: JAMA Date: 2010-08-04 Impact factor: 56.272
Authors: Santosh Kumar; Wendy J Nilsen; Amy Abernethy; Audie Atienza; Kevin Patrick; Misha Pavel; William T Riley; Albert Shar; Bonnie Spring; Donna Spruijt-Metz; Donald Hedeker; Vasant Honavar; Richard Kravitz; R Craig Lefebvre; David C Mohr; Susan A Murphy; Charlene Quinn; Vladimir Shusterman; Dallas Swendeman Journal: Am J Prev Med Date: 2013-08 Impact factor: 5.043
Authors: Brian Suffoletto; Jeffrey Kristan; Tammy Chung; Kwonho Jeong; Anthony Fabio; Peter Monti; Duncan B Clark Journal: PLoS One Date: 2015-11-18 Impact factor: 3.240
Authors: Megan L Ranney; Jason Goldstick; Andria Eisman; Patrick M Carter; Maureen Walton; Rebecca M Cunningham Journal: Gen Hosp Psychiatry Date: 2017-03-09 Impact factor: 3.238
Authors: Megan L Ranney; John V Patena; Shira Dunsiger; Anthony Spirito; Rebecca M Cunningham; Edward Boyer; Nicole R Nugent Journal: Contemp Clin Trials Date: 2019-05-23 Impact factor: 2.226
Authors: Shirley Yen; Megan L Ranney; Maya Krek; Jessica R Peters; Ethan H Mereish; Katherine M Tezanos; Christopher W Kahler; Joel Solomon; Courtney Beard; Anthony Spirito Journal: J Posit Psychol Date: 2019-05-16
Authors: Megan L Ranney; Julie Bromberg; Alyssa Hozey; T Charles Casper; Michael J Mello; Anthony Spirito; Thomas H Chun; James G Linakis Journal: Acad Pediatr Date: 2018-03-02 Impact factor: 3.107
Authors: Danielle M McCarthy; Laura M Curtis; D Mark Courtney; Kenzie A Cameron; Patrick M Lank; Howard S Kim; Lauren A Opsasnick; Abbie E Lyden; Stephanie J Gravenor; Andrea M Russell; Morgan R Eifler; Scott I Hur; Megan E Rowland; Surrey M Walton; Enid Montague; Kwang-Youn A Kim; Michael S Wolf Journal: Acad Emerg Med Date: 2019-11-19 Impact factor: 3.451
Authors: Lauren S Chernick; Margaret Berrigan; Ariana Gonzalez; Alexis Konja; Melissa S Stockwell; Anke Ehrhardt; Susanne Bakken; Carolyn L Westhoff; John Santelli; Peter S Dayan Journal: J Adolesc Health Date: 2019-09-06 Impact factor: 5.012