Karen Swartz1, Rashelle J Musci1, Mary Beth Beaudry1, Kathryn Heley1, Leslie Miller1, Clarissa Alfes1, Lisa Townsend1, Graham Thornicroft1, Holly C Wilcox1. 1. Karen Swartz, Mary Beth Beaudry, Leslie Miller, Clarissa Alfes, Lisa Townsend, and Holly C. Wilcox are with the Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD. Rashelle J. Musci is with the Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore. Kathryn Heley is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health. Graham Thornicroft is with the Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Abstract
OBJECTIVES: To determine the effectiveness of a universal school-based depression education program. METHODS:In 2012-2015, we matched 6679 students from 66 secondary schools into pairs by state (Maryland, Delaware, Pennsylvania, Michigan, and Oklahoma) and randomized to theAdolescent Depression Awareness Program (ADAP; n = 3681) or to a waitlist control condition (n = 2998). Trained teachers delivered ADAP as part of the health education curriculum to students aged 14 to 15 years. The primary outcome was depression literacy. Secondary outcomes included mental health stigma and, in a subset of the sample, the receipt of mental health services. Follow-up was at 4 months. RESULTS:ADAP resulted in significantly higher levels of depression literacy among participating students than did waitlist controls, after adjusting for pretest assessment depression literacy (P < .001). Overall, ADAP did not significantly affect stigma (P = .1). After ADAP, students approached 46% of teachers with concerns about themselves or others. Of students who reported the need for depression treatment, 44% received treatment within 4 months of ADAP implementation. CONCLUSIONS:ADAP is an effective public health intervention for improving depression literacy among students. TRIAL REGISTRATION: Clinicaltrials.gov NCT02099305.
RCT Entities:
OBJECTIVES: To determine the effectiveness of a universal school-based depression education program. METHODS: In 2012-2015, we matched 6679 students from 66 secondary schools into pairs by state (Maryland, Delaware, Pennsylvania, Michigan, and Oklahoma) and randomized to the Adolescent Depression Awareness Program (ADAP; n = 3681) or to a waitlist control condition (n = 2998). Trained teachers delivered ADAP as part of the health education curriculum to students aged 14 to 15 years. The primary outcome was depression literacy. Secondary outcomes included mental health stigma and, in a subset of the sample, the receipt of mental health services. Follow-up was at 4 months. RESULTS:ADAP resulted in significantly higher levels of depression literacy among participating students than did waitlist controls, after adjusting for pretest assessment depression literacy (P < .001). Overall, ADAP did not significantly affect stigma (P = .1). After ADAP, students approached 46% of teachers with concerns about themselves or others. Of students who reported the need for depression treatment, 44% received treatment within 4 months of ADAP implementation. CONCLUSIONS:ADAP is an effective public health intervention for improving depression literacy among students. TRIAL REGISTRATION: Clinicaltrials.gov NCT02099305.
Authors: S Evans-Lacko; D Rose; K Little; C Flach; D Rhydderch; C Henderson; G Thornicroft Journal: Epidemiol Psychiatr Sci Date: 2011-09 Impact factor: 6.892
Authors: Shelley R Hart; Elizabeth A Kastelic; Holly C Wilcox; Mary Beth Beaudry; Rashelle J Musci; Kathryn M Heley; Anne E Ruble; Karen L Swartz Journal: School Ment Health Date: 2014-02-23
Authors: Janet C Lindow; Jennifer L Hughes; Charles South; Luis Gutierrez; Elizabeth Bannister; Madhukar H Trivedi; Matthew J Byerly Journal: Arch Suicide Res Date: 2019-07-04
Authors: Leslie Miller; Rashelle Musci; Douglas D'Agati; Clarissa Alfes; Mary Beth Beaudry; Karen Swartz; Holly Wilcox Journal: School Ment Health Date: 2018-06-25
Authors: Lisa Townsend; Rashelle Musci; Elizabeth Stuart; Kathryn Heley; Mary Beth Beaudry; Barbara Schweizer; Anne Ruble; Karen Swartz; Holly Wilcox Journal: J Adolesc Health Date: 2019-01-04 Impact factor: 5.012
Authors: Alexandra Maria Freţian; Patricia Graf; Sandra Kirchhoff; Gloria Glinphratum; Torsten M Bollweg; Odile Sauzet; Ullrich Bauer Journal: Int J Public Health Date: 2021-12-15 Impact factor: 3.380
Authors: Janet C Lindow; Jennifer L Hughes; Charles South; Abu Minhajuddin; Luis Gutierrez; Elizabeth Bannister; Madhukar H Trivedi; Matthew J Byerly Journal: J Adolesc Health Date: 2020-02-27 Impact factor: 5.012