Implementation Determinants and Outcomes of a Telehealth-Delivered Depression Prevention Program.

IF 1.7 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2026-03-01 Epub Date: 2025-10-28 DOI:10.1176/appi.psychotherapy.20250005

Molly Davis, Amy So, Gillian C Dysart, Karen T G Schwartz, Rebecca M Kanine, Jason D Jones, Courtney Benjamin Wolk, Jami F Young

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引用次数: 0

Abstract

Objective: The goal of this study was to evaluate the implementation of a school-based, telehealth-delivered depression prevention program (interpersonal psychotherapy-adolescent skills training).

Methods: Adolescents in ninth or 10th grade (N=14), school counselors and other student support staff (N=14), and school and district administrators (N=14) from schools that were included in a larger randomized controlled trial completed hour-long, semistructured qualitative interviews.

Results: A content analysis, involving a combination of a priori codes from implementation science frameworks and codes derived from transcripts of the interviews, demonstrated that the prevention program was generally viewed as helpful and relevant. Moreover, the importance of mental health programming in the school setting was recognized. Nonetheless, key barriers to implementation were noted, including limited time and resources in the schools, technology challenges, and perceptions from some counselors that the program was more structured than was their typical practice.

Conclusions: The results elucidated key factors to consider for optimizing future efforts to implement evidence-based mental health programs in schools and other community settings.

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远程医疗抑郁症预防项目的实施决定因素和结果。

目的：本研究的目的是评估以学校为基础、远程医疗提供的抑郁症预防项目（人际心理治疗-青少年技能培训）的实施情况。方法：九年级或十年级的青少年（N=14），学校辅导员和其他学生支持人员（N=14），以及学校和地区管理人员（N=14），他们被纳入了一个更大的随机对照试验，完成了长达一小时的半结构化定性访谈。结果：内容分析，包括来自实施科学框架的先验代码和来自访谈记录的代码的组合，表明预防计划通常被认为是有用的和相关的。此外，认识到在学校环境中制定心理健康方案的重要性。然而，实施的主要障碍也被指出，包括学校有限的时间和资源，技术挑战，以及一些辅导员认为该计划比他们的典型实践更有条理。结论：研究结果阐明了优化未来在学校和其他社区环境中实施循证心理健康项目的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.90

自引率

4.00%

发文量

期刊介绍： Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.