Serving the Underserved? Uptake, Effectiveness, and Acceptability of Digital SSIs for Rural American Adolescents.

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2023-11-06 DOI:10.1080/15374416.2023.2272935

Erica Szkody, Ya-Wen Chang, Jessica L Schleider

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引用次数: 0

Abstract

Objective: Rural teens are less likely to access care for depression than urban teens. Evidence-based digital single-session interventions (SSIs), offered via social media advertisements, may be well suited to narrowing this gap in treatment access and increasing access to support for adolescents living in rural areas. We evaluated the viability of using social media-based advertisements to equitably recruit adolescents living in rural areas with elevated depression symptoms to digital SSIs; we sought to characterize and assess whether SSI completion rates and acceptability differed for adolescents living in rural versus more urban areas, across three intervention conditions (two active, evidence-based SSIs; one placebo control); and we tested whether digital SSIs differentially reduced depressive symptoms.

Method: We used pre-intervention and three-month follow up data from 13- to 16-year-old adolescents (N = 2,322; 88% female; 55% non-Hispanic White) within a web-based randomized control trial of three free, digital SSIs (ClinicalTrials.gov identifier: NCT04634903) collected eight months into the COVID-19 pandemic in the United States.

Results: Digital SSIs reached adolescents at population-congruent rates; however, social media ads resulted in relative underrepresentation of youths from rural areas who hold minoritized racial/ethnic identities. Adolescents living in rural areas also completed digital SSIs at similar rates to their urban peers, found SSIs equivalently as acceptable, and reported comparable depression symptom reductions as youth living in urban areas.

Conclusion: Digital SSIs and their dissemination through social media may offer a promising means of narrowing the gap between access to evidence-based mental health support between adolescents living in rural and urban areas; however, targeted efforts are warranted to reach racially minoritized youths in rural U.S. counties.

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为服务不足的人服务？美国农村青少年数字SSI的接受、有效性和可接受性。

目的：与城市青少年相比，农村青少年获得抑郁症治疗的可能性较小。通过社交媒体广告提供的基于证据的数字单次干预（SSI）可能非常适合缩小这一治疗机会差距，并增加农村地区青少年获得支持的机会。我们评估了使用基于社交媒体的广告公平招募生活在农村地区抑郁症状加重的青少年使用数字SSI的可行性；我们试图描述和评估生活在农村和城市地区的青少年在三种干预条件下（两种积极的循证SSI；一种安慰剂对照）的SSI完成率和可接受性是否不同；我们测试了数字SSI是否能不同程度地减轻抑郁症状。方法：我们使用干预前和三个月随访的数据，来自13至16岁的青少年（N = 2322；88%为女性；55%的非西班牙裔白人）在美国新冠肺炎大流行八个月后收集的三种免费数字SSI（ClinicalTrials.gov标识符：NCT04634903）的基于网络的随机对照试验中。结果：数字SSI在青少年中的普及率与人群一致；然而，社交媒体广告导致农村地区持有少数种族/民族身份的年轻人代表性相对不足。生活在农村地区的青少年也以与城市同龄人相似的速度完成了数字SSI，发现SSI同等可接受，并报告了与生活在城市地区的青少年类似的抑郁症状减轻。结论：数字SSI及其通过社交媒体的传播可能为缩小农村和城市青少年在获得循证心理健康支持方面的差距提供了一种很有前途的手段；然而，有针对性的努力是有必要的，以接触到美国农村县的少数种族青年。

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

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.