@article{ref1,
title="Effects of preference on outcomes of preventive interventions among ethnically diverse adolescents at-risk of depression",
journal="Journal of clinical child and adolescent psychology",
year="2019",
author="Lau, Anna S. and Kim, Joanna J. and Nguyen, Diem Julie and Nguyen, Hannah T. and Kodish, Tamar and Weiss, Bahr",
volume="ePub",
number="ePub",
pages="1-17",
abstract="Patient-centered care includes efforts to align treatment with patient preferences to improve outcomes and has not been studied in adolescent depression prevention. Within a school-based randomized trial, we examined the effects of offering a preference between two evidence-based preventive interventions for youth at risk of depression, Learning to BREATHE (L2B) and Interpersonal Therapy-Adolescent Skills Training. We examined the effects of 3 preference factors (assignment condition [preference vs. random], receipt of preferred program, and baseline program preference) on outcomes in a diverse sample of 111 adolescents (<i>M</i> age = 15.18 years, <i>SD</i> = .86): 81 (73%) girls, 45 (41%) White, 40 (36%) Asian American, 8 (7%) Latinx, 1 (1%) African American, and 17 (15%) multiracial or other race/ethnicity. <br><br>FINDINGS revealed little evidence that receiving a preferred intervention or being given a choice of interventions was linked to greater improvement or initial engagement. Further, analyses did not indicate that adolescents with baseline indications for a specific intervention would benefit more from that intervention; rather, adolescents with generally lower baseline functioning improved more regardless of the intervention received. However, receipt of L2B and a baseline preference for L2B were associated with greater improvements in about half of the outcomes examined, with effect sizes ranging from <i>R</i><sup>2</sup> = 0.04 to 0.14. There was little support for the need to match interventions to adolescent preferences in school-based prevention efforts. Rather, the more scalable mindfulness-based intervention had stronger effects than the interpersonal intervention and may hold promise for diverse adolescents.<p /> <p>Language: en</p>",
language="en",
issn="1537-4416",
doi="10.1080/15374416.2019.1639514",
url="http://dx.doi.org/10.1080/15374416.2019.1639514"
}