TY  - JOUR
PY  - 2016//
TI  - Effectiveness of a culturally attuned Internet-based depression prevention program for Chinese adolescents: a randomized controlled trial
JO  - Depression and anxiety
A1  - Ip, Patrick
A1  - Chim, David
A1  - Chan, Ko Ling
A1  - Li, Tim M. H.
A1  - Ho, Frederick Ka Wing
A1  - Van Voorhees, Benjamin W.
A1  - Tiwari, Agnes
A1  - Tsang, Anita
A1  - Chan, Charlie Wai Leung
A1  - Ho, Matthew
A1  - Tso, Winnie
A1  - Wong, Wilfred Hing Sang
SP  - 1123
EP  - 1131
VL  - 33
IS  - 12
N2  - BACKGROUND: Depression prevention among adolescents is crucial for reducing the global disease burden. Internet-based depression prevention approaches are found to be effective but they were mostly evaluated in a Western context. Grasping the Opportunity is a Chinese Internet intervention, which was translated and modified from CATCH-IT developed in the West. We aimed to evaluate the effectiveness of Grasp the Opportunity in reducing depressive symptoms in Chinese adolescents. <br><br>METHODS: In this randomized controlled trial, Chinese adolescents aged 13 to 17 years with mild-to-moderate depressive symptoms were recruited from three secondary schools in Hong Kong. The participants (n = 257) were randomly assigned to receive either intervention or attention control. The primary outcome was the improvement in depressive symptoms according to the revised Center for Epidemiologic Studies Depression Scale (CESD-R) at the 12-month follow-up. Analyses were performed using intention to treat (ITT). <br><br>RESULTS: The participants were randomly assigned to receive the intervention (n = 130) or attention control (n = 127). Follow-up data were obtained from 250 (97%) participants. Only 26 (10%) participants completed the intervention. Compared to the attention control, Grasp the Opportunity led to reductions in depressive symptoms at the 12-month follow-up with a medium effect size using ITT analysis (mean difference 2.6, 95% CI 0.59-5.55, effect size d = 0.36). <br><br>CONCLUSIONS: Grasp the Opportunity is effective in reducing depressive symptoms in Chinese adolescents over a long follow-up period. Poor completion rate is the major challenge in the study.<br><br>© 2016 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 1091-4269
UR  - http://dx.doi.org/10.1002/da.22554
ID  - ref1
ER  -