Video-Based Internet Program to Prevent Youth Depression

描述（由申请人提供）：抑郁症是困扰青少年的最普遍的精神障碍之一。它严重影响角色功能，通常会复发或慢性病程。由于大多数抑郁青年从未接受过治疗，因此迫切需要制定易于实施和广泛传播的预防方案。该项目将开发和测试一种交互式多媒体干预，旨在通过针对高危青少年中可改变的风险和保护因素来预防抑郁症。经验测试的认知行为框架将适用于通过互联网或CD-ROM/DVD的自我管理。干预将包括以知识和技能为基础的模块，包括：抑郁教育、情绪监测、愉快活动、社交技能、放松、积极思考、沟通和解决问题以及目标设定。基于competency2的教学设计将采用基于自定进度的视频教程、支持性的同伴推荐和行为建模小片段来组织多个会话。第一阶段的原型，以不良男孩为目标，有四个模块（抑郁教育，情绪监测，愉快活动和社交技能）将通过随机试验进行评估。在第二阶段，所有八个项目模块将根据性别和干预环境（少年司法和学校）开发不同版本，以CD-ROM/DVD和互联网格式提供，并在更大的随机试验中进行评估。

DESCRIPTION (provided by applicant): Depression is one of the most prevalent mental disorders to afflict adolescents. It seriously impacts role functioning and typically takes a recurrent or chronic course. Because most depressed youth never receive treatment, there is a critical need to develop prevention programs that can be easily implemented and widely disseminated. This project will develop and test an interactive multimedia intervention aimed at preventing depression by targeting modifiable risk and protective factors among high-risk adolescents. An empirically tested cognitive-behavioral framework will be adapted for self-administration via the Internet or CD-ROM/DVD. The intervention will consist of knowledge- and skills-based modules including: education about depression, mood monitoring, pleasant activities, social skills, relaxation, positive thinking, communication and problem solving, and goal setting. The Competency2based instructional design will be structured for multiple sessions using self-paced video-based tutorials, supportive peer testimonials, and behavior modeling vignettes. The Phase I prototype, targeted to delinquent boys, with four modules (depression-education, mood monitoring, pleasant activities, and social skills) will be evaluated with a randomized trial. In Phase II, all eight program modules will be developed with different versions individualized by gender and intervention setting (juvenile justice and school), delivered in CD-ROM/DVD and Internet formats, and evaluated in a larger randomized trial.