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Effects of Preference on Outcomes of Preventive Interventions among Ethnically Diverse Adolescents At-Risk of Depression.
Lau, Anna S; Kim, Joanna J; Nguyen, Diem Julie; Nguyen, Hannah T; Kodish, Tamar; Weiss, Bahr.
Afiliación
  • Lau AS; Department of Psychology, University of California , Los Angeles.
  • Kim JJ; Department of Psychology, University of California , Los Angeles.
  • Nguyen DJ; Department of Psychology, University of Minnesota.
  • Nguyen HT; Department of Human Services, California State University, Dominguez Hills.
  • Kodish T; Department of Psychology, University of California , Los Angeles.
  • Weiss B; Department of Psychology and Human Development, Vanderbilt University.
J Clin Child Adolesc Psychol ; 49(6): 820-836, 2020.
Article en En | MEDLINE | ID: mdl-31407937
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 (M age = 15.18 years, SD = .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. 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 R 2 = 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Depresión / Prioridad del Paciente Tipo de estudio: Clinical_trials / Etiology_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Clin Child Adolesc Psychol Asunto de la revista: PEDIATRIA / PSICOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Depresión / Prioridad del Paciente Tipo de estudio: Clinical_trials / Etiology_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Clin Child Adolesc Psychol Asunto de la revista: PEDIATRIA / PSICOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido