Evidence map›Paper›PMID 27267141›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2016

A Depression Prevention Intervention for Adolescents in the Emergency Department.

Megan L Ranney, Joshua R Freeman, Gerianne Connell, Anthony Spirito, Edward Boyer, Maureen Walton, Kate Morrow Guthrie, Rebecca M Cunningham

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A Randomized Controlled Trial of a Digital Intervention to Improve the Sexual Health of Adolescent and Young Adult Male Emergency Department Patients.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Trial
  4. Trial
  5. Trial
  6. A multi-media digital intervention to improve the sexual and reproductive health of female adolescent emergency department patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Trial
  7. Trial
  8. A Multifaceted Intervention to Improve Patient Knowledge and Safe Use of Opioids: Results of the ED EMCAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019
    Trial
  9. Trial
  10. Trial
  11. Texting to Increase Contraceptive Initiation Among Adolescents in the Emergency Department.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
    Trial
  12. Trial
  13. Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  14. Facilitators to implementing preventive health interventions for adolescents in the emergency department: A multicenter qualitative analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Meeting Users Where They Are: User-centered Design of an Automated Text Messaging Tool to Support the Mental Health of Young Adults.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Megan L RanneyDepartment of Emergency Medicine, Emergency Digital Health Innovation Program, Alpert Medical School, Brown University, Providence, Rhode Island. Electronic address: mranney@lifespan.org.
Joshua R FreemanDepartment of Emergency Medicine, Emergency Digital Health Innovation Program, Alpert Medical School, Brown University, Providence, Rhode Island.
Gerianne ConnellDepartment of Emergency Medicine, Emergency Digital Health Innovation Program, Alpert Medical School, Brown University, Providence, Rhode Island.
Anthony SpiritoDepartment of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island.
Edward BoyerDepartment of Emergency Medicine, University of Massachusetts Worcester, North Worcester, Massachusetts.
Maureen WaltonDepartment of Psychiatry, Addiction Center, Injury Center, University of Michigan, Ann Arbor, Michigan.
Kate Morrow GuthrieDepartment of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island.
Rebecca M CunninghamDepartment of Psychiatry, Addiction Center, Injury Center, University of Michigan, Ann Arbor, Michigan.

Funding

Text-Message-Based Depression Prevention for High-Risk Youth in the EDK23MH095866 · NIMH · RHODE ISLAND HOSPITAL · PI RANNEY, MEGAN LARIN · 2013 to 2017
$909k
Advancing Reproductive Health: Qualitative Methods & Interdisciplinary MentorshipK24HD062645 · NICHD · MIRIAM HOSPITAL · PI GUTHRIE, KATE M · 2012 to 2016
$689k
NICHD NIH HHS K24 HD062645NIMH NIH HHS K23 MH095866
6 · The paper itself

Abstract

purposeTo evaluate acceptability and feasibility of a theoretically based two-part (brief in-person + 8-week automated text message) depression prevention program, "intervention for DepressiOn and Violence prevention in the Emergency department" (iDOVE), for high-risk adolescents.

methodsEnglish-speaking emergency department (ED) patients (age 13-17, any chief complaint) were sequentially approached for consent on a convenience sample of shifts and screened for inclusion based on current depressive symptoms and past-year violence. After consent, baseline assessments were obtained; all participants were enrolled in the two-part intervention (brief in-ED + 8-week two-way text messaging). At 8 weeks, quantitative and qualitative follow-up assessments were obtained. Measures included feasibility, acceptability, and preliminary data on efficacy. Qualitative data were transcribed verbatim, double coded, and interpreted using thematic analysis. Quantitative results were analyzed descriptively and with paired t tests.

resultsAs planned, 16 participants (eight each gender) were recruited (75% of those who were eligible; 66% nonwhite, 63% low income, mean age 15.4). The intervention had high feasibility and acceptability: 93.8% completed 8-week follow-up; 80% of daily text messages received responses; 31% of participants requested ≥1 "on-demand" text message. In-person and text message portions were rated as good/excellent by 87%. Qualitatively, participants articulated: (1) iDOVE was welcome and helpful, if unexpected in the ED; (2) the daily text message mood assessment was "most important"; (3) content was "uplifting"; and (4) balancing intervention "relatability" and automation was challenging. Participants' mean ΔBDI-2 (Beck Depression Inventory) from baseline to 8-week follow-up was -4.9, (p = .02).

conclusionsThis automated preventive text message intervention is acceptable and feasible. Qualitative data emphasize the importance of creating positive, relevant, and interactive digital health tools for adolescents.

Indexed as

AffectText MessagingAdolescentCognitive Behavioral TherapyDepressionEmergency Service, HospitalFeasibility StudiesFemaleHumansMaleNon-Randomized Controlled Trials as TopicPatient SatisfactionPilot ProjectsQualitative ResearchRisk FactorsSurveys and QuestionnairesAdolescentsBehavior changeDepressionHealth promotionMixed methodsText messaging

Identifiers

PMID27267141
PMCPMC5035565

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.