Evidence map›Paper›PMID 30393470›Full record

ArticleCalifornian journal of health promotion2017

Prevention of Adolescent Depression in Primary Care: Barriers and Relational Work Solutions.

Nicholas Mahoney, Tracy Gladstone, Daniela DeFrino, Allison Stinson, Jennifer Nidetz, Jason Canel, Eumene Ching, Anita Berry, James Cantorna, Joshua Fogel and 3 more

Open access · goldAbstract read
In one paragraph

Article in Californian journal of health promotion, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Nicholas MahoneyDepartment of Psychiatry, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.
Tracy GladstoneThe Robert S. and Grace W. Stone Primary Prevention Initiatives, Wellesley Centers for Women, Wellesley College.
Daniela DeFrinoDepartment of General Pediatrics, College of Medicine, University of Illinois at Chicago, Illinois.
Allison StinsonDepartment of General Pediatrics, College of Medicine, University of Illinois at Chicago, Illinois.
Jennifer NidetzDepartment of General Pediatrics, College of Medicine, University of Illinois at Chicago, Illinois.
Jason CanelNorthshore University Health Systems, Evanston, Illinois.
Eumene ChingHarvard Vanguard, Boston, Massachusetts.
Anita BerryAdvocate Children's Hospital, Downers Grove, Illinois.
James CantornaFranciscan Medical Specialists, Munster, Indiana.
Joshua FogelDepartment of General Pediatrics, College of Medicine, University of Illinois at Chicago, Illinois.
Milton EderAccess Community Health Network, Chicago, Illinois.
Megan BolotinDepartment of General Pediatrics, College of Medicine, University of Illinois at Chicago, Illinois.
Benjamin W Van VoorheesDepartment of General Pediatrics, College of Medicine, University of Illinois at Chicago, Illinois.
University of Illinois Chicago · USAccess Community Health Network · USAdvocate Good Samaritan Hospital · USFranciscan University of Steubenville · USGrace (United States) · USHarvard Vanguard Medical Associates · USNorthShore University HealthSystem · US

Funding

Primary Care Internet-Based Depression Prevention for Adolescents (CATCH-IT)R01MH090035 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GLADSTONE, TRACY G, VAN VOORHEES, BENJAMIN W · 2011 to 2015
$3.2M
Primary Care-Based Depression Prevention for AdolescentsK08MH072918 · NIMH · UNIVERSITY OF CHICAGO · PI VAN VOORHEES, BENJAMIN W · 2006 to 2010
$842k
NIMH NIH HHS K08 MH072918NIMH NIH HHS R01 MH090035
6 · The paper itself

Abstract

background and purposeDepression affects millions of adolescents in the United States each year. This population may benefit from targeted preventive interventions. We sought to understand the internal factors that affect the ability of healthcare organizations to implement an intervention that involves mental health screening and depression prevention treatment of at-risk adolescents in primary care settings.

methodsFrom November 2011 to July 2016 we conducted a study of the implementation of a multisite (N=30) phase 3 randomized clinical trial of an Internet-based depression prevention intervention program (CATCH-IT). We describe the prevalence of internal barriers on the screening and enrollment process by reporting REACH (the proportion of target audience exposed to the intervention).

resultsA total of 369 adolescents were randomized into the intervention or control program. Mean REACH values for the study clinics were 0.216 for screening and 0.181 for enrollment to CATCH-IT. Mean REACH enrollment lost due to internal barriers was 0.233. This translated to 4,691 adolescents lost at screening and 2,443 adolescents lost at enrollment due to internal barriers.

conclusionWe propose a model of the implementation process that emphasizes the importance of positive relational work that assists in overcoming internal barriers to REACH. We also provide implications for policy and practice.

Indexed as

adolescentdelivery of health carehealth care reformmental healthprimary health care

Identifiers

PMID30393470
PMCPMC6214481
OpenAlexW2963495112

What OpenQuestion holds

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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.