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MEMO--a mobile phone depression prevention intervention for adolescents: development process and postprogram findings
Robyn Whittaker1, Sally Merry, Karolina Stasiak
1Clinical Trials Research Unit, University of Auckland, Auckland, New Zealand. r.whittaker@ctru.auckland.ac.nz
Journal of Medical Internet Research
|January 27, 2012
Summary
Mobile phone delivery of cognitive behavioral therapy (CBT) messages effectively improved adolescent mental health. Young people found the intervention helpful, with high satisfaction and willingness to recommend it to peers.
Area of Science:
- Mental Health Technology
- Adolescent Psychology
- Digital Health Interventions
Background:
- Adolescent depression can lead to long-term negative outcomes.
- New technologies offer scalable solutions for mental health prevention.
- Early intervention is crucial for preventing adult mental health conditions.
Purpose of the Study:
- To develop and evaluate a novel mobile phone-based depression prevention program for adolescents.
- To assess user satisfaction and adherence to the mobile intervention.
- To explore the feasibility of using mobile technology for widespread mental health support.
Main Methods:
- Developed a 9-week automated intervention using 15 key messages from cognitive behavioral therapy (CBT).
- Delivered messages via text, video, and cartoons twice daily, supplemented by a mobile website.
- Conducted a double-blind randomized controlled trial comparing the intervention to an attention control group in New Zealand high schools.
Main Results:
- Over three-quarters of participants engaged with at least half of the messages.
- 90.7% of intervention group participants would recommend the program to a friend.
- Significantly more participants in the intervention group reported increased positivity and reduced negative thoughts compared to the control group.
Conclusions:
- Key cognitive behavioral therapy (CBT) messages can be effectively delivered via mobile phone to adolescents.
- Young people reported high satisfaction and perceived helpfulness of the mobile intervention.
- This scalable mobile health approach may be valuable in regions with limited mental health services, pending further effectiveness data.
