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A Brief, Affordable, Broad-Access Transdiagnostic Intervention (Project RE-THINK) for Adolescents: Quasi-Experimental
Christopher S Rozek1, Maegan B Arney1, Benjamin Kedl1
1Department of Education, Washington University in St Louis, 1 Brookings Drive, St Louis, MO, 63130, United States, 1 314-935-6791.
Project RE-THINK, a digital intervention, significantly reduced negative thinking and improved emotional well-being in adolescents. This scalable school-based program shows promise for supporting youth mental health.
Area of Science:
- Adolescent mental health
- Cognitive behavioral interventions
- School-based mental health programs
Background:
- Adolescence is a critical period for mental health, with high rates of stress, depression, and anxiety.
- Barriers like stigma and cost limit access to effective adolescent mental health treatments.
- School systems offer a scalable platform for delivering mental health interventions to adolescents.
Purpose of the Study:
- To assess the immediate impact of Project RE-THINK, a digital intervention, on adolescent negative cognitions and emotional valence.
- To evaluate the effectiveness of a single-session, school-based digital thought record intervention.
Main Methods:
- A quasi-experimental pre/post design was used with 1052 adolescents (grades 10-12).
- Participants completed a digital thought record intervention to identify, challenge negative cognitions, and practice emotion regulation.
- Measures of negative cognition and emotional valence were collected before and after the intervention.
Main Results:
- Adolescents showed a significant reduction in belief in negative cognitions (d=0.85) and improved emotional valence (d=-0.98).
- A significant correlation was found between reduced negative cognition and improved emotional valence (r=0.25).
- Intervention efficacy was consistent across diverse demographic groups (gender, race, ethnicity, socioeconomic status).
Conclusions:
- Project RE-THINK effectively improved adolescent cognitive and emotional outcomes.
- The intervention demonstrates potential as a scalable, low-cost mental health solution for schools.
- Further research should explore longitudinal effects and curriculum integration for sustained adolescent mental health support.
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