@article{ref1,
title="Using high-risk adolescents' voices to develop a comprehensible CBT-based text-message program",
journal="Behavioral medicine",
year="2018",
author="Thorsen, Margaret M. and Patena, John V. and Morrow Guthrie, Kate and Spirito, Anthony and Ranney, Megan L.",
volume="44",
number="2",
pages="89-99",
abstract="At-risk adolescents' comprehension of, and preferences for, the content of a text-message (SMS) delivered, CBT-based depression prevention intervention was investigated using two qualitative studies. Adolescents with depressive symptoms and a history of peer violence were recruited from an urban emergency department. Forty-one participants completed semi-structured qualitative interviews. Thematic analysis using deductive and inductive codes were used to capture a priori and emerging themes. Five major themes were identified: CBT-based messages resonated with at-risk adolescents; high levels of peer violence, comorbid symptoms, and prior exposure to the mental health system were variables affecting preferred content; participants endorsed emotional regulation messages, but found mindfulness content difficult to understand via SMS; cognitive awareness and restructuring content was most acceptable when framed by self-efficacy content; adolescent participants generated applicable CBT content in their own voices. Overall, CBT-informed content was able to be distilled into 160-character text messages without losing its comprehensibility.<p /> <p>Language: en</p>",
language="en",
issn="0896-4289",
doi="10.1080/08964289.2016.1223597",
url="http://dx.doi.org/10.1080/08964289.2016.1223597"
}