TY  - JOUR
PY  - 2018//
TI  - Using high-risk adolescents' voices to develop a comprehensible CBT-based text-message program
JO  - Behavioral medicine
A1  - Thorsen, Margaret M.
A1  - Patena, John V.
A1  - Morrow Guthrie, Kate
A1  - Spirito, Anthony
A1  - Ranney, Megan L.
SP  - 89
EP  - 99
VL  - 44
IS  - 2
N2  - 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>
LA  - en
SN  - 0896-4289
UR  - http://dx.doi.org/10.1080/08964289.2016.1223597
ID  - ref1
ER  -