title: Adapting and testing telephone-based depression care management intervention for adolescent mothers.
abstract: This phase 1 clinical trial combined qualitative and quantitative methods to modify a collaborative care, telephone-based, depression care management intervention for adolescent mothers and to determine the acceptability, feasibility, and initial efficacy of the intervention in a sample of adolescent mothers (n = 97) who were recruited from a Teen Parent Program. Outcomes included measures of depressive symptoms, functioning, and use of mental health services. Acceptability of the intervention was demonstrated, but feasibility issues related to the complex life challenges confronting the adolescent mother. Although only four adolescent mothers received mental health treatment, there was a trend for improved depressive symptoms over time. Results of the study provide data for the need of further refinement of the intervention before a large clinical trial is conducted for adolescent mothers with symptoms of depression.
authors.affiliation: University of Louisville, Louisville, KY, USA. mclogs01@gwise.louisville.edu
authors.forename: M Cynthia
authors.initials: MC
authors.lastname: Logsdon
authors.forename: Melissa Pinto
authors.initials: MP
authors.lastname: Foltz
authors.forename: Bradley
authors.initials: B
authors.lastname: Stein
authors.forename: Wayne
authors.initials: W
authors.lastname: Usui
authors.forename: Allan
authors.initials: A
authors.lastname: Josephson
mesh_terms: D000293:Adolescent; D003156:Community Mental Health Services; D019052:Depression, Postpartum / Q000523:psychology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008137:Longitudinal Studies; D009035:Mothers / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology; D011613:Psychotherapy / Q000295:instrumentation*; D012107:Research Design; D013689:Telephone; D016896:Treatment Outcome