title: Avatar-based depression self-management technology: promising approach to improve depressive symptoms among young adults.
abstract: Major depressive disorder is prevalent among American young adults and predisposes young adults to serious impairments in psychosocial functioning. Without intervention, young adults with depressive symptoms are at high risk for worsening of depressive symptoms and developing major depressive disorder. Young adults are not routinely taught effective depression self management skills to reduce depressive symptoms and preempt future illness. This study reports initial results of a randomized controlled trial among young adults (18-25 years of age) with depressive symptoms who were exposed to an avatar-based depression self-management intervention, eSMART-MH. Participants completed self-report measures of depressive symptoms at baseline and at 4, 8, and 12 weeks follow-up. Participants who received eSMART-MH had a significant reduction in depressive symptoms over 3 months, while individuals in the attention-control condition had no change in symptoms. In this study, eSMART-MH demonstrated initial efficacy and is a promising developmentally appropriate depression self-management intervention for young adults.
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA. mdp55@case.edu
authors.forename: Melissa D
authors.initials: MD
authors.lastname: Pinto
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Hickman
authors.forename: John
authors.initials: J
authors.lastname: Clochesy
authors.forename: Marc
authors.initials: M
authors.lastname: Buchner
mesh_terms: D000293:Adolescent; D000328:Adult; D003863:Depression / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008137:Longitudinal Studies; D012648:Self Care; D055815:Young Adult