title: Pilot Study of Implementation of an Internet-Based Depression Prevention Intervention (CATCH-IT) for Adolescents in 12 US Primary Care Practices: Clinical and Management/Organizational Behavioral Perspectives.
abstract: OBJECTIVE
  To explore the implementation of CATCH-IT (Competent Adulthood Transition with Cognitive-behavioral Humanistic and Interpersonal Training), an Internet-based depression intervention program in 12 primary care sites, occurring as part of a randomized clinical trial comparing 2 versions of the intervention (motivational interview + Internet program versus brief advice + Internet program) in 83 adolescents aged 14 to 21 years recruited from February 1, 2007, to November 31, 2007.
  
  
  METHODS
  The CATCH-IT intervention model consists of primary care screening to assess risk, a primary care physician interview to encourage participation, and 14 online modules of Internet training to teach adolescents how to reduce behaviors that increase vulnerability to depressive disorders. Specifically, we evaluated this program from both a management/organizational behavioral perspective (provider attitudes and demonstrated competence) and a clinical outcomes perspective (depressed mood scores) using the RE-AIM model (Reach, Efficacy, Adoption, Implementation, and Maintenance of the intervention).
  
  
  RESULTS
  While results varied by clinic, overall, clinics demonstrated satisfactory reach, efficacy, adoption, implementation, and maintenance of the CATCH-IT depression prevention program. Measures of program implementation and management predicted clinical outcomes at practices in exploratory analyses.
  
  
  CONCLUSIONS
  Multidisciplinary approaches may be essential to evaluating the impact of complex interventions to prevent depression in community settings. Primary care physicians and nurses can use Internet-based programs to create a feasible and cost-effective model for the prevention of mental disorders in adolescents in primary care settings.
  
  
  BACKGROUND
  ClinicalTrials.gov identifiers: NCT00152529 and NCT00145912.
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Eisen
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Monika
authors.initials: M
authors.lastname: Marko-Holguin
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Joshua
authors.initials: J
authors.lastname: Fogel
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Alonso
authors.initials: A
authors.lastname: Cardenas
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: My
authors.initials: M
authors.lastname: Bahn
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Nathan
authors.initials: N
authors.lastname: Bradford
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Blake
authors.initials: B
authors.lastname: Fagan
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Peggy
authors.initials: P
authors.lastname: Wiedmann
authors.affiliation: Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois (Ms Marko-Holguin and Dr Van Voorhees); Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts (Dr Eisen); Department of Finance and Business Management, Brooklyn College of the City University of New York, Brooklyn (Dr Fogel); Department of Medicine, University of Chicago, Chicago, Illinois (Mr Cardenas and Dr Bahn); Department of Family Medicine, Anderson Area Medical Center, Anderson, South Carolina (Dr Bradford); Department of Family Medicine, University of North Carolina-Chapel Hill at the Mountain Area Health Education Center, Asheville, North Carolina (Dr Fagan); and Advocate Healthcare, Chicago, Illinois (Dr Wiedmann).
authors.forename: Benjamin W
authors.initials: BW
authors.lastname: Van Voorhees