Web Intervention for Adolescents Affected by Disaster: Population-Based Randomized Controlled Trial

dc.contributor.authorRuggiero, Kenneth J.
dc.contributor.authorPrice, Matthew
dc.contributor.authorAdams, Zachary
dc.contributor.authorStauffacher, Kirstin
dc.contributor.authorMcCauley, Jenna
dc.contributor.authorDanielson, Carla Kmett
dc.contributor.authorKnapp, Rebecca
dc.contributor.authorHanson, Rochelle F.
dc.contributor.authorDavidson, Tatiana M.
dc.contributor.authorAmstadter, Ananda B.
dc.contributor.authorCarpenter, Matthew J.
dc.contributor.authorSaunders, Benjamin E.
dc.contributor.authorKilpatrick, Dean G.
dc.contributor.authorResnick, Heidi S.
dc.contributor.departmentPsychiatry, School of Medicine
dc.date.accessioned2024-10-03T12:56:18Z
dc.date.available2024-10-03T12:56:18Z
dc.date.issued2015
dc.description.abstractObjective: To assess the efficacy of Bounce Back Now (BBN), a modular, Web-based intervention for disaster-affected adolescents and their parents. Method: A population-based randomized controlled trial used address-based sampling to enroll 2,000 adolescents and parents from communities affected by tornadoes in Joplin, MO, and several areas in Alabama. Data collection via baseline and follow-up semi-structured telephone interviews was completed between September 2011 and August 2013. All families were invited to access the BBN study Web portal irrespective of mental health status at baseline. Families who accessed the Web portal were assigned randomly to 1 of 3 groups: BBN, which featured modules for adolescents and parents targeting adolescents' mental health symptoms; BBN plus additional modules targeting parents' mental health symptoms; or assessment only. The primary outcomes were adolescent symptoms of posttraumatic stress disorder (PTSD) and depression. Results: Nearly 50% of families accessed the Web portal. Intent-to-treat analyses revealed time × condition interactions for PTSD symptoms (B = -0.24, SE = 0.08, p < .01) and depressive symptoms (B = -0.23, SE = 0.09, p < .01). Post hoc comparisons revealed fewer PTSD and depressive symptoms for adolescents in the experimental versus control conditions at 12-month follow-up (PTSD: B = -0.36, SE = 0.19, p = .06; depressive symptoms: B = -0.42, SE = 0.19, p = 0.03). A time × condition interaction also was found that favored the BBN versus BBN + parent self-help condition for PTSD symptoms (B = 0.30, SE = 0.12, p = .02) but not depressive symptoms (B = 0.12, SE = 0.12, p = .33). Conclusion: Results supported the feasibility and initial efficacy of BBN as a scalable disaster mental health intervention for adolescents. Technology-based solutions have tremendous potential value if found to reduce the mental health burden of disasters.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationRuggiero KJ, Price M, Adams Z, et al. Web Intervention for Adolescents Affected by Disaster: Population-Based Randomized Controlled Trial. J Am Acad Child Adolesc Psychiatry. 2015;54(9):709-717. doi:10.1016/j.jaac.2015.07.001
dc.identifier.urihttps://hdl.handle.net/1805/43762
dc.language.isoen_US
dc.publisherElsevier
dc.relation.isversionof10.1016/j.jaac.2015.07.001
dc.relation.journalJournal of the American Academy of Child and Adolescent Psychiatry
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectDepression
dc.subjectDisaster mental health
dc.subjectPosttraumatic stress
dc.subjectTechnology
dc.titleWeb Intervention for Adolescents Affected by Disaster: Population-Based Randomized Controlled Trial
dc.typeArticle
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