L D Gómez-Rocha, A M Ospina-Romero
Promotion of self-efficacy in mothers with infants discharged from neonatal intensive care units
Enfermeria intensiva
rapid advances information technology telecommunications resulted dramatic increase use mobile devices internet enhance facilitate access treatment cognitive behavior therapy cbt empirically based treatment well suited enhancement new technologies particularly youth facilitate dissemination evidencebased treatment developed technologyenhanced cbt intervention treatment adolescent depression consisting 1 online therapist training 2 insession use tablets teaching clients cbt concepts skills 3 text messaging session homework reminders selfmonitoring eighteen licensed clinicians social workers n 7 psychologists n 9 randomized patients receive either intervention cbt treatment usual tau clinician treated four adolescents 12 weeks clinicians cbt arm completed online tutorial cbt treatment adolescent depression received ipad access patient education materials teaching cbt concepts patients sessions individualized text messages integrated treatment homework reminders support outcomes measurement outcome measures included 49item multiple choice test tutorial effectiveness system usability scale sus user satisfaction quick inventory depressive symptomatologyadolescent version qidsapat clinician patient ratings therapeutic alliance scale adolescents tasa significant increase knowledge cbt concepts found completing tutorial t8 702 p 0001 clinician patient ratings user satisfaction high ipad teaching tools text messaging ninetyfive percent teens said reviewing text messages therapist helpful said would use text messaging treatment ratings therapeutic alliance higher cbt arm t131 403 p 0001 significant reduction depression found groups t34 8453 p 0001 t29 667 p 0001 cbt tau respectively clinical ratings improvement greater outcome measures cbt arm however none reached statistical significance effect sizes cohens ranged small qidsa large tasa results support feasibility technologyenhanced cbt intervention means improving cbt treatment adolescent depression may help address critical shortage therapists trained empirically based treatments