Kjersti Lillevoll|Hans Christian Bones Vangberg|Kathleen M Griffiths|Knut Waterloo|Martin Eisemann
Uptake and adherence of a self-directed internet-based mental health intervention with tailored e-mail reminders in senior high schools in Norway
UiT The Arctic University of Norway|UiT The Arctic University of Norway|Australian National University|UiT The Arctic University of Norway|UiT The Arctic University of Norway
internetbased cognitive behavioural therapy icbt promising approach prevention reduction depressive symptoms among adolescents study aimed evaluate feasibility efficacy disseminating selfdirected internetbased mental health intervention moodgym senior high schools also sought investigate possible effects tailored weekly email reminders initial uptake adherence intervention baseline survey conducted four senior high schools two norwegian municipalities n 1337 528 7071337 students consented participation trial randomly allocated one three moodgym intervention groups tailored weekly email reminder n 175 standardized weekly email reminder n 176 email reminder n 175 waitlist control group n 180 tested effects intervention depression selfesteem using multivariate analysis variance effects tailored email selfreported current need help initial uptake intervention using logistic regression effect weekly emails adherence using ordinal regression substantial nonparticipation intervention 85 45527 participants logging moodgym proceeding beyond first part programme significant effect depression selfesteem found among sample whole among participants elevated depression scores baseline higher average grade senior high school predicted initial uptake intervention tailored email selfreported current need help weekly email prompts predict adherence main reasons nonuse reported lack timeforgetting doubt usefulness program overall disseminating selfdirected internetbased intervention school population proved difficult despite steps taken reduce barriers terms tailoring feedback dispatching weekly email reminders providing mental health interventions within school environment likely ensure better uptake among senior high school students need effectively communicate programmes helpful trial registered retrospectively actrn12612001106820