Van Voorhees Benjamin W, Gladstone Tracy, Cordel Stephanie, Marko-Holguin Monika, Beardslee William, Kuwabara Sachiko, Kaplan Mark Allan, Fogel Joshua, Diehl Anne, Hansen Chris, Bell Carl
Department of Pediatrics, University of Illinois at Chicago, 5812 S. Ellis Street, Chicago, IL 60637, USA.
Wellesley Centers for Women, Wellesley College, 106 Central Street Wellesley, MA 02481, USA.
Internet Interv. 2015 Sep;2(3):303-313. doi: 10.1016/j.invent.2015.07.004. Epub 2015 Jul 23.
Efforts to prevent depression have become a key health system priority. Currently, there is a high prevalence of depression among adolescents, and treatment has become costly due to the recurrence patterns of the illness, impairment among patients, and the complex factors needed for a treatment to be effective. Primary care may be the optimal location to identify those at risk by offering an Internet-based preventive intervention to reduce costs and improve outcomes. Few practical interventions have been developed. The models for Internet intervention development that have been put forward focus primarily on the Internet component rather than how the program fits within a broader context. This paper describes the conceptualization for developing technology based preventive models for primary care by integrating the components within a behavioral vaccine framework. CATCH-IT (Competent Adulthood Transition with Cognitive-behavioral, Humanistic and Interpersonal Training) has been developed and successfully implemented within various health systems over a period of 14 years among adolescents and young adults aged 13-24.
预防抑郁症的工作已成为卫生系统的一项关键优先事项。目前，青少年抑郁症的患病率很高，由于该疾病的复发模式、患者的功能损害以及有效治疗所需的复杂因素，治疗成本已变得很高。初级保健可能是通过提供基于互联网的预防性干预措施来识别有风险人群的最佳场所，以降低成本并改善治疗效果。目前很少有实用的干预措施被开发出来。已提出的互联网干预开发模型主要关注互联网组件，而不是该项目如何融入更广泛的背景。本文描述了通过将各组件整合到行为疫苗框架中来开发基于技术的初级保健预防模型的概念。“抓住它”（通过认知行为、人文和人际培训实现成年期顺利过渡）已经开发出来，并在14年的时间里在各个卫生系统中成功实施，对象是13至24岁的青少年和年轻人。
