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Serving the Underserved? Uptake, Effectiveness, and Acceptability of Digital SSIs for Rural American Adolescents. | LitMetric

AI Article Synopsis

  • Rural teens have less access to depression care compared to urban teens, but digital single-session interventions (SSIs) delivered via social media could help bridge this gap.
  • A study involving 2,322 adolescents found that while digital SSIs reached teens effectively, rural youths with minoritized racial/ethnic identities were underrepresented in social media advertisements.
  • Despite this, rural teens showed similar completion rates, acceptability, and depression symptom reductions from SSIs compared to urban teens, suggesting that social media dissemination of digital SSIs could improve mental health support access.

Article Abstract

Objective: Rural teens are less likely to access care for depression than urban teens. Evidence-based digital single-session interventions (SSIs), offered via social media advertisements, may be well suited to narrowing this gap in treatment access and increasing access to support for adolescents living in rural areas. We evaluated the viability of using social media-based advertisements to equitably recruit adolescents living in rural areas with elevated depression symptoms to digital SSIs; we sought to characterize and assess whether SSI completion rates and acceptability differed for adolescents living in rural versus more urban areas, across three intervention conditions (two active, evidence-based SSIs; one placebo control); and we tested whether digital SSIs differentially reduced depressive symptoms.

Method: We used pre-intervention and three-month follow up data from 13- to 16-year-old adolescents ( = 2,322; 88% female; 55% non-Hispanic White) within a web-based randomized control trial of three free, digital SSIs (ClinicalTrials.gov identifier: NCT04634903) collected eight months into the COVID-19 pandemic in the United States.

Results: Digital SSIs reached adolescents at population-congruent rates; however, social media ads resulted in relative underrepresentation of youths from rural areas who hold minoritized racial/ethnic identities. Adolescents living in rural areas also completed digital SSIs at similar rates to their urban peers, found SSIs equivalently as acceptable, and reported comparable depression symptom reductions as youth living in urban areas.

Conclusion: Digital SSIs and their dissemination through social media may offer a promising means of narrowing the gap between access to evidence-based mental health support between adolescents living in rural and urban areas; however, targeted efforts are warranted to reach racially minoritized youths in rural U.S. counties.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070444PMC
http://dx.doi.org/10.1080/15374416.2023.2272935DOI Listing

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