- Email: [email protected]
SOVA: Acceptability and Usability of a Social Media Website for Adolescents With Depression or Anxiety
Poster Abstracts / 60 (2017) S83eS126
connectedness factors demonstrated the strongest relationships with reduced risk of repetitive NSSI (10 or more episodes), compared to infrequent NSSI (1 to 9 episodes), during the previous 12 months. Results: Students who engaged in NSSI and identified as bisexual (43.0%), homosexual (41.7%), or questioning (31.2%) were significantly more likely to report repetitive NSSI, compared to their heterosexual counterparts (21.1%). Similarly, students who engaged in NSSI and reported a same-sex sexual experience (40.0%) were significantly more likely to report repetitive NSSI than those who had not engaged in a same-sex sexual experience (23.1%). In regression analyses, parent connectedness emerged as an important protective factor associated with reduced risk of repetitive NSSI for bisexual youth and those questioning their sexual orientation. Further, among questioning youth, a significant interaction emerged between parent connectedness and suicidal ideation in association with repetitive NSSI. Perceived caring from teachers emerged as an important protective factor for students who identified as gay/lesbian. For adolescents who reported having a same-sex sexual experience, perceived school safety represented an important protective factor, and moderated the effect of bully victimization on risk of repetitive NSSI. Conclusions: Findings suggest youth who engage in NSSI and identify with a sexual minority group show greater risk for repetitive NSSI, and possibly an NSSI disorder, compared to their counterparts. While connectedness demonstrated a protective effect for each sexual minority sub-group, the effect varied across groups based on types of connections. These unique differences in types of protective connections seen across groups are important for prevention. They suggest a variety of positive relationships are necessary for reducing risk that sexual minority youth who self-injure will engage in repetitive self-injury that increases risk of suicide. Strategies to prevent the transition from infrequent to repetitive NSSI among sexual minority youth need to focus on fostering positive connections across a range of social roles, relationships, and environments. Sources of Support: None.
171. SOVA: ACCEPTABILITY AND USABILITY OF A SOCIAL MEDIA WEBSITE FOR ADOLESCENTS WITH DEPRESSION OR ANXIETY Ana Radovic, MD, Theresa A. Gmelin, MPH, Kripa Venkatakrishnan, Elizabeth Miller, MD, PhD, FSAHM. Children’s Hospital of Pittsburgh of UPMC, University of Pittsburgh. Purpose: A social media website for adolescents (SOVA: Supporting Our Valued Adolescents) was designed to increase mental health literacy and address negative health beliefs toward depression and anxiety diagnosis and treatment (e.g. stigma, privacy concerns, a desire for self-help). This stakeholder-informed site underwent iterative user testing to develop its current version with daily blogposts, around the clock site moderation by behavioral health professionals, and online interaction with peers with the purpose of creating an online support community. The goal of this study was to evaluate the technological feasibility (at least 100 users on the site, logging in 12-18 times over first 6 weeks) and acceptability of the SOVA site determined by the System Usability Scale (SUS). Methods: Adolescents and young adults (14-26) with a self-reported history of depressive and/or anxiety symptoms were recruited to access the research website (sova.pitt.edu). After
S93
creating a username and password and agreeing to maintain anonymity on the site, they were redirected to an online survey (Qualtrics). Participants screened out if they reported active suicidality or a prior suicide attempt and screened in if aged 14-26, had internet and email access, could read and write in English, and had completed the 6th grade. Baseline survey measures included demographics (age, gender, race), symptomatology (PHQ-9A, SCARED-C), and mental health treatment history. Six-week follow up measures in addition to symptomatology included feasibility (total number of log-ins) and usability and acceptability using the SUS and two open ended questions. This study was approved by the University of Pittsburgh IRB. Results: Out of 226 potential participants, 130 screened out mostly due to suicidality (N¼121), leaving 96 eligible participants. The baseline sample included 15 adolescents (age 14-19) and 80 young adults (age 20-26, 1 missing). Most identified as female (N¼72, 75%) and (White (N¼64, 67%). Most (N¼70, 73%) reported prior professional help from psychologists or counselors. The average PHQ-9A score was 11.1 (SD¼4.6) and for the SCARED-C, 85% reported a score consistent with being susceptible to a diagnosed anxiety disorder. During the 6-week study, 36% of users logged in; in continued follow-up, 44% of users ever logged in. The median number of users thought the user-friendliness of the site was “good.” The average SUS scale score average was 71.2% (SD¼18.7) or a ‘C’ grade which correlates to an acceptable range. Participants liked the “easy to understand format” and “positive, helpful atmosphere,” but desired greater social interaction. Iterative recruitment resulted in incremental improvements to the site including opening the blog part of the site to non-users to increase likelihood of wanting to log-in, and correcting a problem with sending daily emails, as well as upgrading to a better user profile design and comment notification. Conclusions: The SOVA site met feasibility goals of recruiting almost 100 users and establishing acceptable usability. In further analyses, we plan to investigate whether usability rose in response to incremental design changes. Subsequent interventions are planned to target increasing site engagement through greater interactivity. Sources of Support: AHRQK12HS 22989-1(Radovic). 172. USE OF AN ELECTRONIC SCREENER TO ASSESS ADOLESCENT SUICIDE RISK AND PROVIDER FOLLOW-UP IN A PRIMARY CARE SETTING Dillon J. Etter, BS 1, Fangqian Ouyang, MS 2, Amy L. Gilbert, JD 1, Rebekah L. Williams, MD 1, James A. Hall, PhD 3, Wanzhu Tu, PhD 1, Stephen M. Downs, MD 1, Matthew C. Aalsma, PhD 1. 1
Indiana University School of Medicine; 2Indiana University Richard M. Fairbanks School of Public Health; 3Indiana University School of Medicine & Indiana University School of Social Work.
Purpose: Suicide is the second leading cause of death for adolescents 15 to 19 years of age. Even so, recommendations for adolescent suicide screening are inconsistent. The U.S. Preventative Services Task Force concludes that there is insufficient evidence to recommend suicide screening in primary care for adolescents (and adults), while the American Academy of Pediatrics recommends that primary care providers routinely screen adolescents for suicide risk. Both organizations, however, recommend universal depression screening. We describe the utilization of a computerized clinical decision support system (CDSS) to screen for suicide risk among
connectedness factors demonstrated the strongest relationships with reduced risk of repetitive NSSI (10 or more episodes), compared to infrequent NSSI (1 to 9 episodes), during the previous 12 months. Results: Students who engaged in NSSI and identified as bisexual (43.0%), homosexual (41.7%), or questioning (31.2%) were significantly more likely to report repetitive NSSI, compared to their heterosexual counterparts (21.1%). Similarly, students who engaged in NSSI and reported a same-sex sexual experience (40.0%) were significantly more likely to report repetitive NSSI than those who had not engaged in a same-sex sexual experience (23.1%). In regression analyses, parent connectedness emerged as an important protective factor associated with reduced risk of repetitive NSSI for bisexual youth and those questioning their sexual orientation. Further, among questioning youth, a significant interaction emerged between parent connectedness and suicidal ideation in association with repetitive NSSI. Perceived caring from teachers emerged as an important protective factor for students who identified as gay/lesbian. For adolescents who reported having a same-sex sexual experience, perceived school safety represented an important protective factor, and moderated the effect of bully victimization on risk of repetitive NSSI. Conclusions: Findings suggest youth who engage in NSSI and identify with a sexual minority group show greater risk for repetitive NSSI, and possibly an NSSI disorder, compared to their counterparts. While connectedness demonstrated a protective effect for each sexual minority sub-group, the effect varied across groups based on types of connections. These unique differences in types of protective connections seen across groups are important for prevention. They suggest a variety of positive relationships are necessary for reducing risk that sexual minority youth who self-injure will engage in repetitive self-injury that increases risk of suicide. Strategies to prevent the transition from infrequent to repetitive NSSI among sexual minority youth need to focus on fostering positive connections across a range of social roles, relationships, and environments. Sources of Support: None.
171. SOVA: ACCEPTABILITY AND USABILITY OF A SOCIAL MEDIA WEBSITE FOR ADOLESCENTS WITH DEPRESSION OR ANXIETY Ana Radovic, MD, Theresa A. Gmelin, MPH, Kripa Venkatakrishnan, Elizabeth Miller, MD, PhD, FSAHM. Children’s Hospital of Pittsburgh of UPMC, University of Pittsburgh. Purpose: A social media website for adolescents (SOVA: Supporting Our Valued Adolescents) was designed to increase mental health literacy and address negative health beliefs toward depression and anxiety diagnosis and treatment (e.g. stigma, privacy concerns, a desire for self-help). This stakeholder-informed site underwent iterative user testing to develop its current version with daily blogposts, around the clock site moderation by behavioral health professionals, and online interaction with peers with the purpose of creating an online support community. The goal of this study was to evaluate the technological feasibility (at least 100 users on the site, logging in 12-18 times over first 6 weeks) and acceptability of the SOVA site determined by the System Usability Scale (SUS). Methods: Adolescents and young adults (14-26) with a self-reported history of depressive and/or anxiety symptoms were recruited to access the research website (sova.pitt.edu). After
S93
creating a username and password and agreeing to maintain anonymity on the site, they were redirected to an online survey (Qualtrics). Participants screened out if they reported active suicidality or a prior suicide attempt and screened in if aged 14-26, had internet and email access, could read and write in English, and had completed the 6th grade. Baseline survey measures included demographics (age, gender, race), symptomatology (PHQ-9A, SCARED-C), and mental health treatment history. Six-week follow up measures in addition to symptomatology included feasibility (total number of log-ins) and usability and acceptability using the SUS and two open ended questions. This study was approved by the University of Pittsburgh IRB. Results: Out of 226 potential participants, 130 screened out mostly due to suicidality (N¼121), leaving 96 eligible participants. The baseline sample included 15 adolescents (age 14-19) and 80 young adults (age 20-26, 1 missing). Most identified as female (N¼72, 75%) and (White (N¼64, 67%). Most (N¼70, 73%) reported prior professional help from psychologists or counselors. The average PHQ-9A score was 11.1 (SD¼4.6) and for the SCARED-C, 85% reported a score consistent with being susceptible to a diagnosed anxiety disorder. During the 6-week study, 36% of users logged in; in continued follow-up, 44% of users ever logged in. The median number of users thought the user-friendliness of the site was “good.” The average SUS scale score average was 71.2% (SD¼18.7) or a ‘C’ grade which correlates to an acceptable range. Participants liked the “easy to understand format” and “positive, helpful atmosphere,” but desired greater social interaction. Iterative recruitment resulted in incremental improvements to the site including opening the blog part of the site to non-users to increase likelihood of wanting to log-in, and correcting a problem with sending daily emails, as well as upgrading to a better user profile design and comment notification. Conclusions: The SOVA site met feasibility goals of recruiting almost 100 users and establishing acceptable usability. In further analyses, we plan to investigate whether usability rose in response to incremental design changes. Subsequent interventions are planned to target increasing site engagement through greater interactivity. Sources of Support: AHRQK12HS 22989-1(Radovic). 172. USE OF AN ELECTRONIC SCREENER TO ASSESS ADOLESCENT SUICIDE RISK AND PROVIDER FOLLOW-UP IN A PRIMARY CARE SETTING Dillon J. Etter, BS 1, Fangqian Ouyang, MS 2, Amy L. Gilbert, JD 1, Rebekah L. Williams, MD 1, James A. Hall, PhD 3, Wanzhu Tu, PhD 1, Stephen M. Downs, MD 1, Matthew C. Aalsma, PhD 1. 1
Indiana University School of Medicine; 2Indiana University Richard M. Fairbanks School of Public Health; 3Indiana University School of Medicine & Indiana University School of Social Work.
Purpose: Suicide is the second leading cause of death for adolescents 15 to 19 years of age. Even so, recommendations for adolescent suicide screening are inconsistent. The U.S. Preventative Services Task Force concludes that there is insufficient evidence to recommend suicide screening in primary care for adolescents (and adults), while the American Academy of Pediatrics recommends that primary care providers routinely screen adolescents for suicide risk. Both organizations, however, recommend universal depression screening. We describe the utilization of a computerized clinical decision support system (CDSS) to screen for suicide risk among