Feasibility study of a new behavioural activation programme for young people with depressed mood

Author(s):  
Bernadka Dubicka ◽  
Susanne Marwedel ◽  
Sabah Banares ◽  
Amy McCulloch ◽  
Taghrid Tahoun ◽  
...  
2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.


Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2620 ◽  
Author(s):  
Maya Kamar ◽  
Charlotte Evans ◽  
Siobhan Hugh-Jones

High whole grain intake is beneficial for health. However, adolescents consume low levels of whole grain and the understanding of the underpinning reasons for this is poor. Using a visual, participatory method, we carried out a pilot feasibility study to elicit in-depth accounts of young people’s whole grain consumption that were sensitive to their dietary, familial and social context. Furthermore, we explored barriers and suggested facilitators to whole grain intake and assessed the feasibility of using SenseCam to engage adolescents in research. Eight British adolescents (aged 11 to 16 years) wore a SenseCam device which auto-captured images every twenty seconds for three consecutive days. Participants then completed traditional 24-hour dietary recalls followed by in-depth interviews based on day three SenseCam images. Interview data were subjected to thematic analysis. Findings revealed that low adolescent whole grain intake was often due to difficulty in identifying whole grain products and their health benefits; and because of poor availability in and outside of the home. The images also captured the influence of parents and online media on adolescent daily life and choices. Low motivation to consume whole grains, a common explanation for poor diet quality, was rarely mentioned. Participants proposed that adolescent whole grain consumption could be increased by raising awareness through online media, improved sensory appeal, increased availability and variety, and tailoring of products for young people. SenseCam was effective in engaging young people in dietary research and capturing data relevant to dietary choices, which is useful for future research.


2006 ◽  
Vol 188 (6) ◽  
pp. 541-546 ◽  
Author(s):  
Barbara Barrett ◽  
Sarah Byford ◽  
Prathiba Chitsabesan ◽  
Cassandra Kenning

BackgroundThe full costs of accommodating and supporting young people in the criminal justice system are unknown. There is also concern about the level of mental health needs among young offenders and the provision of appropriate mental health services.AimsTo estimate the full cost of supporting young people in the criminal justice system in England and Wales and to examine the relationship between needs, service use and cost.MethodCross-sectional survey of 301 young offenders, 151 in custody and 150 in the community, conducted in six geographically representative areas of England and Wales.ResultsMental health service use was low despite high levels of need, particularly in the community Monthly costs were significantly higher among young people interviewed in secure facilities than in the community ($4645 v. $ 1863; P < 0.001). Younger age and a depressed mood were associated with greater costs.ConclusionsYoung people in the criminal justice system are a significant financial burden not only on that system but also on social services, health and education. The relationship between cost and depressed mood indicates a role for mental health services in supporting young offenders, particularly those in the community.


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
J. Downing ◽  
H. Gleeson ◽  
P.E. Clayton ◽  
J.R.E. Davis ◽  
P. Dimitri ◽  
...  

2006 ◽  
Vol 14 (3) ◽  
pp. 310-312 ◽  
Author(s):  
Adrienne Brown ◽  
Alison Yung ◽  
Elizabeth Cosgrave ◽  
Eoin Killackey ◽  
Joe Buckby ◽  
...  

2018 ◽  
Vol 6 (3) ◽  
pp. 274-282
Author(s):  
Novia Putri Tarigan ◽  
Frida Purwanti ◽  
Boedi Hendrarto

ABSTRAK Wisata alam mangrove merupakan salah satu kegiatan yang dapat mendukung konservasi mangrove. Setiap kawasan wisata perlu kajian kelayakan perencanaan pengembangannya. Penelitian lapangan dilaksanakan pada bulan Februari 2017 dengan metode deskriptif. Tujuan utama penelitian untuk menganalisis kelayakan MMEP Semarang sebagai destinasi wisata alam, dengan tujuan antara untuk mengidentifikasi profil dan persepsi pengunjung tentang potensi mangrove dan kelayakan MMEP. Pengumpulan data dilakukan dengan teknik wawancara berdasarkan kuesioner terhadap 50 pengunjung, 6 pengelola dan 4 orang pembina kawasan MMEP Semarang. Observasi dilakukan untuk mengamati biofisik mangrove. Wawancara untuk melihat persepsi berdasarkan hasil pengisian kuisoner dengan 4 skala rating. Penilaian kelayakan dihitung berdasarkan parameter potensi ekologis/biofisik, aksesibilitas, dan fasilitas. Hasil penelitian menunjukkan profil pengunjung didominasi kalangan muda usia 20-25 tahun berasal dari Semarang. Persepsi pengunjung sebagian besar menyatakan MMEP layak untuk dikembangkan. Kelayakan wisata di MMEP masuk dalam kategori S2 (layak) dengan nilai 73,65%.  Kata Kunci: Wisata Alam; Kelayakan; Potensi Ekologis; Aksesibilitas; Fasilitas; Maroon Mangrove Edu Park ABSTRACT Nature tourism mangrove is one of the activities that can support conservation of mangroves. Each tourist area needs a feasibility study for it’s development planning. The field research was conducted in February 2017 with descriptive method. The main objective of the study was to analyze the feasibility of MMEP Semarang as a natural tourist destination, with the aims of identifying visitor profiles and it’s perceptions. The data were collected by interviewing 50 respondens, 6 management staff and 4 consellor of MMEP Semarang. Observations were made to observe the biophysical mangroves. Interview to see perception based on questionnaires result with 4 rating scales. The feasibility assessment is calculated based on parameter of ecological / biophysical potential, accessibility, and facilities. The result of the multiplication of scores and respondents determines the feasibility grade. The research showed that profile of the visitors dominated by young people aged 20-25 years come from Semarang. Perception of most visitors stated that MMEP is feasible to be developed. The MMEP tourism feasibility categories in S2 (feasible) with value 73,65%. Keywords: Nature Tourism; Feasibility; Ecological Potential; Accessibility; Facilities; Maroon Mangrove Edu Park


TRIKONOMIKA ◽  
2018 ◽  
Vol 17 (1) ◽  
pp. 20
Author(s):  
Apriliana Lailatul ◽  
Tina Melinda

The goal of the research is to find out the feasibility of the development of the travel service business and backpacker Umrah Easy Trip that was developed by young people. It is reviewed based on five aspects of business feasibility study including: market aspect, legal aspect, technical and technological aspect, management aspect and financial aspect. A qualitative approach is used in this study by using the interview. Five interviewees consisting of three owners of backpacker Umrah service and two consumers of backpacker Umrah. Result of the study mentioned that the business of backpacker Umrah is reasonable to be run and developed if it is reviewed of the five aspects of the business feasibility study, namely: market aspect, legal aspect, technical aspect and technological aspect, management aspect and financial aspect. Easy Trip should learn from business owners who already ran the backpacker Umrah to develop backpacker Umrah who has already pioneered.


2020 ◽  
Vol 105 (9) ◽  
pp. e5.1-e5
Author(s):  
Louise Bracken ◽  
Emma McDonough ◽  
Joanne Shakeshaft ◽  
Fiona Wilson ◽  
Udeme Ohia ◽  
...  

AimTo evaluate the feasibility of a study investigating the mouthfeel of different sized 3D printed placebo solid dosage forms (SDFs) in children and young people (CYP) aged 4–12 years.MethodAll participants in the CAT 3D Study had previously participated in the Creating Acceptable Tablets (CAT) Study, a feasibility study which assessed the swallowability and acceptability of different sized placebo tablets, and therefore only attempted to swallow one 3D printed tablet. If the participant had successfully swallowed all three tablet sizes in the CAT Study (6 mm, 8 mm, 10 mm) they were then randomised to receive any of the 3D printed tablets – 6 mm, 8 mm or 10 mm diameter. If a participant had not successfully swallowed all tablet sizes, they were allocated a 3D printed tablet of equal size to the largest tablet they had successfully swallowed in the CAT Study. Following informed consent, participants were shown a short video demonstrating how to swallow a tablet. Participants were then provided with the sample 3D tablet and 150 mL of still water in a cup. The volume of water required to swallow the tablet was measured, and further water was provided, where requested. The researcher observed and recorded the child’s facial expressions as they swallowed the tablet1, and an internal inspection of the mouth was conducted by the researcher to identify any residue or non-swallowed tablet.2 The participants assessed the swallowability, acceptability, mouthfeel and taste of the sample using a 5-point hedonic facial scale on a participant questionnaire. Faces 1–3 on the hedonic scale were deemed acceptable to the participant. The participants were also asked if the 3D printed tablet was a medicine, would they be willing to take it every day. In addition, they were asked which tablet felt better in the mouth as a comparison of mouthfeel between the GMP manufactured coated tablets (CAT study tablets) and the 3D printed tablets.ResultsA total of 30 participants were recruited to the CAT 3D Study, 87% of whom successfully swallowed the 3D printed tablet that they attempted to take. Attributes of the 3D printed tablets were scored as acceptable by the following percentage of participants – swallowability (80%), mouthfeel/texture (87%), volume (80%), acceptability (83%) and taste (93%). 77% of children advised they would be happy to take the tablet every day if it were a medicine. Participants were also asked which tablets felt better in the mouth – the CAT tablets or the 3D printed CAT 3D tablets, and the most popular response was that both felt ok (43%).ConclusionsThe data from this study shows that 3D printed SDFs may be a suitable dosage form for children aged 4–12 years. The results from this feasibility study will be used to inform a larger, definitive study looking at the mouthfeel of 3D printed tablets in children.ReferencesZeinstra GG, Koelen MA, Colindres D, et al. Facial expressions in school-aged children are a good indicator of ‘dislikes’, but not of ‘likes’. Food Quality and Preference 2009 December 2009; 20:620–624.Klingmann V, Spomer N, Lerch C, et al. Favorable acceptance of mini-tablets compared with syrup: a randomized controlled trial in infants and preschool children. The Journal of Pediatrics 2013 December 2013;163:1728–1732.e1.


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