TY - JOUR
AU - D. Becker
AU - L. J. Lyons
AU - L. R. Zeledon
AU - A. Ganju
AU - C. Koebnick
AU - A. Xiang
AU - K. Franchino
AU - J. Cheng
A1 - 
AB - OBJECTIVE: We explored the feasibility of integrating a digital mental health intervention (DMHI) for adolescents identified with mild or moderate depressive symptoms during preventive health encounters. METHODS: We conducted a quality improvement study at a large integrated health care system in California from August to December 2023. Collaborators included 47 physicians and a nurse practitioner. RESULTS: Of 1200 health encounters with adolescents, 1143 (95%) documented depression screening. Screening identified depressive symptoms at 106 (9%) encounters, including 41 (3%) with mild to moderate symptoms, 14 (1%) with moderately severe or severe symptoms, and 51 (5%) who screened positive with no information on depression severity. Clinicians documented a DMHI referral offer at 17 encounters with mild to moderate symptoms (41%) and 7 encounters with moderately severe or severe symptoms (50%). Over half of youths with depressive symptoms who were offered the DMHI accepted it (52%), but only one-fifth obtained the download instructions. Clinicians appreciated having a DMHI available, but challenges included difficulty identifying adolescents with depressive symptoms and low adolescent interest. Clinicians recommend facilitating adolescent download of the DMHI at the visit and involving parents/guardians. CONCLUSIONS: A clinician-focused implementation strategy demonstrated limited success in integrating DMHI into adolescent preventive health visits.
AD - Kaiser Permanente Southern California, Department of Graduate Medical Education, 393 E Walnut Street, Pasadena, CA 91188, USA.; Kaiser Permanente Southern California, Department of Research & Evaluation, Southern California Permanente Medical Group, 100 S Los Robles, 6th Floor, Pasadena, CA 91101, USA.; Department of Pediatrics, Los Angeles Medical Center, Southern California Permanente Medical Group, 4700 W. Sunset Blvd., Los Angeles, CA 90027, USA.; National Mental Health, Wellness and Addition Care, Kaiser Permanente, 1 Kaiser Plaza, Oakland, CA 94612, USA.; Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S Los Robles Ave., Pasadena, CA 91101, USA.
AN - 41783006
BT - Prev Med Rep
C5 - HIT & Telehealth; Healthcare Disparities
DA - Apr
DO - 10.1016/j.pmedr.2026.103419
DP - NLM
ET - 20260220
JF - Prev Med Rep
LA - eng
N2 - OBJECTIVE: We explored the feasibility of integrating a digital mental health intervention (DMHI) for adolescents identified with mild or moderate depressive symptoms during preventive health encounters. METHODS: We conducted a quality improvement study at a large integrated health care system in California from August to December 2023. Collaborators included 47 physicians and a nurse practitioner. RESULTS: Of 1200 health encounters with adolescents, 1143 (95%) documented depression screening. Screening identified depressive symptoms at 106 (9%) encounters, including 41 (3%) with mild to moderate symptoms, 14 (1%) with moderately severe or severe symptoms, and 51 (5%) who screened positive with no information on depression severity. Clinicians documented a DMHI referral offer at 17 encounters with mild to moderate symptoms (41%) and 7 encounters with moderately severe or severe symptoms (50%). Over half of youths with depressive symptoms who were offered the DMHI accepted it (52%), but only one-fifth obtained the download instructions. Clinicians appreciated having a DMHI available, but challenges included difficulty identifying adolescents with depressive symptoms and low adolescent interest. Clinicians recommend facilitating adolescent download of the DMHI at the visit and involving parents/guardians. CONCLUSIONS: A clinician-focused implementation strategy demonstrated limited success in integrating DMHI into adolescent preventive health visits.
PY - 2026
SN - 2211-3355 (Print); 2211-3355
SP - 103419
ST - Clinicians' provision of a self-guided digital mental health intervention to adolescents with depressive symptoms at preventive health visits in California
T1 - Clinicians' provision of a self-guided digital mental health intervention to adolescents with depressive symptoms at preventive health visits in California
T2 - Prev Med Rep
TI - Clinicians' provision of a self-guided digital mental health intervention to adolescents with depressive symptoms at preventive health visits in California
U1 - HIT & Telehealth; Healthcare Disparities
U3 - 10.1016/j.pmedr.2026.103419
VL - 64
VO - 2211-3355 (Print); 2211-3355
Y1 - 2026
ER -