Depression Prevention (Managing Your Mood) is a computer-tailored intervention (CTI) for adults with at least mild symptoms of depression. The program is based on the transtheoretical model (TTM) of behavior change, which conceptualizes change as a process that occurs over five stages: precontemplation, contemplation, preparation, action, and maintenance. The program goal is to help individuals take proactive steps to recognize, manage, and reduce depression symptoms and to prevent the onset of major depression.
The intervention includes 1) three brief CTI sessions, which are spaced at least 1 month apart; 2) printed reports containing all the feedback received during the session; and 3) an online personal activity center (PAC). In each CTI session, the program scores participant responses and provides individualized feedback and guidance on
1) Level of depression
2) Stage of change for using effective methods for preventing and managing depression, including controlling negative thinking; engaging in healthy, pleasant activities; practicing stress management; exercising; and getting professional help when needed
3) Up to seven stage-matched principles and processes of change that can help the participant progress to the next stage of change or prevent relapse
For individuals prescribed antidepressant medication, the program also addresses medication adherence. Follow-up CTI sessions provide updated guidance and information on participants’ progress. The PAC, available between sessions, provides additional stage-matched exercises and information on how to monitor mood and sustain depression prevention activities in the action and maintenance stages.