A Feasibility Study for Implementing and Evaluating an Internet-Based Cognitive Behavior Therapy Intervention in Rural School Settings and its Impact on Adolescent Mental and Behavioral Health

Abstract

Through a mixed-methods research design, the researchers explored the feasibility, acceptability, and efficacy of an internet-based Cognitive Behavioral Therapy (iCBT) program in a rural school setting. The program was developed to address the mental and behavioral health needs specific to adolescents in rural communities. In collaboration with a rural school district, students aged 13-18 participated in focus groups to provide insight into their experience of the youth iCBT program. Researchers also utilized results from the Beck's Youth Inventories-Second Edition (BYI-2) and the Adolescent Substance Abuse Subtle Screening Inventory (SASSI-A2) to determine the efficacy of the youth iCBT program. Results of the study indicate that adolescents prefer to seek support services from a person in the school setting when they face challenges to their wellbeing. Additionally, results suggest there are no statistically significant changes to participants' levels of anxiety, depression, or substance use upon completion of the youth iCBT program.