An evaluation of a computerised cognitive behavioural therapy programme for depression among young people who are outside of mainstream education.

INTERVENTION: Computerised cognitive behavoural therapy (CBT) intervention. Participants are asked to complete 1 or 2 30 minute levels per week; there are 7 levels in total which should be completed within 5 weeks as suits the individual. The topics covered include psycho‐education, relaxation techniques, social skills training, activity scheduling, problem solving, recognition and restructing of cognitive disortions, hopefulness and helpseeking. A crossover study design is used: all participants are screened at baseline and then randomised to treatment now (to be completed over the following 4‐5 weeks) or delayed start (start after 5 weeks). All participants are reassessed at 5 weeks (after those randomised to 'start now' have completed the intervention and before those randomised to 'delayed start' begin) and at 10 weeks (after all participants have completed the programme), 50% of participants randomised to 'delayed start' are reassessed at 15 weeks. CONDITION: Depression PRIMARY OUTCOME: At each assessment the primary measure is depressive symptoms as measured by the Childrens Depression Rating Scale, Revised (CDRS‐R) SECONDARY OUTCOME: Anxiety symptoms as measured by the Spence Anxiety Scale. Hopelessness as measured by the Kazdin Hopelessness Scale (HPLS). Locus of control as measured by the Childrens Nowicki Strickland Internal External Locus of control scale. Quality of life as measured by the Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ‐LES‐Q). Satisfaction with treatment ‐ short questionnaire and interview for young people who have completed the intervention. Self reported depressive symptoms as measured by the Reynolds Adolescent Depression Scale (RADS‐2) INCLUSION CRITERIA: young people aged 12‐18 years who are in an Alternative Education, youth transition or intensive youth programmes for young people who are disengaged or at risk of being disengaged from mainstream education.