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Accepted for/Published in: JMIR Mental Health

Date Submitted: Aug 29, 2020
Date Accepted: Dec 19, 2020

The final, peer-reviewed published version of this preprint can be found here:

Developmental Assets of Adolescents and Young Adults With Chronic Illness and Comorbid Depression: Qualitative Study Using YouTube

Zheng K, George M, Roehlkepartain E, Santelli J, Bruzzese JM, Smaldone A

Developmental Assets of Adolescents and Young Adults With Chronic Illness and Comorbid Depression: Qualitative Study Using YouTube

JMIR Ment Health 2021;8(2):e23960

DOI: 10.2196/23960

PMID: 33591288

PMCID: 7925153

Developmental Assets of Adolescents and Young Adults with Chronic Illness and Co-Morbid Depression: Qualitative Study using YouTube

  • Katherine Zheng; 
  • Maureen George; 
  • Eugene Roehlkepartain; 
  • John Santelli; 
  • Jean-Marie Bruzzese; 
  • Arlene Smaldone

ABSTRACT

Background:

Developmental assets provide a framework for optimizing development among adolescents but have not been studied in adolescents with chronic illness and co-morbid depression, a group at risk for poor health outcomes. YouTube postings provide valuable insight to understand this understudied population.

Objective:

This study explored asset development from the perspectives of adolescents and young adults (AYA) with chronic illness and co-morbid depression.

Methods:

YouTube was searched using 12 chronic illnesses (e.g., diabetes) coupled with “depression” as keywords. Videos were included if uploaded by AYA ages 11 to 29 discussing living with chronic illness and depression during adolescence. Video transcripts were coded deductively for 40 internal and external assets that constitute the Developmental Assets Framework. Categories not captured by deductive coding were identified using conventional content analysis. Categories and their respective assets were labeled as being discussed either negatively or positively.

Results:

Thirty-one videos from 16 AYA met inclusion criteria. Seven asset categories, support, constructive use of time, boundaries and expectations (external assets), and identity, commitment to learning, positive values, and social competence (internal assets) reflecting 25 (13 internal; 12 external) assets were discussed. Internal assets, particularly relating to identity, were commonly discussed by AYA either in a negative way or fluctuated between positive and negative perspectives.

Conclusions:

In this sample of AYA with chronic illness and co-morbid depression, internal assets were commonly discussed in a negative way. Future research is needed to better understand how assets develop and if the Developmental Assets Framework adequately represents the experiences of this population.


 Citation

Please cite as:

Zheng K, George M, Roehlkepartain E, Santelli J, Bruzzese JM, Smaldone A

Developmental Assets of Adolescents and Young Adults With Chronic Illness and Comorbid Depression: Qualitative Study Using YouTube

JMIR Ment Health 2021;8(2):e23960

DOI: 10.2196/23960

PMID: 33591288

PMCID: 7925153

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