Bridging the Gap: Utility of a Single Session Intervention to Change Attitudes Toward Treatment, and Improve Acceptance of Further Psychotherapy for Depressed and/or Anxious Youth and Their Caretakers
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 2
- 主要终点
- Change from baseline in view of emotions as changeable at 4 weeks
研究概览
简要总结
Bridging the Gap aims to improve access to effective mental health treatment in a primary care setting through utilization of single session growth mindset interventions for parents and for youths. This project will also utilize focus groups and qualitative interviews to gain feedback on a single session online intervention in a rural pediatric primary care practice.
详细描述
Bridging the Gap purposes to collect feedback on a single session growth mindset intervention (GMI) for parents and for youths designed to instill beliefs that personal traits (including mental health problems) are malleable. Feedback will also be collected to identify ways to improve implementing single session interventions (SSIs) in a primary care setting as well as identifying the impact on work-flow of this GMI. Patients presenting with depression and/or anxiety will all receive the GMI and will have the option of participating in focus groups/interviews pre and post-intervention to provide feedback on the intervention. Providers at this rural pediatric primary care practice will also have the chance to participate in focus groups/interviews pre and post-intervention implementation.
Assignment of Interventions: As an open trial, all participants will be assigned to the intervention arm and will receive the GMI.
This study is an open trial pilot project to collect feedback on a single session growth mindset intervention (GMI) (n=25 youth/caretaker dyads). Feedback from pre and post-intervention focus groups/interviews will be collected for 8 parents, 8 youth, and 8 treatment providers.
The aims of the study are to:
- Collect feedback from providers, parents, and participants pre and post- GMI to identify ways to improve implementing single session interventions (SSIs) in a primary care setting.
- Identify the impact on work-flow of using an online single session called Growth Mindset Intervention in a primary care setting.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients presenting with depression and/or anxiety, as identified by the patient, parent, or provider
- •10-18 years old
- •CBT is recommended by provider. Receipt of mental health services upon enrollment will be monitored but will not preclude participation
- •Participants must reside with a legal guardian
- •English speaking
排除标准
- •Participants will be excluded if they have conditions that might impair their ability to effectively engage in Bridging the Gap, i.e
- •Those in a current manic episode
- •Those in a current psychotic episode
- •Those diagnosed with Autism Spectrum Disorder
- •Those who have issues with substance abuse
- •Participants with current involvement with child welfare.
结局指标
主要结局
Change from baseline in view of emotions as changeable at 4 weeks
时间窗: Baseline vs. 4 week follow-up
Child and parental views of personality as changeable will be assessed via Implicit Theory of Emotions Scale, as the primary outcome of Bridging the Gap. The Implicit Theory of Emotion contains 4 questions, with two incremental items and two entity items. Each item is rated using a 7-point Likert scale with 1= strongly disagree and 7= strongly agree. The two entity items are reverse-scored. Scores range from 4-28 and higher scores indicate a view of emotions as changeable.
Change from baseline in view of personality as changeable at 4 weeks
时间窗: Baseline vs. 4 week follow-up
Child and parental views of personality as changeable will be assessed via Implicit Theory of Personality Questionnaire, as the primary outcome of Bridging the Gap. The Implicit Theory of Personality Questionnaire contains 3 questions with a range of scores from 3 to 18, with lower scores indicating a view of personality as changeable.
Change from baseline in child and parental attitudes towards therapy at 4 weeks
时间窗: Baseline vs. 4 week follow-up
Child and parental attitudes towards therapy will be assessed via Attitudes Towards Therapy Scale, as the primary outcome of Bridging the Gap. Scores on this one question assessment range from 0= view of therapy as not at all helpful to 10= view of therapy as very helpful.
Hopelessness
时间窗: Up to 4 weeks after baseline
Child and parent hopelessness will be assessed via Beck Hopelessness Short Scale, as the primary outcome of Bridging the Gap. This 4-item scale is totaled using the sum of item scores. Scores range from 0-12, with higher scores indicating more hopelessness.
次要结局
- Anxiety Severity(Up to 4 weeks after baseline)
- Depression Severity(Up to 4 weeks after baseline)
- Psychological distress(Up to 4 weeks after baseline)
研究者
Tina R Goldstein
Associate Professor
University of Pittsburgh