Scaling a Parenting Evidence Based Intervention (EBI) for Latinx Youth Mental Health in Primary Care
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Depression, Anxiety
- Sponsor
- University of Miami
- Enrollment
- 468
- Locations
- 17
- Primary Endpoint
- Depression symptoms
- Status
- Recruiting
- Last Updated
- 8 months ago
Overview
Brief Summary
The goal of this study is to evaluate in an effectiveness-implementation type I hybrid trial, an enhanced version of eHealth Familias Unidas for reducing depressive, anxious symptoms and suicide behavior in Hispanic youth. The study will use a randomized rollout design with 18 pediatric primary care clinics in the South Florida area.
Investigators
Guillermo Prado
Professor
University of Miami
Eligibility Criteria
Inclusion Criteria
- •Female and male adolescents, who self-identify as Hispanic (or Latino(a))
- •Adolescent between the ages of 12 - 16 years
- •Adolescent living with an adult primary caregiver who is willing to participate
- •Families must have broadband internet access on a device, including (but not limited to) a smartphone, iPad, tablet, computer at their home or other location (e.g., school, library, etc.)
- •Families screening positive on poor family communication (a score of less than 75 on the communication measure; see measures) or youth reporting elevated depressive or anxiety symptom scores (defined as 70 to 90 on the K-CAT) or a history of suicide behavior (ideation or attempts).
Exclusion Criteria
- •Families reporting plans to move out of the South Florida area during the study period.
Outcomes
Primary Outcomes
Depression symptoms
Time Frame: Baseline to 3 months, baseline to 6 months, baseline to 18 months
Change in depression symptom severity will be measured using the Kiddie Computerized Adaptive Test (K-CAT®). K-CAT® measures severity on a scale of 0 to 100 with higher scores indicating greater depression symptom severity.
Center for Epidemiologic Studies Depression Scale (CESD)
Time Frame: Baseline to 3 months, baseline to 6 months, baseline to 18 months
Change in depression symptoms will be assessed with the CESD. Scores range from 0 to 60 with higher scores indicating the presence of more symptoms.
Anxiety symptoms
Time Frame: Baseline to 3 months, baseline to 6 months, baseline to 18 months
Change in anxiety symptom severity will be measured using the Kiddie Computerized Adaptive Test (K-CAT®). K-CAT® measures severity on a scale of 0 to 100 with higher scores indicating greater anxiety symptom severity.
Suicidality
Time Frame: Baseline to 3 months, baseline to 6 months, baseline to 18 months
Change in suicidality severity will be measured using the Kiddie Computerized Adaptive Test (K-CAT®). K-CAT® measures severity on a scale of 0 to 100 with higher scores indicating greater suicidality symptom severity.
Change in drug use
Time Frame: Baseline to 3 months, baseline to 6 months, baseline to 18 months
Change in drug use will be reported as the number of days drug use was reported over the last 90 days.
Secondary Outcomes
- Change in Family Functioning as assessed by the Parent Relationship with Peer Group(Baseline to 3 months, baseline to 6 months, baseline to 18 months)
- Change in unprotected sexual behavior(Baseline to 3 months, baseline to 6 months, baseline to 18 months)
- Change in Family Functioning as assessed by the Parenting Practices Questionnaire(Baseline to 3 months, baseline to 6 months, baseline to 18 months)
- Change in Family Functioning as assessed by the Parent-Adolescent Communication Scale(Baseline to 3 months, baseline to 6 months, baseline to 18 months)