Adolescent depression Mental and Behavioural Disorders
Conditions
Interventions
The ICALM study investigates the Interpersonal Counselling for Adolescents (IPC-A), a brief manualised psychological intervention, which helps clients to identify the reciprocal interaction between th
it will not be accessible by anyone outside of this te
Sponsors
Norfolk and Suffolk NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Young people receiving treatment: 1. Aged 12-18 years 2. Seeking help for low mood (as the primary presenting difficulty) 3. Able to provide written informed consent or, for under 16s, written informed assent and parent/guardian consent 4. Of a level of illness where they would normally receive treatment from the service Please note: this age range of 12-18 only applies to the young people receiving IPC. There will not be an age eligibility criterion for therapists/parents
Exclusion criteria
Exclusion criteria: Young people receiving treatment: 1. Learning disability necessitating non-mainstream schooling 2. Current psychotic disorder 3. Current substance dependence 4. Current significant suicidal ideation (K-SADS-PL – ‘suicidal ideation’ threshold – ‘often thinks of suicide and has thought of a specific method’) Please note: there will not be a numerical upper severity threshold. The upper threshold comes under 'Of a level of illness where they would normally receive treatment from the service'. An interesting outcome of our initial IPC single-arm pilot was that some young people with severe depression (according to ratings questionnaires) are routinely treated by Suffolk Young Person's Services. Reasons are multiple. It is important to examine this in the wider range of services in the planned study. But the purpose of this study is not to examine/change referral thresholds but to investigate optimal treatments for young people in this service.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This is a feasibility trial, and as such the primary output will be the design of the subsequent definitive trial. A number of feasibility outcomes will be assessed to facilitate this output, including recruitment and retention rates, fidelity of intervention implementation, degree of contamination of the control arm, suitability of the proposed measures, and acceptability of IPC-A from the point of view of young people, parents, staff and other key stakeholders. The TSC will assess the trial against the following criteria and make recommendations regarding the suitability of the proposed design for the full-scale trial: 1. Recruitment rate is at least 80% of target 2. At least 70% of those randomised to receive the intervention attend at least three therapy sessions within the 10-week treatment window 3. Follow-up assessments are completed by at least 80% of participants at 10 weeks and 70% of participants at 23 weeks 4. At least 80% of IPC treatment sessions reviewed meet treatment fidelity criteria 5. Contamination of the control arm can be sufficiently limited for individual randomisation to be justified 6. The mean RCADS depression scores of the IPC-A and TAU groups at 10 weeks are indicative of a clinically significant difference in depression (3 points) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Presence of DSM depressive disorders measured using the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), depression section at baseline 2. Quality of family relationships of participants measured using the Family Assessment Device (FAD) at baseline, 5, 10, 23 weeks 3. Quality of peer relationships of participants measured using Cambridge Friendships Questionnaire (CFQ) at baseline, 5, 10, 23 weeks 4. Levels of inactivity amongst young people who are not in work, education or training measured using Employment, Education or Training in previous 4 weeks (NEET status) at baseline, 10, 23 weeks 5. Mental wellbeing of the research participants measured using the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) at baseline, 10, 23 weeks 6. Information on service utilisation, income, accommodation and other cost-related variables using the Modified Client Service Receipt Inventory(Modified-CSRI) at baseline, 10, 23 weeks 7. Health-related quality of life measured using the Child Health Utility 9D at baseline, 10, 23 weeks | — |
Countries
England, United Kingdom
Contacts
Public ContactTom Rhodes
Outcome results
None listed