Depression
Conditions
Brief summary
The purpose of this study was to better understand how African American families identify and treat emotional and behavioral concerns associated with depression in their adolescent youth. The goals of the study included (a) identifying factors associated with participation in psychiatric research and treatment and (b) developing an intervention to increase participation in psychiatric research and treatment.
Detailed description
The aim of this study was to obtain an in-depth understanding of African Americans' perceptions of barriers to adolescent and family engagement in psychiatric treatment and research utilizing a mixed methods approach in two Phases. Phase I consisted of data collected via surveys, focus groups and individual interviews with African American adults and youth. The data generated in Phase I provided a foundation for the domains incorporated into manual development and therapist training procedures of the subsequent intervention phase of the project (Phase II). After the research team developed the depression treatment engagement intervention, the intervention was pilot tested in a sample of depressed African American youth and families (Phase II)
Interventions
BEHAVIORALMotivational Interviewing Active
Patients received 2 sessions of an in-person talk based intervention utilizing culturally relevant Motivational Interviewing.
Sponsors
National Institute of Mental Health (NIMH)
Georgetown University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
11 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Persons who self-identify as Black or African American * Adolescents aged 11 to 17 at the time of recruitment * Adult parents * Parent consent and adolescent assent * Demonstrated cognitive ability to understand participation
Exclusion criteria
* Diminished capacity to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Attendance at First Depression Treatment Appointment | Post completion of 2 session Motivational Interviewing (MI) intervention (approximately 3-4 weeks on average during which time study staff followed all patients) | Patients were randomized to the intervention or a delayed control group. The primary outcome was bifurcated as yes or no to specify whether or not the patient attended the first available depression treatment appointment scheduled after he/she completed the AAKOMA protocol. The average time to attendance at the first session was approximately 3-4 weeks and during this intermediate time between completion of the protocol and initiation of treatment all patients were followed by study staff). |
Countries
United States
Participant flow
Recruitment details
Study patients were recruited from the local community using tested, strategic community engagement procedures.
Participants by arm
| Arm | Count |
|---|---|
| Motivational Interviewing Active 2 sessions with parent/legal guardian and adolescent study patient of culturally relevant Motivational Interviewing intervention | 8 |
| Delayed Control At the conclusion of enrollment of all active patients, delayed control patients were offered opportunity to receive culturally relevant Motivational Interviewing intervention. | 8 |
| Total | 16 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 2 | 0 |
| Overall Study | Physician Decision | 1 | 0 |
Baseline characteristics
| Characteristic | Motivational Interviewing Active | Total | Delayed Control |
|---|---|---|---|
| Age, Categorical <=18 years | 8 Participants | 16 Participants | 8 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment United States | 8 participants | 16 participants | 8 participants |
| Sex: Female, Male Female | 6 Participants | 13 Participants | 7 Participants |
| Sex: Female, Male Male | 2 Participants | 3 Participants | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Primary
Attendance at First Depression Treatment Appointment
Patients were randomized to the intervention or a delayed control group. The primary outcome was bifurcated as yes or no to specify whether or not the patient attended the first available depression treatment appointment scheduled after he/she completed the AAKOMA protocol. The average time to attendance at the first session was approximately 3-4 weeks and during this intermediate time between completion of the protocol and initiation of treatment all patients were followed by study staff).
Time frame: Post completion of 2 session Motivational Interviewing (MI) intervention (approximately 3-4 weeks on average during which time study staff followed all patients)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Motivational Interviewing Active | Attendance at First Depression Treatment Appointment | 5 participants |
| Delayed Control | Attendance at First Depression Treatment Appointment | 6 participants |