Stony Brook, New York 11794

  • Depression

Purpose:

Major depression (MD) in youth is a serious psychiatric illness with extensive morbidity and mortality. The American Academy of Pediatrics recently released practice guidelines promoting primary care (PC)-based youth MD screening; however, even when diagnosed by PC providers, <50% of youth with MD access treatment. Thus, a need exists for interventions that are feasible for youths and parents to access and complete—and that may strengthen parents' likelihood of pursuing longer-term services. Single-session interventions (SSIs) may help forward these goals. SSIs include elements of comprehensive treatments, but their brevity makes them easier to disseminate at scale. Meta-analytic evidence suggests SSIs can reduce youth psychopathology, including self-administered (e.g., online) SSIs. One computer-based SSI, teaching growth mindset (GM; viewing personal traits as malleable), has reduced adolescent depressive symptoms in multiple RCTs; GM-SSIs have also improved parents' expectancies that psychotherapy could benefit their children's mental health. This project will test whether these online, youth- and parent-directed GM-SSIs—designed to reduce youth depressive symptoms and improve parents' mental health treatment expectancies, respectively—may increase mental health service access, reduce youth depressive symptoms, and relieve parental stress following PC-based youth MD screening. Youths reporting elevated MD symptoms at PC visits (N = 200) will receive either Information/Psychoeducation/Referral (IPR) or IPR plus parent- and youth-directed GM-SSIs (IPR+SSI). The investigators will examine whether IPR+SSI, versus IPR alone, increases MD service access; reduces parental stress; and reduces youth depressive symptoms across three months. Results may yield a disseminable model for promoting youth treatment access after PC-based depression screening.


Criteria:

Inclusion Criteria: - Youth is between the ages of 11 and 16, inclusive, at the time of study recruitment - Youth reports a Pediatric Symptom Checklist 'Internalizing' score of 5 or higher (out of 10) at her/his most recent pediatric primary care visit at 1 of the 9 Stony Brook University-affiliated clinics participating in this study - Parent and youth are comfortable with reading and writing in English - Parent and youth are comfortable with online activity Exclusion Criteria: - Parent or youth is not comfortable reading and/or writing in English - Parent or youth is not comfortable with online activity


NCT ID:

NCT04030897


Primary Contact:

Principal Investigator
Jessica Schleider, PhD
Stony Brook University

Jessica L Schleider
Phone: 631-632-4131
Email: jessica.schleider@stonybrook.edu


Backup Contact:

N/A


Location Contact:

Stony Brook, New York 11794
United States

Jessica L Schleider, PhD
Phone: 631-632-4131
Email: jessica.schleider@stonybrook.edu

Site Status: Recruiting


Data Source: ClinicalTrials.gov

Date Processed: June 28, 2022

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