Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot
Abstract Background Depression continues to be an ongoing threat to adolescent well-being with Black adolescents being particularly vulnerable to greater burdens of depression as well as lower mental health service utilization. Black adolescents are likely to have untreated depression due to social...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-024-07947-8 |
| _version_ | 1797209060331749376 |
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| author | Michael A. Lindsey Laura Mufson Carolina Vélez-Grau Tracy Grogan Damali M. Wilson Aaron O. Reliford Meredith Gunlicks-Stoessel James Jaccard |
| author_facet | Michael A. Lindsey Laura Mufson Carolina Vélez-Grau Tracy Grogan Damali M. Wilson Aaron O. Reliford Meredith Gunlicks-Stoessel James Jaccard |
| author_sort | Michael A. Lindsey |
| collection | DOAJ |
| description | Abstract Background Depression continues to be an ongoing threat to adolescent well-being with Black adolescents being particularly vulnerable to greater burdens of depression as well as lower mental health service utilization. Black adolescents are likely to have untreated depression due to social network influences, varied perceptions of services and providers, or self-stigma associated with experiencing depressive symptoms. Furthermore, if or when treatment is initiated, low engagement and early termination are common. To address this gap, a trial is being conducted to preliminarily test the effectiveness of an engagement intervention targeting Black adolescents with depression in school mental health services in New York City. Methods A total of 60 Black middle and high school adolescents displaying depressive symptoms are equally randomized (based on school site) to the treatment arms. Both trial arms deliver Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), a time-limited, evidence-based treatment for depression. Additionally, one arm pairs IPT-A with a brief, multi-level engagement intervention, the Making Connections Intervention (MCI), involving adolescents, caregivers, and clinicians. Outcomes of interest are group differences in depression and suicide ideation, adolescent and caregiver engagement, and mental health service use. Discussion This trial will serve as an efficacy assessment of the MCI among a sample of Black adolescent students with depressive symptoms. Clinical and implementation results will be used to inform future research to further test the MCI intervention in a larger sample. Trial registration Registered by ClinicalTrials.gov on May 3, 2019, identifier: NCT03940508. |
| first_indexed | 2024-03-07T14:42:40Z |
| format | Article |
| id | doaj.art-64113d2a721846e788d99c53cb0cc5a5 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-04-24T09:48:42Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-64113d2a721846e788d99c53cb0cc5a52024-04-14T11:28:32ZengBMCTrials1745-62152024-02-0125111010.1186/s13063-024-07947-8Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilotMichael A. Lindsey0Laura Mufson1Carolina Vélez-Grau2Tracy Grogan3Damali M. Wilson4Aaron O. Reliford5Meredith Gunlicks-Stoessel6James Jaccard7Silver School of Social Work, New York UniversityDepartment of Psychiatry, New York State Psychiatric Institute, Columbia UniversitySchool of Social Work, Boston CollegeMcSilver Institute for Poverty Policy and Research, New York UniversityMcSilver Institute for Poverty Policy and Research, New York UniversityChild & Adolescent Psychiatry, NYU Langone HealthDepartment of Psychiatry and Behavioral Sciences, University of MinnesotaSilver School of Social Work, New York UniversityAbstract Background Depression continues to be an ongoing threat to adolescent well-being with Black adolescents being particularly vulnerable to greater burdens of depression as well as lower mental health service utilization. Black adolescents are likely to have untreated depression due to social network influences, varied perceptions of services and providers, or self-stigma associated with experiencing depressive symptoms. Furthermore, if or when treatment is initiated, low engagement and early termination are common. To address this gap, a trial is being conducted to preliminarily test the effectiveness of an engagement intervention targeting Black adolescents with depression in school mental health services in New York City. Methods A total of 60 Black middle and high school adolescents displaying depressive symptoms are equally randomized (based on school site) to the treatment arms. Both trial arms deliver Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), a time-limited, evidence-based treatment for depression. Additionally, one arm pairs IPT-A with a brief, multi-level engagement intervention, the Making Connections Intervention (MCI), involving adolescents, caregivers, and clinicians. Outcomes of interest are group differences in depression and suicide ideation, adolescent and caregiver engagement, and mental health service use. Discussion This trial will serve as an efficacy assessment of the MCI among a sample of Black adolescent students with depressive symptoms. Clinical and implementation results will be used to inform future research to further test the MCI intervention in a larger sample. Trial registration Registered by ClinicalTrials.gov on May 3, 2019, identifier: NCT03940508.https://doi.org/10.1186/s13063-024-07947-8DepressionTreatment engagementAdolescentsBlack youthIntervention |
| spellingShingle | Michael A. Lindsey Laura Mufson Carolina Vélez-Grau Tracy Grogan Damali M. Wilson Aaron O. Reliford Meredith Gunlicks-Stoessel James Jaccard Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot Trials Depression Treatment engagement Adolescents Black youth Intervention |
| title | Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot |
| title_full | Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot |
| title_fullStr | Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot |
| title_full_unstemmed | Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot |
| title_short | Engaging Black youth in depression and suicide prevention treatment within urban schools: study protocol for a randomized controlled pilot |
| title_sort | engaging black youth in depression and suicide prevention treatment within urban schools study protocol for a randomized controlled pilot |
| topic | Depression Treatment engagement Adolescents Black youth Intervention |
| url | https://doi.org/10.1186/s13063-024-07947-8 |
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