Latino Teen Depression Treatment Study

Identification of Implementation Strategies to Promote Depression Treatment Use Among Latino Adolescents

Despite experiencing higher rates of depressive symptoms (Center for Disease Control and Prevention, 2020) and similar rates of Major Depressive Disorder (MDD; Substance Abuse and Mental Health Services Administration (SAMHSA), 2019), Latino adolescents in the U.S. are significantly less likely than their non-Latino White peers to receive treatment for MDD (SAMHSA, 2019). The purpose of this study is to identify a stakeholder-preferred implementation strategy that may improve psychotherapy attendance among Latino adolescents. Latino adolescent-parent dyads and healthcare providers will be recruited from healthcare settings and social media. Focus groups will be conducted with healthcare providers (n=5), and individual interviews will be conducted with Latino adolescents with a diagnosis of depression (n=15) and their parents (n=15).

Study Overview

• Status: Recruiting
• Conditions: Depression

• Study Type: Observational
• Enrollment (Estimated): 35

Contacts and Locations

• Study Contact: Name: Allison M Stafford, PhD; Phone Number: (317) 498-7333; Email: allison.stafford@duke.edu
• Study Contact Backup: Name: Norma Garcia Ortiz; Phone Number: 919-684-9331; Email: norma.garcia.ortiz@duke.edu

Study Locations

• United States
  • Tennessee
    • Nashville, Tennessee, United States, 37232
      • Recruiting
      • Researchmatch.org
      • Contact: Allison M Stafford, PhD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 13 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Three samples will be recruited on a national scale: Latino male teens diagnosed with depression, their parents/guardians, and healthcare providers (behavioral health and primary care) who regularly care for Latino adolescents.

Description

Inclusion Criteria for Teens:

• Male gender
• Aged 13-17 years
• Diagnosed with Major Depressive Disorder or Persistent Depressive Disorder
• Referred to psychotherapy and/or prescribed antidepressant medications for depression

Exclusion Criteria for Teens:

• Experiencing imminent thoughts of self-harm or suicide
• Experiencing acute psychological distress (e.g., uncontrolled crying)

Inclusion Criteria for Parents:

• Parent or legal guardian of teen
• Able to read and speak English or Spanish

Exclusion Criteria for Parents:

• Unable to read/speak English or Spanish

Inclusion Criteria for Healthcare Providers:

• Self-identification as regularly providing clinical care to Latino adolescents with depression
• Be in a role in which they can provide or refer patients to depression treatment

Exclusion Criteria for Healthcare Providers

• Unable to provide or refer to depression treatment

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort
Teens; Teens are: 1) Male 2) Aged 13-17; 3) self-identified as Hispanic/Latino; 4) diagnosed with Major Depressive Disorder or Persistent Depressive Disorder/Dysthymia; and 5) referred to psychotherapy or prescribed medication for depression. Teens will be excluded if they are experiencing intense psychological distress or imminent thoughts of suicide.
Parents; Parents will 1) Be parents or legal guardians of teens; and 2) Speak and read English or Spanish.
Healthcare Providers; Healthcare providers will 1) Self-identify as regularly providing clinical care to Latino adolescents with depression; and 2) be in a role in which they can refer to or provide depression treatment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Preferred implementation strategy to improve depression treatment use generated from qualitative interviews/focus groups	Implementation strategy preference options will include: 1) Near Peer Depression Support Groups; 2) Parent-Teen Depression Treatment Activation Training; and 3) Depression Care Navigation Services. We will determine which strategy is most preferred by asking stakeholders, "Which of these strategies would work best for you/your family/Latino teens?" We will add up the responses to determine the preferred strategy with the highest frequency.	Baseline

Secondary Outcome Measures

Outcome Measure	Time Frame
Number of barriers to depression treatment use generated from qualitative interviews/focus groups	Baseline

Collaborators and Investigators

• Sponsor: Duke University
• Investigators: Principal Investigator: Allison M Stafford, PhD, Duke University School of Nursing

Study record dates

Study Major Dates

• Study Start (Actual): October 13, 2022
• Primary Completion (Estimated): June 30, 2024
• Study Completion (Estimated): June 30, 2024

Study Registration Dates

• First Submitted: August 9, 2022
• First Submitted That Met QC Criteria: August 10, 2022
• First Posted (Actual): August 12, 2022

Study Record Updates

• Last Update Posted (Estimated): December 11, 2023
• Last Update Submitted That Met QC Criteria: December 7, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Keywords: Adolescent; Depression; Treatment; Latino
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Mood Disorders; Depression; Depressive Disorder
• Other Study ID Numbers: Pro00110026

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Due to the qualitative nature of this study, we will not be sharing participant data with other researchers.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No