- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06038721
Unified Protocol: Community Connections
October 25, 2023 updated by: Jill May Ehrenreich, University of Miami
The purpose of this study is to administer the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A) to youth and participants' parents and to examine the efficacy and outcomes of the treatment using standardized measures, questionnaires, interviews.
The UP-C and the UP-A are cognitive-behavioral therapies to treat emotional disorders.
Study Overview
Status
Recruiting
Study Type
Interventional
Enrollment (Estimated)
1500
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jill Ehrenreich-May, PhD
- Phone Number: 305-284-6476
- Email: j.ehrenreich@miami.edu
Study Contact Backup
- Name: Niza Tonarely-Busto, PhD
- Phone Number: 305-284-2712
- Email: niza.tonarely@miami.edu
Study Locations
-
-
Florida
-
Coral Gables, Florida, United States, 33146
- Recruiting
- Child and Adolescent Mood and Anxiety Treatment Program
-
Principal Investigator:
- Jill Ehrenreich-May, PhD
-
Contact:
- Jill Ehrenreich-May, PhD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Children between the ages of 7-17.
- Youth currently resides in Miami-Dade County.
- Children and their parents must be able to speak and understand English and/or Spanish sufficiently well to complete study procedures (e.g., provide their informed consent/assent, complete assessment measures and/or program materials).
- At least one parent or caregiver with whom the child is living with that can accompany the child and participate in all visits (assessment and treatment).
- Positive endorsement of elevated emotional concerns in one of a limited range of emotional disorder domains (i.e., anxiety, depression, trauma, or obsessive-compulsive symptoms, etc.) during full DIAMOND-Kid semi-structured interview, and/or elevated anxiety or depression symptoms (T-Score > or = 65 for youth 8-17 years old; Raw score > or = 12 for children under 8 years old) on the Revised Child Anxiety and Depression Scale - Short Form (RCADS-SF; Child or Parent Report).
- Youth with other types of comorbid conditions (e.g., tic/Tourette's disorder, eating disorders, or disruptive behavior disorders) will not be excluded, providing a clinical area of concern is regarding one of the emotional disorder domains specified and treatment within this protocol is deemed most appropriate.
- Youth and parent participation in at least one in-person session if the treatment is predominantly delivered virtually.
Exclusion Criteria:
- Prior receipt of at least 8 sessions of the UP-C/A program at the Child and Adolescent Mood and Anxiety Treatment Program (CAMAT).
- Psychiatric hospitalization in the previous 6 months (i.e., due to Baker Act, psychotic symptoms, significant suicidal ideation, danger to self or others, etc.).
- Another significant problem area that takes priority for services (e.g., eating disorder, substance-use disorder, primary externalizing concerns, psychotic symptoms, etc.), as identified by family report or via DIAMOND-Kid interview.
- Inability for family to wait for the next group treatment cohort to start, family declining therapist assignment following intake, and/or family no-showing to 3 or more scheduled sessions at CAMAT (inclusive of intake assessment).
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: The Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Children
The participants in this group will receive the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) in up to 15 sessions through a group format, attended over up to 24 weeks.
Sessions will include parent and child strategies to manage strong emotions.
|
The UP-C is administered in-person to parents and children over the course of up to 15 weekly group sessions, which last approximately 90 minutes each.
Other Names:
|
Experimental: The Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Adolescents
The participants in this group will receive the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) in an individual format for up to 24 weeks.
|
The UP-A is administered to parents and teens over the course of approximately 15-24 weekly individual sessions, which last approximately 50 minutes each.
Sessions can be administered in-person or online, with at least one session occurring in person.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Revised Children's Anxiety and Depression Scale - Parent Revised Short Version (RCADS-P-S)
Time Frame: Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
The Change in Revised Children's Anxiety and Depression Scale - Parent Revised Short Version (RCADS-P-25) is 25-item parent-reported scale measuring symptoms of anxiety and depression in youth.
Items are rated on a 4-point scale from 1 (Never) to 4 (always) with total composite score ranging from 0 to 75.
A score of 70 or higher indicates high severity.
|
Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
Change in Revised Children's Anxiety and Depression Scale - Child Revised Short Version (RCADS-C-S)
Time Frame: Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
The Change in Revised Children's Anxiety and Depression Scale - Child Revised Short Version (RCADS-25) is 25-item self-reported scale measuring symptoms of anxiety and depression in youth.
Items are rated on a 4-point scale from 1 (Never) to 4 (always) with total composite scores ranging from 0 to 75.
A score of 70 or higher indicates high severity.
|
Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
Change in Strengths and Difficulties Questionnaire - Parent Version (SDQ-P)
Time Frame: Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
The Strengths and Difficulties Questionnaire (SDQ) is a 25-item parent-reported measure assessing five domains in youth: emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and pro-social behaviors.
All items are rated on a 3-point scale from 0 (not true) to 2 (Certainly true).
A score can be generated for each scale and all except the prosocial subscale are added together to generate a total composite difficulties score (based on 20 items).
Higher total scores are indicative of more problems for all subscales, except for the prosocial scale, where higher scores correspond to fewer difficulties in prosocial behavior.
|
Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
Change in Strengths and Difficulties Questionnaire - Child Version (SDQ-C)
Time Frame: Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
The Strengths and Difficulties Questionnaire (SDQ) is a 25-item self-reported measure assessing five domains in youth: emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and pro-social behaviors.
All items are rated on a 3-point scale from 0 (not true) to 2 (Certainly true).
A score can be generated for each scale and all except the prosocial subscale are added together to generate a total composite difficulties score (based on 20 items).
Higher total composite scores are indicative of more problems for all subscales, except for the prosocial scale, where higher scores correspond to fewer difficulties in prosocial behavior.
|
Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
Change in Parental Stress Scale (PSS) as measured by Likert Scale
Time Frame: Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
The Parental Stress Scale (PSS) is an 18-item measure assessing parents' feelings about their parenting role, exploring both positive (e.g., emotional benefits, personal development) and negative (e.g., demands on resources, feelings of stress) aspects on parenthood.
All items are rated on 5-point Likert scale from 1 (Strongly disagree) to 5 (Strongly agree).
Items are summed with higher scores indicating higher levels of parental stress.
|
Session 1 (approximately week 1), session 8 (approximately week 8), and at the natural termination session (approximately 24 weeks).
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Top Problems Assessment - Parent Report as measured by Likert Scale
Time Frame: up to 24 weeks
|
The Top Problems assessment is used to identify parent-reported target problems for treatment and track changes in problem severity over time.
Identified top problem statements are rated on 9-point Likert scale from 0 (not at all a problem) to 8 (a huge problem).
|
up to 24 weeks
|
Top Problems Assessment - Child Report as measured by Likert Scale
Time Frame: up to 24 weeks
|
The Top Problems assessment is used to identify self-reported target problems for treatment and track changes in problem severity over time.
Identified top problem statements are rated on 9-point Likert scale from 0 (not at all a problem) to 8 (a huge problem).
|
up to 24 weeks
|
Change in Clinical Global Impression, Severity Scale (CGI-S)
Time Frame: At baseline, and up to 24 weeks
|
The CGI-S is a single-item clinician-reported measure used to assess the severity of the youth's illness at the time of assessment.
The item is rated on a 7-point scale ranging from 1 (very much improved since the initiation of treatment) to 7 (very much worse since the initiation of treatment).
Higher scores indicate greater symptom severity.
|
At baseline, and up to 24 weeks
|
Clinical Global Impression - Improvement (CGI-I)
Time Frame: At up to 24 weeks
|
The CGI-I is a single-item clinician-reported measure used to assess clinical changes in youth symptomology over the course of treatment.
The item is rated on a 7-point scale ranging from 1 (very much improved since the initiation of treatment) to 7 (very much worse since the initiation of treatment).
Higher scores indicate greater symptom improvement since baseline.
|
At up to 24 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Jill Ehrenreich-May, PhD, University of Miami
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Ehrenreich-May, J., Kennedy, S. M., Sherman, J. A., Bilek, E. L., Buzzella, B. A., Bennett, S. M., & Barlow, D. H. (2017). Unified protocols for transdiagnostic treatment of emotional disorders in children and adolescents: Therapist guide. Oxford University Press.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 25, 2023
Primary Completion (Estimated)
September 1, 2028
Study Completion (Estimated)
September 25, 2028
Study Registration Dates
First Submitted
September 7, 2023
First Submitted That Met QC Criteria
September 8, 2023
First Posted (Actual)
September 15, 2023
Study Record Updates
Last Update Posted (Actual)
October 26, 2023
Last Update Submitted That Met QC Criteria
October 25, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20230860
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Depressive Disorder
-
York UniversityCentre for Addiction and Mental HealthSuspendedDisorder, Major DepressiveCanada
-
Shalvata Mental Health CenterUnknownMAjor Depressive DisorderIsrael
-
Wyeth is now a wholly owned subsidiary of PfizerCompletedDepressive Disorder, Major Depressive DisorderUnited States
-
Samsung Medical CenterUnknownMajor Depressive Disorder, Anxiety DisorderKorea, Republic of
-
Seasons Biotechnology (Taizhou) Co., Ltd.CompletedMajor Depressive Disorder (MDD)India
-
Repurposed Therapeutics, Inc.Unknown
-
GlaxoSmithKlineCompletedMajor Depressive Disorder (MDD)United States
-
Seasons Biotechnology (Taizhou) Co., Ltd.CompletedMajor Depressive Disorder (MDDIndia
-
Gangnam Severance HospitalCompletedMajor Depressive Disorder(MDD)Korea, Republic of
-
University College, LondonCompletedUnipolar Major Depressive DisorderUnited Kingdom
Clinical Trials on The Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Children
-
University of Colorado, DenverChildren's Hospital Colorado; American Psychological FoundationCompletedEmotional DisorderUnited States
-
University of Los Andes, ColumbiaCompletedEmotional DisorderColombia
-
Duke UniversityCompletedMisophoniaUnited States
-
University of ReginaCanadian Institutes of Health Research (CIHR); Saskatchewan Health Authority... and other collaboratorsActive, not recruitingGeneralized Anxiety Disorder | Trauma and Stressor Related Disorders | Trauma | Major Depressive Disorder | Posttraumatic Stress Disorder | Panic Disorder | Traumatic Stress Disorder | Vicarious TraumaCanada
-
Instituto de Investigación Sanitaria AragónRecruitingDepressive Disorder | Anxiety Disorders | Emotional Disorder | Post COVID-19 ConditionSpain
-
Fundació Sant Joan de DéuParc Sanitari Sant Joan de DéuRecruitingPsychosis | Emotional DysfunctionSpain
-
Boston University Charles River CampusCompletedAnxiety Disorders | Emotional Disorders
-
University of ReginaGovernment of Canada; Royal Canadian Mounted Police; Ministry of Public Safety... and other collaboratorsRecruitingGeneralized Anxiety Disorder | Trauma | Major Depressive Disorder | Posttraumatic Stress Disorder | Panic Disorder | Traumatic Stress Disorder | Trauma and Stress Related Disorders | Vicarious TraumaCanada
-
Jorge Javier Osma LópezUniversidad de Zaragoza; Instituto de Salud Carlos IIINot yet recruiting
-
University of PittsburghCompletedDepression | Anxiety | Posttraumatic Stress Disorder | Alcohol Use DisorderUnited States