African American Knowledge Optimized for Mindfully Healthy Adolescents

Study Overview
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Brief Summary
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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
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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)

Official Title
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Treatment Engagement in Psychiatric Clinical Research and Care for Depressed African American Adolescents

Conditions
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Depression

Intervention / Treatment
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* Behavioral: Motivational Interviewing Active


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational Interviewing Active<br>Patients received a stepped progression of talk based treatment utilizing Motivational Interviewing as the basis. | Behavioral: Motivational Interviewing Active<br>* Patients received 2 sessions of an in-person talk based intervention utilizing culturally relevant Motivational Interviewing.<br>|
| Active Comparator: Delayed Control<br>Patients received Treatment as usual (TAU) (i.e. no specific intervention and supportive check-ins from the study staff) | Behavioral: Motivational Interviewing Active<br>* Patients received 2 sessions of an in-person talk based intervention utilizing culturally relevant Motivational Interviewing.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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). | Post completion of 2 session Motivational Interviewing (MI) intervention (approximately 3-4 weeks on average during which time study staff followed all patients) |