Latina Adolescent Depression Treatment Study

Study Overview
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Brief Summary
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Despite experiencing higher rates of depressive symptoms and similar rates of Major Depressive Disorder (MDD), Latina (female) adolescents in the U.S. are significantly less likely than their non-Latina White peers to receive treatment for MDD. The purpose of this study is to identify facilitators of and barriers to depression treatment engagement among Latina adolescents across patient-, family-, and healthcare provider-levels from the perspectives of these individuals. Latina adolescent-parent dyads and healthcare providers will be recruited from community and healthcare settings. Separate individual semi-structured interviews will be conducted with Latina adolescents (n=12) and their parents (n=12). Two focus groups will be conducted with primary care providers (n=6) and mental health providers (n=6) who frequently care for Latina youth. Qualitative content analysis will be used to analyze the transcripts to determine common themes in facilitators and barriers across stakeholder groups.

Official Title
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Patient, Family, and Provider Perspectives on Latina Adolescents' Depression Treatment Engagement

Conditions
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Depression

Participation Criteria
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Eligibility Criteria
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Adolescent Inclusion Criteria: Ages 13-17 Self-identify as Hispanic/Latina Be first generation (i.e. born outside the US) or second generation immigrants (i.e. one or both parents born outside the US) Have been diagnosed with Major Depressive Disorder or Persistent Depressive Disorder/Dysthymia Have been referred to psychotherapy or prescribed medication for depression Adolescent Exclusion Criteria: Currently experiencing acute psychological distress Parent Inclusion Criteria Parent of Latina adolescent experiencing depression Parent Exclusion Criteria Not fluent in English or Spanish Healthcare Provider Inclusion Criteria Self-identify as regularly providing clinical care to Latina adolescents with depression Be in a role in which they can refer to or provide depression treatment

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Latina adolescents and parents<br>Latina adolescent young women experiencing depression and their parents will be recruited from community and primary care settings for one-time individual interviews. | |
| Healthcare providers<br>Primary care and mental health providers who commonly work with Latina adolescent patients will be recruited for focus groups from an integrated primary care clinic. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of barriers to depression treatment among Latina adolescents generated from patient interviews and provider focus groups |  | Baseline | 
| Number of facilitators of depression treatment among Latina adolescents generated from patient interviews and provider focus groups |  | Baseline | 
| Number of preferences for depression treatment generated from patient interviews and provider focus groups |  | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hispanic Americans, Adolescent