Latino Teen Depression Treatment Study

Study Overview
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Brief Summary
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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).

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

Conditions
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Depression

Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 13 Years

Sexes Eligible for Study
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All

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 |
| --- | --- |
| Teens<br>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<br>Parents will 1) Be parents or legal guardians of teens; and 2) Speak and read English or Spanish. | |
| Healthcare Providers<br>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?
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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 | Measure Description | Time Frame |
| --- | --- | --- |
| Number of barriers to depression treatment use generated from qualitative interviews/focus groups |  | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescent, Latino, Depression, Treatment