Pilot Examination of a Telehealth, Cognitive-behavioral Therapy for Adolescents

Study Overview
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Brief Summary
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This project is designed to refine a 6-week telehealth therapy intervention targeting negative interpersonal beliefs among community-dwelling youth with elevated levels of psychopathology. The study design is a single-arm open trial. The intervention is comprised of weekly teen and parent group cognitive-behavioral therapy, regular check-ins with the youths, and a module embedded throughout treatment that targets negative interpersonal beliefs (i.e., perceived social disconnection, burdensomeness). The goal of the study is to evaluate the feasibility of the treatment and assessment protocol, refine the intervention based on qualitative feedback, and evaluate changes in negative interpersonal beliefs. Youths complete two qualitative interviews about their interpersonal relationships and their feedback about the intervention.

Official Title
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Pilot Examination of a Telehealth, Cognitive-behavioral Therapy for Adolescents

Conditions
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Suicide Prevention, Suicidal Ideation

Intervention / Treatment
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* Behavioral: Give to Others Module


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 14-17 years of age endorsement of perceived burdensomeness (score of greater than 3 on the Interpersonal Needs Questionnaire) emotional/behavioral problems broadly defined (Pediatric Symptom Checklist score greater than 14) The family being under-resourced (i.e., family is below the US census poverty line; family is receiving economic or medical government aid; child is receiving reduced fee lunch; or primary caregiver is currently unemployed) or living in an under-resourced community (i.e., majority of households in the family's census block lives under the poverty line). Exclusion Criteria: Current need for acute psychiatric care (e.g., inpatient hospitalization) autism spectrum disorder psychosis other condition(s) related to pronounced cognitive impairment (i.e., marked impairment that precludes completion of questionnaires, verbal communication) Wards of the state

Ages Eligible for Study
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Minimum Age: 14 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Give to Others Module<br>A brief, talk therapy protocol that targets negative interpersonal beliefs (i.e., perceived social disconnection, burdensomeness) using cognitive-behavioral strategies. | Behavioral: Give to Others Module<br>* Negative interpersonal beliefs are targeted via cognitive-behavioral strategies, including evaluation of cognitive distortions, and activity planning and tracking.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Qualitative interview on acceptability | Non-numerical identification of narrative textual themes from interviews. | Posttreatment assessment (week 6) | 
| Interpersonal needs questionnaire | A 6 question survey assessing thoughts of being a burden on others. Range of possible scores is 6 to 42. Higher scores indicate more severe thoughts of being a burden on others. | Pretreatment (baseline) and week 6 |