Clinical trial NCT03711344: Culturally Adapting CBT for East Asian Youth in Ontario
Official title: Improving Access to High Quality, Culturally Relevant Treatment for East Asian Canadian Youth in Ontario
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Anxiety
Depression
Keywords: Cognitive Behavioral Therapy
Cultural Adaptation
East Asian Youth
Lead sponsor: Centre for Addiction and Mental Health
Sponsor class: OTHER
Collaborators: name: East Metro Youth Services
name: Hong Fook Mental Health Association
name: Ontario Centre of Excellence for Child and Youth Mental Health
First posted: 2018-10-18
Enrollment: 36
Sex: ALL
Minimum age (years): 12
Maximum age (years): 21
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: East Asian youth diagnosed with Anxiety and/or depression will be randomly assigned to either the experimental group (receives the cultural adapted version of cognitive behavioral therapy) or the control group (non-culturally adapted cognitive behavioral therapy). It is a randomized control trial design.
Primary purpose: TREATMENT

Brief summary: This mixed methods study proposes a culturally adapted cognitive behavioural therapy (CA-CBT) model for an East Asian demographic in Canada. The client population of East Asian youth who have been diagnosed with anxiety and/or depression are the focus of the study. CBT has been proven as a very effective form of therapy, and when adapted can promote positive mental health outcomes for a growing and increasingly vulnerable population. Developing a culturally adapted version of CBT (CA-CBT) for this population adds a practical treatment that improves access to culturally relevant care.

Detailed description: There is a major lack of culturally relevant mental health services for East Asian youth in Ontario and Canada. Beginning with a participatory/qualitative research approach, common themes amongst clients, caregivers, healthcare professionals, and community leaders, will divulge basic elements needed to develop a culturally adapted model of cognitive behavioural therapy. The information from the adapted model will be taught to participating psychologists who will deliver the therapy in a randomized control trial design, with feasibility testing of the intervention using a quantitative approach ensuing. Immediate guidelines will then be developed for use by therapists working with East Asian youth.

Eligibility criteria: Inclusion Criteria:

* Self identification as East Asian origin
* Between the ages of 12 to 21
* Diagnosed as having depression and/or anxiety

Exclusion Criteria:

* Have been affected by psychosis
* Have been affected by serious addiction
* Have been affected by cognitive impairment

Primary outcomes:
measure: Severity levels of depression and anxiety rated by the Hospital Anxiety and Depression Scale (HADS).
timeFrame: 4 months.
measure: Severity levels of depression and anxiety rated by the Bradford Somatic Inventory (BSI).
timeFrame: 4 months.
Secondary outcomes:
measure: Satisfaction of the culturally adapted Cognitive Behavioral Therapy assessed using the Verona Satisfaction Scale.
timeFrame: 4 months.
Other outcomes:
Locations:
city: Scarborough
country: Canada
facility: East Metro Youth Services
state: Ontario
Study officials:
affiliation: Centre for Addiction and Mental Health
name: Farooq Naeem, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: East Metro Youth Services
name: Myra Levy, M.A.
role: STUDY_DIRECTOR
References: