Clinical trial NCT04164537: Latina Adolescent Depression Treatment Study
Official title: Patient, Family, and Provider Perspectives on Latina Adolescents' Depression Treatment Engagement
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Depression
Keywords: Hispanic Americans, Adolescent
Lead sponsor: Duke University
Sponsor class: OTHER
Collaborators: name: National Institutes of Health (NIH)
name: National Institute on Minority Health and Health Disparities (NIMHD)
First posted: 2019-11-15
Enrollment: 25
Sex: FEMALE
Minimum age (years): 13
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Latina adolescent young women experiencing depression and their parents will be recruited from community and integrated primary care settings. Healthcare providers will be recruited from an integrated primary care clinic.

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Number of barriers to depression treatment among Latina adolescents generated from patient interviews and provider focus groups
timeFrame: Baseline
measure: Number of facilitators of depression treatment among Latina adolescents generated from patient interviews and provider focus groups
timeFrame: Baseline
measure: Number of preferences for depression treatment generated from patient interviews and provider focus groups
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Durham
country: United States
facility: Lincoln Community Health Center
state: North Carolina
Study officials:
affiliation: Duke University School of Nursing
name: Rosa Gonzalez-Guarda, PhD
role: PRINCIPAL_INVESTIGATOR
References: