Clinical trial NCT05826392: A Single-Session Intervention for Adolescents and Young Adults with Internalizing Problems
Official title: A Single-Session Intervention for Adolescents and Young Adults with Internalizing Problems
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Anxiety
Depressive Symptoms
Keywords: depression
anxiety
growth mindset
neuroplasticity
Lead sponsor: Baylor College of Medicine
Sponsor class: OTHER
First posted: 2023-04-24
Enrollment: 41
Sex: ALL
Minimum age (years): 13
Maximum age (years): 24
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Adolescents and young adults (AYA), ages 13-24 will receive a 30-minute, web-based single-session program about growth mindset.
Primary purpose: TREATMENT

Brief summary: With the increasing number of adolescents and young adults (AYA) experiencing depression and anxiety, paired with the lack of time, access, and funding towards social services, AYA need a mental health intervention that is affordable and easily accessible. A single-session intervention (SSI), Project Personality, was developed to improve youth growth mindset and reduce symptoms of internalizing problems, such as anxiety and depression. The purpose of this pilot study is to determine the feasibility of an SSI in adolescents and young adults at a reproductive community health center.

Detailed description: The mental health of adolescents and young adults (AYA) has greatly been impacted since the beginning of the pandemic. With the increasing number of AYA experiencing depression and anxiety, paired with the lack of time, access, and funding towards social services, AYA need a mental health intervention that is affordable and easily accessible. A single-session intervention (SSI) focused on cultivating an AYA's growth mindset has potential to overcome common barriers to care, such as cost, transportation and stigma related to psychological treatment. Furthermore, research shows having a fixed mindset correlate and can predict higher depressive and anxiety symptoms. Teaching adolescents about growth mindsets could decrease the risk of internalizing symptoms. The SSI, Project Personality, was developed to improve youth growth mindset and reduce symptoms of internalizing problems, such as anxiety and depression. The purpose of this pilot study is to determine the feasibility of an SSI in adolescents and young adults at a reproductive community health center.

Eligibility criteria: Inclusion Criteria:

* The adolescent or young adult is between the ages of 13 and 24.
* The adolescent or young adult has a score above 5 on either PHQ-9 (Patient Health Questionnaire-9) or GAD-7(General Anxiety Disorder-7).
* The adolescent and their parent participating in the study, or the young adult can read and comprehend English.

Exclusion Criteria:

* The adolescent or the young adult has severe current suicidal/homicidal ideation and/or self-injury requiring medical intervention as defined by the ASQ (Ask Suicide-Screening Questions).
* The adolescent and their parent participating in the study, or the young adult cannot read or comprehend English.
* The adolescent and their parent participating in the study, or the young adult cannot travel to the Baylor College of Medicine (BCM) Teen Health Clinic to receive the single-session intervention.

Primary outcomes:
measure: Change in Short Mood and Feelings Questionnaire-Child (SMFQ-C)
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
measure: Change in Short Mood and Feelings Questionnaire-Adult (SMFQ-A)
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
measure: Change in PROMIS (Patient-Reported Outcomes Measurement Information System) Anxiety - Child
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
measure: Change in PROMIS (Patient-Reported Outcomes Measurement Information System) Anxiety - Adult
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
Secondary outcomes:
measure: Perceived Primary Control Scale
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
measure: Perceived Secondary Control Scale
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
measure: The Acceptance and Action Questionnaire-II (AAQ-II)
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
measure: Avoidance and Fusion Questionnaire for Youth-8 (AFQ-8)
timeFrame: Baseline (before treatment); 2 weeks post-treatment; 2 months follow-up
Other outcomes:
Locations:
city: Houston
country: United States
facility: Baylor College of Medicine
state: Texas
Study officials:
References:
citation: Schleider JL, Abel MR, Weisz JR. Do Immediate Gains Predict Long-Term Symptom Change? Findings from a Randomized Trial of a Single-Session Intervention for Youth Anxiety and Depression. Child Psychiatry Hum Dev. 2019 Oct;50(5):868-881. doi: 10.1007/s10578-019-00889-2.
citation: Schleider JL, Dobias M, Sung J, Mumper E, Mullarkey MC. Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health. JMIR Ment Health. 2020 Jun 30;7(6):e20513. doi: 10.2196/20513.