Reaching Out to Adolescents With Depression (ROAD)
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Purpose
Major Depression is one of the most common mental health disorders in adolescence and is associated with significant impairments in development and functioning. This project will rigorously test the Adolescent Collaborative Care Treatment intervention, a health services intervention designed to improve management for depressive disorders among adolescents, via a randomized controlled trial comparing the intervention to usual care. Key components of the trial include enhanced education for youth and parents, youth involvement in choice of evidence-based treatments, care management by an allied health professional with regular supervision by a mental health specialist and pediatrician, and stepped care to advance treatment when youth are not improving. Additional features have been added to engage adolescents and parents including a moderated message board for youth to share with and learn from one another, formalized involvement of the parent, and availability of the care manager during after school hours. Our findings will provide key information on the effectiveness of a developmentally-sensitive adapted collaborative care intervention for the treatment of adolescent depression.
| Condition | Intervention |
|---|---|
|
Depression |
Other: Collaborative care |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Adolescent Collaborative Care Treatment for Depression |
- Child Depression Rating Scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]Depressive symptoms
- Columbia Impairment Scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]Functional impairment
| Estimated Enrollment: | 160 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Usual Care
Usual care treatment of depression in primary care settings.
|
Other: Collaborative care
Provision of depression care management in the primary care setting to improve delivery of evidence based treatments
|
Eligibility| Ages Eligible for Study: | 13 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- depression
- age 13-17 years
- enrollment in study Primary Care Clinics
Exclusion Criteria:
- suicidality
- already enrolled Specialty mental health care
- mental health hospitalization in the prior year
- substance abuse
- bipolar disorder
- non-English speaker
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Laura Richardson, Principal Investigator, Seattle Children's Hospital |
| ClinicalTrials.gov Identifier: | NCT01140464 History of Changes |
| Other Study ID Numbers: | R01MH085645, R01MH085645 |
| Study First Received: | June 1, 2010 |
| Last Updated: | March 20, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Seattle Children's Hospital:
|
Adolescents |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 13, 2013