Youth Partners in Care: Depression and Quality Improvement (YPIC)

This study has been completed.
Sponsor:
Collaborators:
RAND
Kaiser Permanente
University of Pittsburgh
Venice Family Clinic
Information provided by (Responsible Party):
Agency for Healthcare Research and Quality (AHRQ)
ClinicalTrials.gov Identifier:
NCT02030782
First received: January 19, 2012
Last updated: January 7, 2014
Last verified: December 2008
  Purpose

This randomized effectiveness trial evaluates a quality improvement intervention aimed at providing access to evidence-based depression treatments (particularly cognitive-behavior therapy for depression and or pharmacotherapy) through primary care for youth ages 13-21, as compared to enhanced usual care. The major hypothesis is that the quality improvement intervention will be associated with improved outcomes, relative to enhanced usual care.


Condition Intervention
Depression
Other: Quality Improvement (QI) for depression
Other: Usual Care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Youth Partners in Care: Depression & Quality Improvement

Further study details as provided by Agency for Healthcare Research and Quality (AHRQ):

Primary Outcome Measures:
  • Self-reported depressive symptoms on the CES-D (Center for Epidemiologic Studies Depression Scale) [ Time Frame: 6-months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • mental health related quality of life as assessed using self-report on the Medical Outcomes Study Short Form 12 Health Survey. [ Time Frame: 6 months, with follow up at 12 and 18 months ] [ Designated as safety issue: No ]
  • satisfaction with care [ Time Frame: 6 months with follow up at 12 and 18 months ] [ Designated as safety issue: No ]
  • Rates of mental health care, counseling/psychotherapy, and medication treatment. [ Time Frame: 6-months with follow-up at 12 and 18 months ] [ Designated as safety issue: No ]
    Youth self report on the study version of the Service Assessment for Children & Adolescents provided measures of rates of mental health care(dichotomous indicator of whether any mental health treatment received), counseling/psychotherapy (dichotomous indicator of whether counseling/psychotherapy was received, number of counseling/psychotherapy sessions), and medication treatment (dichotomous indicator of whether youth received any medication treatment for mental health problems). These measures were obtained using .


Enrollment: 418
Study Start Date: October 1999
Study Completion Date: December 2003
Primary Completion Date: December 2003 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Usual Care
Patients received usual care through primary care, enhanced by provider education regarding depression evaluation and management (1-2 hour training, plus study manual)
Other: Usual Care
Usual care enhanced by provider education regarding depression evaluation and management
Experimental: Quality Improvement for Depression
Major intervention components included a) expert leader teams who planned and implemented the intervention at each clinic, b) care managers who supported primary care clinicians with depression evaluation and management, c) access to cognitive-behavior therapy for depression within each primary care clinic, and d) patient and provider choice regarding treatment modality.
Other: Quality Improvement (QI) for depression
Major intervention components included a) expert leader teams who planned and implemented the intervention at each clinic, b) care managers who supported primary care clinicians with depression evaluation and management, c) access to cognitive-behavior therapy for depression within each primary care clinic, and d) patient and provider choice regarding treatment modality.

  Eligibility

Ages Eligible for Study:   13 Years to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Met either of two criteria: 1) endorsed "stem items" for major depression or dysthymia from the 12-month Composite International Diagnostic Interview(CIDI-12,2.1) modified slightly to conform to diagnostic criteria for adolescents, 1-week or more of past-month depressive symptoms, and a total Center for Epidemiological Studies- Depression Scale(CES-D)40 score ≥ 16, or 2) CES-D score ≥ 24.
  • Age 13-21
  • Presented at primary care clinic

Exclusion Criteria:

  • not English-speaking
  • provider not in study
  • sibling already in study
  • completed eligibility screener previously
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02030782

Locations
United States, California
University of California
Los Angeles, California, United States, 90024
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, United States
Venice Family Clinic
Venice, California, United States
Ventura County Medical Center
Ventura, California, United States
United States, Pennsylvania
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Sponsors and Collaborators
RAND
Kaiser Permanente
University of Pittsburgh
Venice Family Clinic
Investigators
Principal Investigator: Joan R Asarnow, PhD University of California, Los Angeles
  More Information

Publications:

Responsible Party: Agency for Healthcare Research and Quality (AHRQ)
ClinicalTrials.gov Identifier: NCT02030782     History of Changes
Other Study ID Numbers: HS009908
Study First Received: January 19, 2012
Last Updated: January 7, 2014
Health Authority: United States: Federal Government

Keywords provided by Agency for Healthcare Research and Quality (AHRQ):
depression
quality improvement
treatment
adolescents

Additional relevant MeSH terms:
Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders

ClinicalTrials.gov processed this record on October 01, 2014