Latina Adolescent Depression Treatment Study

NCT04164537 | Completed

• 2 other identifiers: Pro00103001U54MD012530
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

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.

Conditions

Depression

Keywords

Hispanic Americans, Adolescent

Outcome Measures

Primary Outcomes (3)

• Number of barriers to depression treatment among Latina adolescents generated from patient interviews and provider focus groups

  Baseline

• Number of facilitators of depression treatment among Latina adolescents generated from patient interviews and provider focus groups

  Baseline

• Number of preferences for depression treatment generated from patient interviews and provider focus groups

  Baseline

Study Arms (2)

Latina adolescents and parents

Latina adolescent young women experiencing depression and their parents will be recruited from community and primary care settings for one-time individual interviews.

Healthcare providers

Primary care and mental health providers who commonly work with Latina adolescent patients will be recruited for focus groups from an integrated primary care clinic.

Eligibility Criteria

• Age: 13 Years - 17 Years
• Gender Eligibility Details: Patient self-report of female gender identity.
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• 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.

You may qualify if:

• 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

You may not qualify if:

• Currently experiencing acute psychological distress
• Parent of Latina adolescent experiencing depression
• Not fluent in English or Spanish
• 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

Sponsors & Collaborators

• Duke University: lead
• National Institutes of Health (NIH): collaborator
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

Lincoln Community Health Center

Durham, North Carolina, 27707, United States

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Rosa Gonzalez-Guarda, PhD

  Duke University School of Nursing

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 13, 2019
• First Posted: November 15, 2019
• Study Start: July 1, 2019
• Primary Completion: June 30, 2021
• Study Completion: June 30, 2021
• Last Updated: August 6, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)