African American Knowledge Optimized for Mindfully Healthy Adolescents (AAKOMA)

Georgetown University

Status: Completed

Conditions: Depression

Treatments: Behavioral: Motivational Interviewing Active

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00578318

5K01MH073814-03 (U.S. NIH Grant/Contract)

Pro00006780 (9065)

1K01MH073814-01A1 (U.S. NIH Grant/Contract)

5K01MH073814-02 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study was to better understand how African American families identify and treat emotional and behavioral concerns associated with depression in their adolescent youth. The goals of the study included (a) identifying factors associated with participation in psychiatric research and treatment and (b) developing an intervention to increase participation in psychiatric research and treatment.

Full description

The aim of this study was to obtain an in-depth understanding of African Americans' perceptions of barriers to adolescent and family engagement in psychiatric treatment and research utilizing a mixed methods approach in two Phases. Phase I consisted of data collected via surveys, focus groups and individual interviews with African American adults and youth. The data generated in Phase I provided a foundation for the domains incorporated into manual development and therapist training procedures of the subsequent intervention phase of the project (Phase II).

After the research team developed the depression treatment engagement intervention, the intervention was pilot tested in a sample of depressed African American youth and families (Phase II)

Enrollment: 16 patients

Sex: All

Ages: 11 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Persons who self-identify as Black or African American
• Adolescents aged 11 to 17 at the time of recruitment
• Adult parents
• Parent consent and adolescent assent
• Demonstrated cognitive ability to understand participation

Exclusion criteria

• Diminished capacity to participate

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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16 participants in 2 patient groups

Motivational Interviewing Active

Experimental group

Description:

Patients received a stepped progression of talk based treatment utilizing Motivational Interviewing as the basis.

Treatment:

Behavioral: Motivational Interviewing Active

Delayed Control

Active Comparator group

Description:

Patients received Treatment as usual (TAU) (i.e. no specific intervention and supportive check-ins from the study staff)

Treatment:

Behavioral: Motivational Interviewing Active