Bridging the Gap to Improve Mental Health Treatment Utilization

University of Pittsburgh

Status: Withdrawn

Conditions: Suicidal Ideation; Depression; Anxiety; Adolescent Behavior

Treatments: Behavioral: IPR + GMI

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04558489

P50MH115838-02 (U.S. NIH Grant/Contract)

STUDY19110071

Details and patient eligibility

About

Bridging the Gap aims to improve access to effective mental health treatment in a primary care setting through utilization of single session growth mindset interventions for parents and for youths. This project will also utilize focus groups and qualitative interviews to gain feedback on a single session online intervention in a rural pediatric primary care practice.

Full description

Bridging the Gap purposes to collect feedback on a single session growth mindset intervention (GMI) for parents and for youths designed to instill beliefs that personal traits (including mental health problems) are malleable. Feedback will also be collected to identify ways to improve implementing single session interventions (SSIs) in a primary care setting as well as identifying the impact on work-flow of this GMI. Patients presenting with depression and/or anxiety will all receive the GMI and will have the option of participating in focus groups/interviews pre and post-intervention to provide feedback on the intervention. Providers at this rural pediatric primary care practice will also have the chance to participate in focus groups/interviews pre and post-intervention implementation.

Assignment of Interventions: As an open trial, all participants will be assigned to the intervention arm and will receive the GMI.

This study is an open trial pilot project to collect feedback on a single session growth mindset intervention (GMI) (n=25 youth/caretaker dyads). Feedback from pre and post-intervention focus groups/interviews will be collected for 8 parents, 8 youth, and 8 treatment providers.

The aims of the study are to:

1. Collect feedback from providers, parents, and participants pre and post- GMI to identify ways to improve implementing single session interventions (SSIs) in a primary care setting.
2. Identify the impact on work-flow of using an online single session called Growth Mindset Intervention in a primary care setting.

Sex: All

Ages: 10 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients presenting with depression and/or anxiety, as identified by the patient, parent, or provider
• 10-18 years old
• CBT is recommended by provider. Receipt of mental health services upon enrollment will be monitored but will not preclude participation
• Participants must reside with a legal guardian
• English speaking

Exclusion criteria

• Participants will be excluded if they have conditions that might impair their ability to effectively engage in Bridging the Gap, i.e
• Those in a current manic episode
• Those in a current psychotic episode
• Those diagnosed with Autism Spectrum Disorder
• Those who have issues with substance abuse
• Participants with current involvement with child welfare.

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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0 participants in 1 patient group

IPR + GMI

Experimental group

Description:

Participants receiving IPR + GMI will complete a 30-minute on-line intervention via qualtrics that covers the following topics: (1) Educate youth and caregiver that thoughts and emotions are not fixed but are malleable and subject to change; (2) provide youth and families with a brief intervention that instills hopefulness through an action plan for managing internalizing symptoms; (3) assist with developing system of support to access during times of distress; and (4) educate the caregiver on the importance of these interventions.

Treatment:

Behavioral: IPR + GMI