Latina Adolescent Depression Treatment Study

Duke University

Status: Completed

Conditions: Depression

Study type: Observational

Funder types: Other; NIH

Identifiers

NCT04164537

Pro00103001

U54MD012530 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Enrollment: 25 patients

Sex: Female

Ages: 13 to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Adolescent Inclusion Criteria:

• 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

Adolescent Exclusion Criteria:

• Currently experiencing acute psychological distress

Parent Inclusion Criteria

• Parent of Latina adolescent experiencing depression

Parent Exclusion Criteria

• Not fluent in English or Spanish

Healthcare Provider Inclusion Criteria

• 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

Trial design

25 participants in 2 patient groups

Latina adolescents and parents

Description:

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

Description:

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.