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Despite experiencing higher rates of depressive symptoms (Center for Disease Control and Prevention, 2020) and similar rates of Major Depressive Disorder (MDD; Substance Abuse and Mental Health Services Administration (SAMHSA), 2019), Latino adolescents in the U.S. are significantly less likely than their non-Latino White peers to receive treatment for MDD (SAMHSA, 2019). The purpose of this study is to identify a stakeholder-preferred implementation strategy that may improve psychotherapy attendance among Latino adolescents. Latino adolescent-parent dyads and healthcare providers will be recruited from healthcare settings and social media. Focus groups will be conducted with healthcare providers (n=5), and individual interviews will be conducted with Latino adolescents with a diagnosis of depression (n=15) and their parents (n=15).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Teens | Teens are: 1) Male 2) Aged 13-17; 3) self-identified as Hispanic/Latino; 4) diagnosed with Major Depressive Disorder or Persistent Depressive Disorder/Dysthymia; and 5) referred to psychotherapy or prescribed medication for depression. Teens will be excluded if they are experiencing intense psychological distress or imminent thoughts of suicide. | ||
| Parents | Parents will 1) Be parents or legal guardians of teens; and 2) Speak and read English or Spanish. | ||
| Healthcare Providers | Healthcare providers will 1) Self-identify as regularly providing clinical care to Latino adolescents with depression; and 2) be in a role in which they can refer to or provide depression treatment. |
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| Measure | Description | Time Frame |
|---|---|---|
| Preferred implementation strategy to improve depression treatment use generated from qualitative interviews/focus groups | Implementation strategy preference options will include: 1) Near Peer Depression Support Groups; 2) Parent-Teen Depression Treatment Activation Training; and 3) Depression Care Navigation Services. We will determine which strategy is most preferred by asking stakeholders, "Which of these strategies would work best for you/your family/Latino teens?" We will add up the responses to determine the preferred strategy with the highest frequency. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Number of barriers to depression treatment use generated from qualitative interviews/focus groups | Baseline |
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Inclusion Criteria for Teens:
Exclusion Criteria for Teens:
Inclusion Criteria for Parents:
Exclusion Criteria for Parents:
Inclusion Criteria for Healthcare Providers:
Exclusion Criteria for Healthcare Providers
Teens will be required to self-report a male gender. Parent and healthcare provider participants will not be recruited according to gender.
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Three samples will be recruited on a national scale: Latino male teens diagnosed with depression, their parents/guardians, and healthcare providers (behavioral health and primary care) who regularly care for Latino adolescents.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Allison M Stafford, PhD | Contact | (317) 498-7333 | allison.stafford@duke.edu | |
| Norma Garcia Ortiz | Contact | 919-684-9331 | norma.garcia.ortiz@duke.edu |
| Name | Affiliation | Role |
|---|---|---|
| Allison M Stafford, PhD | Duke University School of Nursing | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Researchmatch.org | Recruiting | Nashville | Tennessee | 37232 | United States |
Due to the qualitative nature of this study, we will not be sharing participant data with other researchers.
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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