Reaching Out to Adolescents With Depression (ROAD)

This study has been completed.

Sponsor:

Collaborators:

National Institute of Mental Health (NIMH)

Group Health Cooperative

University of Washington

Information provided by (Responsible Party):

Laura Richardson, Seattle Children's Hospital

ClinicalTrials.gov Identifier:

NCT01140464

First received: June 1, 2010

Last updated: April 27, 2017

Last verified: April 2017

History of Changes

Purpose

Major Depression is one of the most common mental health disorders in adolescence and is associated with significant impairments in development and functioning. This project will rigorously test the Adolescent Collaborative Care Treatment intervention, a health services intervention designed to improve management for depressive disorders among adolescents, via a randomized controlled trial comparing the intervention to usual care. Key components of the trial include enhanced education for youth and parents, youth involvement in choice of evidence-based treatments, care management by an allied health professional with regular supervision by a mental health specialist and pediatrician, and stepped care to advance treatment when youth are not improving. Additional features have been added to engage adolescents and parents including a moderated message board for youth to share with and learn from one another, formalized involvement of the parent, and availability of the care manager during after school hours. Our findings will provide key information on the effectiveness of a developmentally-sensitive adapted collaborative care intervention for the treatment of adolescent depression.

Condition	Intervention
Depression	Other: Collaborative care Other: Enhanced Usual Care


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Outcomes Assessor Primary Purpose: Health Services Research
Official Title:	Adolescent Collaborative Care Treatment for Depression

Further study details as provided by Laura Richardson, Seattle Children's Hospital:

Primary Outcome Measures:

Child Depression Rating Scale [ Time Frame: 12 months ]
Depressive symptoms

Secondary Outcome Measures:

Columbia Impairment Scale [ Time Frame: 12 months ]
Functional impairment


Enrollment:	101
Study Start Date:	April 2010
Study Completion Date:	April 2013
Primary Completion Date:	April 2013 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Enhanced Usual Care Usual care treatment of depression in primary care settings. Usual care considered enhanced as patients and their parents were given screening results and encouraged to seek care from their primary care doctor and behavioral health services.	Other: Enhanced Usual Care Provision of screening results to provider, teen and parent with recommendation to seek further care
Active Comparator: Collaborative Care Collaborative care intervention for depression. Involves care management, evidence based treatments in primary care setting, symptom monitoring and stepped care design	Other: Collaborative care Provision of depression care management in the primary care setting to improve delivery of evidence based treatments

Eligibility


Ages Eligible for Study:	13 Years to 17 Years (Child)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

depression
age 13-17 years
enrollment in study Primary Care Clinics

Exclusion Criteria:

suicidality
already enrolled Specialty mental health care
mental health hospitalization in the prior year
substance abuse
bipolar disorder
non-English speaker

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01140464

Locations


United States, Washington
Group Health Cooperative
Seattle, Washington, United States, 98101

Sponsors and Collaborators

Seattle Children's Hospital

National Institute of Mental Health (NIMH)

Group Health Cooperative

University of Washington

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Wright DR, Haaland WL, Ludman E, McCauley E, Lindenbaum J, Richardson LP. The Costs and Cost-effectiveness of Collaborative Care for Adolescents With Depression in Primary Care Settings: A Randomized Clinical Trial. JAMA Pediatr. 2016 Nov 1;170(11):1048-1054. doi: 10.1001/jamapediatrics.2016.1721.

Richardson LP, Ludman E, McCauley E, Lindenbaum J, Larison C, Zhou C, Clarke G, Brent D, Katon W. Collaborative care for adolescents with depression in primary care: a randomized clinical trial. JAMA. 2014 Aug 27;312(8):809-16. doi: 10.1001/jama.2014.9259.


Responsible Party:	Laura Richardson, Principal Investigator, Seattle Children's Hospital
ClinicalTrials.gov Identifier:	NCT01140464 History of Changes
Other Study ID Numbers:	R01MH085645 ( U.S. NIH Grant/Contract )
Study First Received:	June 1, 2010
Last Updated:	April 27, 2017

Keywords provided by Laura Richardson, Seattle Children's Hospital:


Adolescents

Additional relevant MeSH terms:


Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders

ClinicalTrials.gov processed this record on July 21, 2017

To Top