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Reducing Health Risk Behavior and Improving Health in Adolescents With Depression

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00461539
First Posted: April 18, 2007
Last Update Posted: June 6, 2013
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Joan Asarnow, University of California, Los Angeles
  Purpose
This study will determine the effectiveness of a health education intervention in reducing health risk behavior and improving health in adolescents with depression.

Condition Intervention Phase
Depression Adolescent Health Other: Treatment as usual Behavioral: Behavioral health intervention Phase 1 Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Reducing Health Risk Behavior and Improving Health in Adolescent Depression

Further study details as provided by Joan Asarnow, University of California, Los Angeles:

Primary Outcome Measures:
  • Composite health risk behavior score [ Time Frame: Measured at Months 6 and 12 ]

Secondary Outcome Measures:
  • Composite International Diagnostic Interview (CIDI) depression diagnosis [ Time Frame: Measured at Months 6 and 12 ]
  • Satisfaction with care, as measured by the SF-12 health survey [ Time Frame: Measured at Months 6 and 12 ]

Enrollment: 217
Study Start Date: October 2007
Study Completion Date: January 2012
Primary Completion Date: January 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 2
Participants will receive treatment as usual
Other: Treatment as usual
Those participants receiving standard care will be referred to special programs as needed to reduce their involvement in risky health behaviors.
Experimental: 1
Participants will receive the behavioral health intervention
Behavioral: Behavioral health intervention
Participants assigned to the health education intervention will attend 10 weekly education sessions that will be led by trained health educators. Parents or guardians may be asked to attend sessions depending on their interest in the intervention and the age of the youth participant. Topics covered will include teenage smoking, alcohol and drug abuse, risky sexual behaviors, and obesity. Cognitive-behavioral strategies, role playing, and media clips will be used to stimulate discussion and involvement in the intervention.

Detailed Description:

Depression is a common disorder among adolescents. If left untreated, it can cause significant disability, illness, and even death. Teens with depression often engage in risky health behaviors, such as smoking, drug and alcohol use, unprotected sex, and unhealthy eating and exercise patterns. By reducing these health risk behaviors, depressed adolescents may be able to avoid negative health consequences and improve their physical and mental health. This study will determine the effectiveness of a health education intervention in reducing risky health behaviors in adolescents with depression.

Participants in this study will be invited to enroll during a visit to a participating primary care clinic. Participants will be randomly assigned to either partake in a health education intervention or receive standard care. Both groups will continue to receive treatment through their primary care clinic. Those participants receiving standard care will be referred to special programs as needed to reduce their involvement in risky health behaviors. Participants assigned to the health education intervention will attend 10 weekly education sessions that will be led by trained health educators. Parents or guardians may be asked to attend sessions depending on their interest in the intervention and the age of the youth participant. Topics covered will include teenage smoking, alcohol and drug abuse, risky sexual behaviors, and obesity. Cognitive-behavioral strategies, role playing, and media clips will be used to stimulate discussion and involvement in the intervention. The intervention will be tailored to target the specific risky behaviors in which each participant engages. Motivational interviewing will also be used to build positive attitudes to support behavior change. All participants will attend follow-up visits to assess behavior change at Months 6 and 12 following study entry.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   13 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • CIDI diagnosis of major depression or probable depression based on youth self report
  • Availability of a family member to provide informed consent

Exclusion Criteria:

  • Lacks contact information (e.g., address, telephone number)
  • Any functioning deficits or other characteristics that might interfere with study participation
  • Currently in a living situation that might interfere with study participation (e.g., lives over 1 hour away from the study site)
  • Lacks family available to participate in the intervention
  • Mental retardation
  • Does not speak English or Spanish
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00461539


Locations
United States, California
University of California, Los Angeles, Semel Institute for Neuroscience and Human Behavior
Los Angeles, California, United States, 90024
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, United States, 90027
Sponsors and Collaborators
University of California, Los Angeles
National Institute of Mental Health (NIMH)
Investigators
Principal Investigator: Joan Asarnow, PhD University of California, Los Angeles, Semel Institute of Neuroscience and Human Behavior
  More Information

Responsible Party: Joan Asarnow, Professor of Psychiatry & Biobehavioral Sciences, University of California, Los Angeles
ClinicalTrials.gov Identifier: NCT00461539     History of Changes
Other Study ID Numbers: R01MH078596 ( U.S. NIH Grant/Contract )
DAHBR 96-BHB
First Submitted: April 16, 2007
First Posted: April 18, 2007
Last Update Posted: June 6, 2013
Last Verified: June 2013

Keywords provided by Joan Asarnow, University of California, Los Angeles:
Tobacco Use
Alcohol and Drug Use
Obesity
Risky Sexual Behavior

Additional relevant MeSH terms:
Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders