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Completed

NCT Number: NCT02030782

Youth Partners in Care: Depression and Quality Improvement

This randomized effectiveness trial evaluates a quality improvement intervention aimed at providing access to evidence-based depression treatments (particularly cognitive-behavior therapy for depression and or pharmacotherapy) through primary care for youth ages 13-21, as compared to enhanced usual care. The major hypothesis is that the quality improvement intervention will be associated with improved outcomes, relative to enhanced usual care.

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Key information

Conditions

Depression Behavior Behavioral Symptoms

Age range

13 year–21 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Met either of two criteria: 1) endorsed "stem items" for major depression or dysthymia from the 12-month Composite International Diagnostic Interview(CIDI-12,2.1) modified slightly to conform to diagnostic criteria for adolescents, 1-week or more of past-month depressive symptoms, and a total Center for Epidemiological Studies- Depression Scale(CES-D)40 score ≥ 16, or 2) CES-D score ≥ 24.
  • Age 13-21
  • Presented at primary care clinic

Exclusion criteria

  • not English-speaking
  • provider not in study
  • sibling already in study
  • completed eligibility screener previously

Treatment and study plan

Quality Improvement (QI) for depression

Other

Major intervention components included a) expert leader teams who planned and implemented the intervention at each clinic, b) care managers who supported primary care clinicians with depression evaluation and management, c) access to cognitive-behavior therapy for depression within each primary care clinic, and d) patient and provider choice regarding treatment modality.

Usual Care

Other

Usual care enhanced by provider education regarding depression evaluation and management

Primary outcomes

  1. Self-reported depressive symptoms on the CES-D (Center for Epidemiologic Studies Depression Scale)

    Time frame: 6-months

Secondary outcomes

  1. mental health related quality of life as assessed using self-report on the Medical Outcomes Study Short Form 12 Health Survey.

    Time frame: 6 months, with follow up at 12 and 18 months

  2. satisfaction with care

    Time frame: 6 months with follow up at 12 and 18 months

  3. Rates of mental health care, counseling/psychotherapy, and medication treatment.

    Time frame: 6-months with follow-up at 12 and 18 months

    Youth self report on the study version of the Service Assessment for Children & Adolescents provided measures of rates of mental health care(dichotomous indicator of whether any mental health treatment received), counseling/psychotherapy (dichotomous indicator of whether counseling/psychotherapy was received, number of counseling/psychotherapy sessions), and medication treatment (dichotomous indicator of whether youth received any medication treatment for mental health problems). These measures were obtained using .

Sponsors and collaborators

Lead sponsor

Agency for Healthcare Research and Quality (AHRQ)

Fed

Collaborators

  • Kaiser Permanente
  • RAND
  • University of Pittsburgh
  • Venice Family Clinic

Registry information

Official study title

Youth Partners in Care: Depression & Quality Improvement

Acronym: YPIC

Important dates

Study start
1999
Primary completion
2003
Study completion
2003
First posted
Jan 9, 2014
Registry last updated
Jan 9, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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