School-Based Depression Prevention for Adolescents with ADHD

多动症青少年的学校抑郁症预防

• 批准号: 9757820
• 负责人: ANDREA CHRONIS-TUSCANO
• 金额: $ 22.24万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-07 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9757820
• 关键词: Accounting; Address; Adolescence; Adolescent; Adult; Attention deficit hyperactivity disorder; Baltimore; Behavioral; Case Series; Child; Childhood; Cities; Clinic; Clinical; Cognitive; Communities; Community Practice; Comorbidity; Conflict (Psychology); Data; Diagnostic; Disease; Effectiveness; Effectiveness of Interventions; Emotional; Environment; Evidence based intervention; Feedback; Feeling suicidal; Focus Groups; Funding; Future; Goals; Health Personnel; Health Services Accessibility; Healthcare; High School Student; Hospitalization; Hybrids; Impairment; Individual; Inpatients; Intervention; Learning; Link; Low income; Major Depressive Disorder; Manuals; Measures; Mediating; Mental Depression; Mental Health; Mental Health Services; Modeling; Moods; Movement; National Institute of Mental Health; National Institute on Alcohol Abuse and Alcoholism; Nature; Outcome; Parents; Population; Prevention; Prevention approach; Prevention program; Preventive Intervention; Procedures; Protocols documentation; Public Health; Randomized; Randomized Controlled Trials; Research; Research Priority; Rewards; Risk; Schools; Series; Services; Sterile coverings; Structure; Suicide attempt; Supervision; Teenagers; Testing; Time; Training; Universities; Work; Youth; adverse outcome; alcohol related problem; base; child depression; cost; depression prevention; depressive symptoms; design; effectiveness research; effectiveness trial; emotion regulation; evidence base; functional disability; hands-on learning; health care delivery; high school; high school program; improved; in vivo; indicated prevention; inner city; interest; intervention program; motivational enhancement therapy; novel; practice setting; programs; selective prevention; social; suicidal behavior; suicidal risk; suicide rate; teacher; therapy development; treatment as usual; university student; young adult

ABSTRACT/PROJECT SUMMARY Children with ADHD are at elevated risk for depression in adolescence and young adulthood, and this comorbidity is associated with far greater impairment than either disorder alone, including higher rates of inpatient hospitalization and increased risk for suicidal ideation and behavior. Despite these adverse outcomes, existing evidence-based interventions for ADHD have not demonstrated effects in reducing depressive symptoms nor do established depression prevention programs work as well for adolescents with ADHD. Reward responsivity (RR) and emotion regulation (ER) are two key factors demonstrated to mediate the association between ADHD and depression and are thus key targets for prevention. In an effort to address the gap between access and utilization of mental health care, which is especially stark among adolescents with ADHD, we aim to develop and test a modified behavioral activation prevention program [Behaviorally Enhancing Adolescents’ Mood in Schools (BEAM-S)] that incorporates modules to directly target these purported mechanisms. In line with the Deployment-Focused Model of Intervention Development and Testing, we will develop a program that can be easily implemented and sustainable in the high school setting as delivered by school mental health staff that reduces depression and improves overall functioning in adolescents with ADHD, by way of improving RR and ER. As a first step, we will conduct focus groups with community stakeholders (e.g., school mental health providers, school administration, adolescents, parents, teachers) to develop an acceptable and sustainable selected and indicated prevention program for school staff to utilize. We will then initially train school staff to deliver this prevention program via a co- therapy training model to prepare them for their independent implementation of the prevention program in a case series consisting of two groups (one in each of two high schools) to evaluate preliminary feasibility. We will then conduct a stage 1 RCT with a hybrid-type 1 implementation- effectiveness design in which four high schools will be randomized to either the BEAM-S condition (n = 2) or treatment as usual (n = 2). Finally, qualitative and quantitative data from aims 1-3 will be used to prepare final procedures for a future large-scale effectiveness trial R01 (aim 4).

抽象/项目总结