Developing a Robust Youth Depression Prevention Program

描述：(改编自调查者摘要)抑郁障碍是 在青少年最常见的心理健康问题中， 有严重且持久的功能障碍。尽管有越来越多的证据 表明抑郁症的预防是可能的， 研究支持的计划并没有广泛地提供给高危青年。一个 节目传播的主要障碍是需要一定程度的 领导培训和监督不能在以下背景下持续 一项研究计划。这项加州大学洛杉矶分校和加州大学洛杉矶分校 联合行为健康管理保健公司正在开发和测试一种强大的 青年抑郁症预防计划，旨在用于现实世界的设置。 视频引导的初级和次级控制强化培训(PASCET) 预防性干预是一种认知-行为团体干预设计 只需最少的组长培训即可可靠实施。 本提案是对PA-99-1 34：勘探/开发补助金的回应 MH干预研究。该项目由两个阶段组成，旨在 为随后的大规模有效性试验做准备。程序开发 第一阶段的工作将包括视频制作和使用焦点小组来 提高干预的清晰度和感染力。来自年长青年的反馈 10-14将用于创建最终版本的视频、领导手册和 参与者工作簿。对第二阶段干预效果的评估将 包括培训组长试行测试程序和评估 领导者遵守礼仪。参与者将是160名抑郁症儿童 父母，年龄在10-14岁之间，因为他们的生理，心理， 以及抑郁症的社会风险。与现实世界的目标保持一致 可持续性，小组负责人将是UBH提供商小组的临床医生，而不是 研究团队的成员。该干预措施的试点实施将 包括对干预效果大小的估计，以确定样本大小 需要对计划进行全面测试，并初步确定 潜在的干预调解人和主持人。

DESCRIPTION: (adapted from Investigator's abstract) Depressive disorders are among the most common mental health concerns for adolescents and are associated with serious and enduring functional impairments. Although mounting evidence indicates that prevention of depressive disorders is possible, research-supported programs are not widely available to at risk youth. A primary barrier to program dissemination has been the need for a level of leader training and supervision that cannot be sustained outside the context of a research program. The goal of this collaborative study between UCLA and the United Behavioral Health managed care company is to develop and test a robust youth depression prevention program intended for use in real-world settings. The video-guided Primary and Secondary Control Enhancement Training (PASCET) Preventive Intervention is a cognitive-behavioral group intervention designed for reliable implementation with minimal group leader training. This proposal is a response to PA-99-1 34: Exploratory/Development Grants for MH Intervention Research. The project consists of two phases designed to set the stage for a subsequent large-scale effectiveness trial. Program development work in Phase 1 will include video production and use of focus groups to improve the clarity and appeal of the intervention. Feedback from youth aged 10-14 will be used to create a final version of the video, leader's manual and participant workbook. Assessment of the intervention effect in Phase 2 will include pilot testing procedures for training group leaders and assessment of leader adherence to protocol. Participants will be 160 children of depressed parents, aged 10-14, selected due to their elevated biological, psychological, and social risk for depression. In keeping with the goal of real-world sustainability, group leaders will be clinicians on the UBH provider panel, not members of the research team. Pilot implementation of the intervention will include estimation of intervention effect size to determine the sample size required for a full test of the program and preliminary identification of potential intervention mediators and moderators.