Latina Adolescent Depression Treatment Study

Duke University25 enrolled

Overview

Despite experiencing higher rates of depressive symptoms and similar rates of Major Depressive Disorder (MDD), Latina (female) adolescents in the U.S. are significantly less likely than their non-Latina White peers to receive treatment for MDD. The purpose of this study is to identify facilitators of and barriers to depression treatment engagement among Latina adolescents across patient-, family-, and healthcare provider-levels from the perspectives of these individuals. Latina adolescent-parent dyads and healthcare providers will be recruited from community and healthcare settings. Separate individual semi-structured interviews will be conducted with Latina adolescents (n=12) and their parents (n=12). Two focus groups will be conducted with primary care providers (n=6) and mental health providers (n=6) who frequently care for Latina youth. Qualitative content analysis will be used to analyze the transcripts to determine common themes in facilitators and barriers across stakeholder groups.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Depression

Eligibility

Sex: FEMALEMin age: 13 YearsMax age: 17 YearsHealthy volunteers:

Medical Language ↔ Plain English

Adolescent Inclusion Criteria: * Ages 13-17 * Self-identify as Hispanic/Latina * Be first generation (i.e. born outside the US) or second generation immigrants (i.e. one or both parents born outside the US) * Have been diagnosed with Major Depressive Disorder or Persistent Depressive Disorder/Dysthymia * Have been referred to psychotherapy or prescribed medication for depression Adolescent Exclusion Criteria: * Currently experiencing acute psychological distress Parent Inclusion Criteria * Parent of Latina adolescent experiencing depression Parent Exclusion Criteria * Not fluent in English or Spanish Healthcare Provider Inclusion Criteria * Self-identify as regularly providing clinical care to Latina adolescents with depression * Be in a role in which they can refer to or provide depression treatment

Outcomes

Primary Outcomes

Number of barriers to depression treatment among Latina adolescents generated from patient interviews and provider focus groups

Time frame: Baseline

Number of facilitators of depression treatment among Latina adolescents generated from patient interviews and provider focus groups

Time frame: Baseline

Number of preferences for depression treatment generated from patient interviews and provider focus groups

Time frame: Baseline

Latina Adolescent Depression Treatment Study

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes