This study will evaluate the usability, feasibility, and acceptability of a novel multi-level Just-In-Time Training (JITT) implementation strategy (JITT-EBP) that aims to equip mentors and mentor supervisors to implement evidence-based practices (EBPs) with fidelity using methods that are sustainable in rural communities. JITT-EBP integrates (a) self-directed, on-demand, online training modules for mentors and mentor supervisors, (b) synchronous evidence-based supervision strategies, and (c) an apprenticeship delivery model in which EBPs are co-led by an experienced mentor and a novice mentor, providing opportunity for in-the-moment training and support. The study will conduct a pilot hybrid type 2 effectiveness-implementation trial to evaluate the use of JITT-EBP compared to usual training for implementing mentor-delivered Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), an evidence-based depression prevention program. 96 adolescents (age 12-17) and their parents, 8-18 mentors (depending on amount of turnover), and 4 mentor supervisors will be enrolled in the trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
204
IPT-AST is a group-based EBP that aims to prevent depression and support emotional well-being by helping youth develop skills to foster healthy relationships. Youth learn about the links between feelings and interpersonal interactions, and they learn communication strategies and interpersonal problem-solving skills that they can apply to their relationships. JITT-EBP integrates (a) self-directed, on-demand, online training modules for mentors and mentor supervisors, (b) synchronous evidence-based supervision strategies, and (c) an apprenticeship delivery model in which EBPs are co-led by an experienced mentor and a novice mentor, providing opportunity for in-the-moment training and support.
IPT-AST is a group-based EBP that aims to prevent depression and support emotional well-being by helping youth develop skills to foster healthy relationships. Youth learn about the links between feelings and interpersonal interactions, and they learn communication strategies and interpersonal problem-solving skills that they can apply to their relationships. Usual training involves (a) a one-day virtual training conducted by an IPT-AST expert prior to the beginning of the intervention, and (b) synchronous evidence-based supervision strategies.
University of Minnesota
Minneapolis, Minnesota, United States
RECRUITINGFeasibility of Intervention Measure (FIM) - Week 12
Mentor and mentor supervisor report of JITT-EBP feasibility, with higher value indicating higher feasibility
Time frame: Week 12
Acceptability of Intervention Measure (AIM) - Week 12
youth, parent, mentor, and mentor supervisor report of IPT-AST acceptability, with higher value indicating higher acceptability.
Time frame: Week 12
Intervention Appropriateness Measure (IAM) - Week 12
Mentor and mentor supervisor report of JITT-EBP appropriateness, with higher value indicating higher appropriateness.
Time frame: Week 12
Client Satisfaction Questionnaire (CSQ-8) - Week 12
Youth and parent report of satisfaction with IPT-AST program, with , with higher value indicating more satisfaction.
Time frame: Week 12
Fidelity
IPT-AST fidelity checklist
Time frame: Week 12
Cost of implementation
Mentor Supervisor hours and hourly wages for recruitment, training, supervision, and IPT-AST delivery. IPT-AST expert hours and hourly wages for training and supervision.
Time frame: Year 2
Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 6
25-item scale that measures levels of anxiety and depressed mood. Higher scores indicate higher severity.
Time frame: Week 6
Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 12
25-item scale that measures levels of anxiety and depressed mood. Higher scores indicate higher severity.
Time frame: Week 12
Revised Child Anxiety and Depression Scale-25 (RCADS-25) - Week 24
25-item scale that measures levels of anxiety and depressed mood. Higher scores indicate higher severity.
Time frame: Week 24
Conflict Behavior Questionnaire-20 (CBQ-20) - Week 6
A higher score on the CBQ-20 indicates a greater level of conflict in parent-adolescent relationships
Time frame: Week 6
Conflict Behavior Questionnaire-20 (CBQ-20) - Week 12
A higher score on the CBQ-20 indicates a greater level of conflict in parent-adolescent relationships
Time frame: Week 12
Conflict Behavior Questionnaire-20 (CBQ-20) - Week 24
A higher score on the CBQ-20 indicates a greater level of conflict in parent-adolescent relationships
Time frame: Week 24
National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 6
A higher score on the NSCH-SCS indicates a higher level of youth social skills, as reported by a parent.
Time frame: Week 6
National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 12
A higher score on the NSCH-SCS indicates a higher level of youth social skills, as reported by a parent.
Time frame: Week 12
National Survey of Children's Health Social Competence Scale (NSCH-SCS) - Week 24
A higher score on the NSCH-SCS indicates a higher level of youth social skills, as reported by a parent.
Time frame: Week 24
NIH Toolbox -Loneliness Ages 8-17 - Week 6
A higher score indicates greater severity of loneliness
Time frame: Week 6
NIH Toolbox -Loneliness Ages 8-17 - Week 12
A higher score indicates greater severity of loneliness
Time frame: Week 12
NIH Toolbox -Loneliness Ages 8-17 - Week 24
A higher score indicates greater severity of loneliness
Time frame: Week 24
PROMIS Pediatric Item Bank - Peer Relationships - Week 6
A higher score indicates a more positive experience in relationships with peers
Time frame: Week 6
PROMIS Pediatric Item Bank - Peer Relationships - Week 12
A higher score indicates a more positive experience in relationships with peers
Time frame: Week 12
PROMIS Pediatric Item Bank - Peer Relationships - Week 24
A higher score indicates a more positive experience in relationships with peers
Time frame: Week 24
NIH Toolbox - General Life Satisfaction - Week 6
A higher score indicates more life satisfaction
Time frame: Week 6
NIH Toolbox - General Life Satisfaction - Week 12
A higher score indicates more life satisfaction
Time frame: Week 12
NIH Toolbox - General Life Satisfaction - Week 24
A higher score indicates more life satisfaction
Time frame: Week 24
PROMIS Pediatric Short Form v1.0 - Positive Affect - Week 6
A higher score indicates more positive affect
Time frame: Week 6
PROMIS Pediatric Short Form v1.0 - Positive Affect - Week 12
A higher score indicates more positive affect
Time frame: Week 12
PROMIS Pediatric Short Form v1.0 - Positive Affect - Week 24
A higher score indicates more positive affect
Time frame: Week 24
Rosenberg Self-Esteem Scale (RSES) - Week 6
A higher score indicates higher self-esteem
Time frame: Week 6
Rosenberg Self-Esteem Scale (RSES) - Week 12
A higher score indicates higher self-esteem
Time frame: Week 12
Rosenberg Self-Esteem Scale (RSES) - Week 24
A higher score indicates higher self-esteem
Time frame: Week 24
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