Just-in-Time Training for Youth Mentors

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12+
SponsorUniversity of Minnesota

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

student at a partnering rural middle school or high school

age 12-17

have English speaking/reading/writing ability at a level to participate in IPT-AST

youth's parent has English or Spanish-speaking/reading/writing ability at a level to participate in research activities.

Disqualifiers

moderate or severe depression (PHQ-9 > 10)

active suicidal ideation with a plan and/or intent, requiring higher level of care

Youth does not have English-speaking ability at a level to participate in IPT-AST

youth's parent does not have English or Spanish-speaking/reading/writing ability at a level to participate in research activities.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Interpersonal Psychotherapy-Adolescent Skills Training via Just-In-Time Training (JITT) implementation strategy

    Behavioral

    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.

  • Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) implemented via usual training

    Behavioral

    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.

Treatment groups

204 Participants
are divided into 2 treatment groups
Group A: IPT-AST implemented via Just-In-Time Training (JITT-EBP)Active comparator 1 intervention
Group B: IPT-AST implemented via usual trainingActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility 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
2

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
3

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
4

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

Secondary outcomes

1

Fidelity

IPT-AST fidelity checklist

Time frame
Week 12
2

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
3

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
4

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

Other outcomes

Sponsors and contacts

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