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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Interpersonal Psychotherapy-Adolescent Skills Training via Just-In-Time Training (JITT) implementation strategy
BehavioralIPT-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
BehavioralIPT-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
Trial outcomes
Primary outcomes
Feasibility of Intervention Measure (FIM) - Week 12
Mentor and mentor supervisor report of JITT-EBP feasibility, with higher value indicating higher feasibility
Acceptability of Intervention Measure (AIM) - Week 12
youth, parent, mentor, and mentor supervisor report of IPT-AST acceptability, with higher value indicating higher acceptability.
Intervention Appropriateness Measure (IAM) - Week 12
Mentor and mentor supervisor report of JITT-EBP appropriateness, with higher value indicating higher appropriateness.
Client Satisfaction Questionnaire (CSQ-8) - Week 12
Youth and parent report of satisfaction with IPT-AST program, with , with higher value indicating more satisfaction.
Secondary outcomes
Fidelity
IPT-AST fidelity checklist
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.
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.
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.
Sponsors and contacts
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