Chicago Urban Resiliency Building (CURB)
| Status: | Completed |
|---|---|
| Conditions: | Depression, Major Depression Disorder (MDD) |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 13 - 17 |
| Updated: | 4/21/2016 |
| Start Date: | March 2012 |
| End Date: | April 2014 |
Chicago Urban Resiliency Building (CURB): Phase 3 Clinical Trial in Primary Care to Engage Adolescents With a Web-based Depression Prevention Intervention
The purpose of the study is to determine whether a culturally tailored, low-cost, primary
care/internet based depression prevention intervention (CURB) is superior to wait-list
control for African American and Hispanic youth in terms of depression-related outcomes. It
is hypothesized that compared to teens in the wait-list control condition, teens in the CURB
program will exhibit lower levels of depressed mood and/or more rapid changes in mood during
the follow-up time.
care/internet based depression prevention intervention (CURB) is superior to wait-list
control for African American and Hispanic youth in terms of depression-related outcomes. It
is hypothesized that compared to teens in the wait-list control condition, teens in the CURB
program will exhibit lower levels of depressed mood and/or more rapid changes in mood during
the follow-up time.
Additional aims and hypotheses are provided here:
Aim 2: To determine whether or not participants in the CURB primary care/Internet based
depression prevention intervention will have a significantly lower cumulative incidence of
any depressive episode at 3 months compared to adolescents in the usual care wait-list
group.
Hypothesis 2: Compared to youth in the wait-list control condition, youth in the CURB
program will have a lower incidence of depressive episodes at 6 month follow-up.
Aim 3: To determine whether CURB is sustainable in primary care from the perspective of
health care professionals and primary care physicians in urban primary care settings.
Hypothesis 3: We hypothesize that providers will rate the intervention (by component)
feasibility, acceptability, willingness to perform intervention and sustainability > 7 on a
1-10 scale (1, not feasible, 10 very feasible).
Aim 2: To determine whether or not participants in the CURB primary care/Internet based
depression prevention intervention will have a significantly lower cumulative incidence of
any depressive episode at 3 months compared to adolescents in the usual care wait-list
group.
Hypothesis 2: Compared to youth in the wait-list control condition, youth in the CURB
program will have a lower incidence of depressive episodes at 6 month follow-up.
Aim 3: To determine whether CURB is sustainable in primary care from the perspective of
health care professionals and primary care physicians in urban primary care settings.
Hypothesis 3: We hypothesize that providers will rate the intervention (by component)
feasibility, acceptability, willingness to perform intervention and sustainability > 7 on a
1-10 scale (1, not feasible, 10 very feasible).
Inclusion Criteria:
Adolescents:
- Male and female African American and Latino/a youth ages 13 -17 years old.
- Adolescents with depressed mood (> 2 weeks duration) will be eligible unless they
have already exceeded the diagnostic threshold for major depressive disorder or have
a comorbid condition as defined in the exclusion criteria.
Parents:
- Parent of eligible adolescents
Primary Care Physicians (PCPs):
- Physician at one of the four Mile Square Health Centers.
Health Care Professionals:
- Employee at one of the four Mile Square Health Centers.
Exclusion Criteria:
- Adolescents undergoing active treatment for depression [Active treatment for
depression is defined as receiving anti-depressant medication or counseling within
one year of remission of symptoms from the most recent episode]
- Adolescents meeting probable diagnostic criteria for the following: Major depression,
Substance and alcohol abuse, Panic attacks, Generalized anxiety disorder, Eating
disorders, History of treatment for bi-polar disorder or schizophrenia or who are at
elevated risk for suicide (often have suicidal thoughts or recent intent)
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