Anxiety & Depression Association of America

Just-in-Time Training for Youth Mentors

Purpose

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.

Conditions

Mental Health Issue
Depression
Anxiety

Eligibility

Eligible Ages: Over 12 Years
Eligible Sex: All
Accepts Healthy Volunteers: Yes

Inclusion Criteria

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. Youth and Parent

Exclusion Criteria

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. Mentor and Mentor Supervisor Inclusion Criteria: - age 18 or older - have completed the typical mentor or mentor supervisor screening and selection process at partnering mentoring organization (including a background check) - are available to facilitate the program during after-school hours.

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Youth, mentor supervisors, and mentors will be randomized to IPT-AST delivered via JITT-EBP or usual training. Youth will be block randomized using randomly permuted blocks of 2 and 4. Randomization for youth will be stratified by sex and level of depression symptoms (PHQ-9 < 5 and > 5).
Primary Purpose: Prevention
Masking: None (Open Label)

Arm Groups

Arm	Description	Assigned Intervention
Active Comparator IPT-AST implemented via Just-In-Time Training (JITT-EBP)	IPT-AST = Interpersonal Psychotherapy-Adolescent Skills Training	Behavioral: Interpersonal Psychotherapy-Adolescent Skills Training via Just-In-Time Training (JITT) implementation strategy 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.
Active Comparator IPT-AST implemented via usual training	IPT-AST = Interpersonal Psychotherapy-Adolescent Skills Training	Behavioral: Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) implemented via usual training 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.

Recruiting Locations

More Details

Status: Recruiting
Sponsor: University of Minnesota

Study Contact

Gracie Meyer
612-625-7240
meye3329@umn.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.