PATH (Promoting AdolescenT Health) 2 Purpose is a two-arm comparative effectiveness research trial to that will evaluate the ability of the interventions, Competent Adulthood Transition with Cognitive-behavioral \& Interpersonal Training (CATCH-IT) and Teens Achieving Mastery over Stress (TEAMS), to intervene early to prevent depressive illness and potentially other common mental health disorders. Using cluster randomization, 534 participants eligible for the study will be offered one of two different depression prevention programs in multiple sites in Chicagoland, Rockford, Illinois; Dixon, Illinois; and Louisville, Kentucky. In response to the Coronavirus Disease 2019 (COVID-19) pandemic, we will employ a public health media campaign to recruit a second cohort of 100 adolescents state-wide in Illinois, Kentucky, and Massachusetts individually randomized to either intervention. The study will also assess teens', parents' and providers' experiences with each intervention approach. Finally, we will examine the impact of the COVID-19 pandemic on adolescents at-risk for depression who are enrolled in our study.
Age range
13 Years – 19 Years
Sex
ALL
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The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Time
Timeframe: Baseline through 18 months
Cultural acceptability adolescent and family
Timeframe: Baseline through 18 months
Cost
Timeframe: Baseline through 18 months
Depressive and mental disorder episodes
Timeframe: Baseline through 18 months
Stress symptoms
Timeframe: Baseline through 18 months
Resiliency
Timeframe: Baseline through 18 months
Function
Timeframe: Baseline through 18 months
Relationships (Life Events)
Timeframe: Baseline through 18 months
Socio-cultural Relevance
Timeframe: Baseline through 18 months
Organizational Readiness to Change Assessment
Timeframe: Baseline
Intervention Sustainability
Timeframe: end of study, 30 months
Acceptability of Intervention
Timeframe: end of study, 30 months
Feasibility of Intervention
Timeframe: end of study, 30 months
Intervention Appropriateness
Timeframe: Baseline through 18 months
Depressive Symptoms
Timeframe: Baseline through 18 months
Externalizing Behavior Symptoms
Timeframe: Baseline through 18 months
Anxiety Symptoms
Timeframe: Baseline through 18 months
Substance Abuse Symptoms
Timeframe: Baseline through 18 months
Post Traumatic Stress Disorder Symptoms
Timeframe: Baseline through 18 months
Rumination
Timeframe: Baseline through 18 months
Dysfunctional Attitudes
Timeframe: Baseline through 18 months
Relationships-Family
Timeframe: Baseline through 18 months
Blood Pressure
Timeframe: Baseline and 18 months
Body Mass Index
Timeframe: Baseline and 18 months
Weight
Timeframe: Baseline and 18 months
Height
Timeframe: Baseline and 18 months
Recruiting model and comparative effectiveness outcomes
Timeframe: Baseline through 18 months