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Adolescent depressive disorders and family based interventions in the family options multicenter evaluation: study protocol for a randomized controlled trial

Lewis, Andrew J., Bertino, Melanie D., Skewes, Joanna, Shand, Lyndel, Borojevic, Nina, Knight, Tess, Lubman, Dan I. and Toumbourou, John W. 2013, Adolescent depressive disorders and family based interventions in the family options multicenter evaluation: study protocol for a randomized controlled trial, TRIALS, vol. 14, no. 384, doi: 10.1186/1745-6215-14-384.

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Title Adolescent depressive disorders and family based interventions in the family options multicenter evaluation: study protocol for a randomized controlled trial
Author(s) Lewis, Andrew J.
Bertino, Melanie D.
Skewes, Joanna
Shand, Lyndel
Borojevic, Nina
Knight, TessORCID iD for Knight, Tess orcid.org/0000-0002-9231-9582
Lubman, Dan I.
Toumbourou, John W.ORCID iD for Toumbourou, John W. orcid.org/0000-0002-8431-3762
Journal name TRIALS
Volume number 14
Issue number 384
Total pages 11
Publisher BioMed Central
Place of publication London, England
Publication date 2013
ISSN 1745-6215
Keyword(s) adolescents
depression
family-based interventions
randomised clinical trial
youth mental health
Summary Background
There is increasing community and government recognition of the magnitude and impact of adolescent depression. Family based interventions have significant potential to address known risk factors for adolescent depression and could be an effective way of engaging adolescents in treatment. The evidence for family based treatments of adolescent depression is not well developed. The objective of this clinical trial is to determine whether a family based intervention can reduce rates of unipolar depressive disorders in adolescents, improve family functioning and engage adolescents who are reluctant to access mental health services.

Methods/Design
The Family Options study will determine whether a manualized family based intervention designed to target both individual and family based factors in adolescent depression (BEST MOOD) will be more effective in reducing unipolar depressive disorders than an active (standard practice) control condition consisting of a parenting group using supportive techniques (PAST). The study is a multicenter effectiveness randomized controlled trial. Both interventions are delivered in group format over eight weekly sessions, of two hours per session. We will recruit 160 adolescents (12 to 18 years old) and their families, randomized equally to each treatment condition. Participants will be assessed at baseline, eight weeks and 20 weeks. Assessment of eligibility and primary outcome will be conducted using the KID-SCID structured clinical interview via adolescent and parent self-report. Assessments of family mental health, functioning and therapeutic processes will also be conducted. Data will be analyzed using Multilevel Mixed Modeling accounting for time x treatment effects and random effects for group and family characteristics. This trial is currently recruiting. Challenges in design and implementation to-date are discussed. These include diagnosis and differential diagnosis of mental disorders in the context of adolescent development, non-compliance of adolescents with requirements of assessment, questionnaire completion and treatment attendance, breaking randomization, and measuring the complexity of change in the context of a family-based intervention.
Language eng
DOI 10.1186/1745-6215-14-384
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, BioMed Central
Persistent URL http://hdl.handle.net/10536/DRO/DU:30060348

Document type: Journal Article
Collections: School of Psychology
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Created: Tue, 11 Feb 2014, 11:01:24 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.