DepressionEMPATHYNCT02169960
Comprehensive Program for Youth Mental Health
A study testing Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free and This Way Up in people with Depression and Suicide, run by University of Alberta at 1 site in Canada.
Trial summary
The majority of addiction and mental health problems seen in adults present first in youth. There is strong evidence that prevention and early identification during childhood can mitigate some of these risks. Read more about this study
- Who is it for?
- Ages 11 to 18 yearsHealthy volunteers can take part
- Conditions the study is for
- Depression, Suicide, Anxiety
- What is being tested?
- Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free and This Way Up
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5,514 participants
- Where
- 1 siteCanada
- Study dates
- Feb 2014to Jun 2015
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 11 to 18 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- The intervention group will be the top 10% of all students participating in the school screening.
Who cannot join
- Lack of consent, lack of assent, lack of the ability to read and understand the screening tools or intervention tools
Trial locations and contacts
1 site in 1 country.
About this study
The majority of addiction and mental health problems seen in adults present first in youth. There is strong evidence that prevention and early identification during childhood can mitigate some of these risks. Students who screen at risk for the development of mental illness will be offered online intervention programs with personal guidance from a trained coach. In addition, lessons revolving around resiliency will be provided to all students.
The objectives of this study are:
- Decreased rates of depression and suicide (as well as rates of suicide attempts)
- Decreased use of alcohol, tobacco, and other drugs, with additional downstream benefits such as reduced rates of fetal alcohol spectrum disorder (FASD) and cancer
- Decreased school drop-out rates Decreased rates of interactions with the justice system
- Decreased costs across a range of ministries (health, education, justice, human services), both for youth as well as their families who have been involved in this program
- Conditions
- Depression, Suicide, Anxiety
- Being tested
- Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up, Resiliency Training
- Medical subject headings
- Depression, Suicide, Anxiety Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Smart, Positive, Active, Realistic X-factor thoughts (SPARX)Behavioural
Cognitive Behavioral Therapy based online intervention for depression
Breaking FreeBehavioural
Online based intervention for Drug and Alcohol Use
This Way UpBehavioural
Cognitive Behavioral Therapy online intervention for Depression and Anxiety
Resiliency TrainingBehavioural
Op Volle Kracht (OVK)
| Study group | Role | What they receive |
|---|---|---|
| Middle School, General | Active comparator | OVK Resiliency Training Program - Cognitive Behavioral Therapy designed to modify negative thoughts and feelings. This program also includes a social problem-solving component. Receives: Behavioral: Resiliency Training |
| High School, General | No intervention | No intervention - no Resiliency training, no online intervention for high school students who do not score at risk for development of mental health issues |
| Middle School, Top 10% | Active comparator | Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided. Receives: Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX); Behavioral: Breaking Free; Behavioral: This Way Up; Behavioral: Resiliency Training |
| High School, Top 10% | Active comparator | Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. Receives: Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX); Behavioral: Breaking Free; Behavioral: This Way Up |
What is being measured
The primary outcome is the main question the study is designed to answer.
Decrease from baseline in rates of depression and suicide
This will be based on scores on the Patient Health Questionnaire for Adolescents (PHQ-A) questionnaire
Measured: 12 months
Secondary outcomes (3)
Decreased use of alcohol, tobacco and other drugs
Questionnaire (CRAFFT)
Measured: Baseline, 3 months, 6 months, 12 months
Decreased school drop-out rates
Will be tracking the School identification numbers of the students in order to determine how many drop out prior to graduation. This will be compared with historical data from Red Deer Public Schools.
Measured: 12 months
Decreased rates of interactions with the justice system
Will be linking with a data groups' repository as well as ministries in order to determine rates of interactions with the justice system.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jun 2014 (estimated)
- Study startFeb 2014
- Primary completionJun 2015
- Study completionJun 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for DepressionStudies of the same condition, open and under way.
- More trials run by University of AlbertaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Enrolment
- 5,514 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Alberta
- Sponsor type
- University, hospital or other
- Collaborators
- Red Deer Public School District, Addiction & Mental Health Strategic Clinical Network
- Responsible party
- Sponsor
- Investigators
- Peter H SIlverstone, M.D., Principal investigator, Alberta Health Services and University of AlbertaVictoria YM Suen, B.A. (hons), Study director, Alberta Health services
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02169960
- Sponsor's protocol ID
- AMH-SCN-02
- Acronym
- EMPATHY
- Status last verified
- Dec 2015
- First submitted
- 9 Jun 2014
- Last updated
- 10 Dec 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Tak YR, Van Zundert RM, Kuijpers RC, Van Vlokhoven BS, Rensink HF, Engels RC. A randomized controlled trial testing the effectiveness of a universal school-based depression prevention program 'Op Volle Kracht' in the Netherlands. BMC Public Health. 2012 Jan 10;12:21. doi: 10.1186/1471-2458-12-21.
PubMed 22233510Silverstone PH, Bercov M, Suen VY, Allen A, Cribben I, Goodrick J, Henry S, Pryce C, Langstraat P, Rittenbach K, Chakraborty S, Engels RC, McCabe C. Initial Findings from a Novel School-Based Program, EMPATHY, Which May Help Reduce Depression and Suicidality in Youth. PLoS One. 2015 May 14;10(5):e0125527. doi: 10.1371/journal.pone.0125527. eCollection 2015.
PubMed 25974146
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comprehensive Program for Youth Mental Health
- ClinicalTrials.gov ID
- NCT02169960
- Acronym / sponsor ID
- EMPATHY / AMH-SCN-02
- Conditions
- Depression, Suicide, Anxiety
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5,514 participants (actual)
- Lead sponsor
- University of AlbertaUniversity, hospital or other
- Collaborators
- Red Deer Public School District, Addiction & Mental Health Strategic Clinical Network
- Study start
- Feb 2014
- Primary completion
- Jun 2015 (actual)
- Study completion
- Jun 2015 (actual)
- First posted
- 23 Jun 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The majority of addiction and mental health problems seen in adults present first in youth. There is strong evidence that prevention and early identification during childhood can mitigate some of these risks. Students who screen at risk for the development of mental illness will be offered online intervention programs with personal guidance from a trained coach. In addition, lessons revolving around resiliency will be provided to all students.
The objectives of this study are:
- Decreased rates of depression and suicide (as well as rates of suicide attempts)
- Decreased use of alcohol, tobacco, and other drugs, with additional downstream benefits such as reduced rates of fetal alcohol spectrum disorder (FASD) and cancer
- Decreased school drop-out rates Decreased rates of interactions with the justice system
- Decreased costs across a range of ministries (health, education, justice, human services), both for youth as well as their families who have been involved in this program
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Middle School, General | Active comparator | Behavioral: Resiliency TrainingOVK Resiliency Training Program - Cognitive Behavioral Therapy designed to modify negative thoughts and feelings. This program also includes a social problem-solving component. |
| High School, General | No intervention | –No intervention - no Resiliency training, no online intervention for high school students who do not score at risk for development of mental health issues |
| Middle School, Top 10% | Active comparator | Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Behavioral: Breaking Free, Behavioral: This Way Up, Behavioral: Resiliency TrainingSmart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. OVK Resiliency Training is also provided. |
| High School, Top 10% | Active comparator | Behavioral: Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Behavioral: Breaking Free, Behavioral: This Way UpSmart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free, This Way Up online interventions offered to middle school students who score in the Top 10% of their grade for development of mental health issues. |
Who may qualify
- Ages
- 11 to 18 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (1 listed)
- The intervention group will be the top 10% of all students participating in the school screening.
Key exclusion criteria (1 listed)
- Lack of consent, lack of assent, lack of the ability to read and understand the screening tools or intervention tools
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Smart, Positive, Active, Realistic X-factor thoughts (SPARX)Cognitive Behavioral Therapy based online intervention for depression | Behavioural | High School, Top 10%, Middle School, Top 10% |
| Breaking FreeOnline based intervention for Drug and Alcohol Use | Behavioural | High School, Top 10%, Middle School, Top 10% |
| This Way UpCognitive Behavioral Therapy online intervention for Depression and Anxiety | Behavioural | High School, Top 10%, Middle School, Top 10% |
| Resiliency TrainingOp Volle Kracht (OVK) | Behavioural | Middle School, General, Middle School, Top 10% |
Primary outcome
Decrease from baseline in rates of depression and suicide
Time frame: 12 months
This will be based on scores on the Patient Health Questionnaire for Adolescents (PHQ-A) questionnaire
3 secondary outcomes
Decreased use of alcohol, tobacco and other drugs
Time frame: Baseline, 3 months, 6 months, 12 months
Decreased school drop-out rates
Time frame: 12 months
Decreased rates of interactions with the justice system
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2015.
- Background: PubMed 22233510Tak YR, Van Zundert RM, Kuijpers RC, Van Vlokhoven BS, Rensink HF, Engels RC. A randomized controlled trial testing the effectiveness of a universal school-based depression prevention program 'Op Volle Kracht' in the Netherlands. BMC Public Health. 2012 Jan 10;12:21. doi: 10.1186/1471-2458-12-21.
- Derived from this study: PubMed 25974146Silverstone PH, Bercov M, Suen VY, Allen A, Cribben I, Goodrick J, Henry S, Pryce C, Langstraat P, Rittenbach K, Chakraborty S, Engels RC, McCabe C. Initial Findings from a Novel School-Based Program, EMPATHY, Which May Help Reduce Depression and Suicidality in Youth. PLoS One. 2015 May 14;10(5):e0125527. doi: 10.1371/journal.pone.0125527. eCollection 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Peter H SIlverstone, M.D. principal investigator
Alberta Health Services and University of Alberta
Victoria YM Suen, B.A. (hons) study director
Alberta Health services
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Smart, Positive, Active, Realistic X-factor thoughts (SPARX), Breaking Free and This Way Up in people with Depression and Suicide, run by University of Alberta at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Decrease from baseline in rates of depression and suicide (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02169960, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Dec 2015.