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Clinical Trial for Integrated Care to Help At Risk Teen (iCHART) Intervention
Sponsor: University of Pittsburgh
Summary
This protocol will test the effectiveness of an intervention, iCHART (integrated Care to Help At-Risk Teens) and facilitate recruitment for other studies in the larger ETUDES Center grant, which are focused on treatment development for target risk factors for suicidal behavior, specifically, sleep, anhedonia, and stress related to cybervictimization. This study will recruit 900 adolescents which will be enrolled in a randomized controlled trial to test iCHART and will be randomized to iCHART or treatment as usual (TAU). Based on previous work, the investigators hypothesize that iCHART, compared to TAU, will decrease suicidal-related events by 50%, and the effects will be mediated by increases in referrals, treatment engagement, and safety planning. The investigators will use implementation science methods to assess contextual factors (i.e., barriers and facilitators) and implementation outcomes specifically, acceptability, feasibility, appropriateness, and cost for our predictive algorithm and iCHART to inform future implementation efforts and promote health equity.
Official title: The Center for Enhancing Triage and Utilization for Depression and Emergent Suicidality (ETUDES) in Pediatric Primary Care-iCHART RCT
Key Details
Gender
All
Age Range
12 Years - 18 Years
Study Type
INTERVENTIONAL
Enrollment
900
Start Date
2023-01-26
Completion Date
2027-04-30
Last Updated
2025-07-18
Healthy Volunteers
No
Interventions
iCHART
The Safety Planning App will guide primary care providers or mental health clinicians in the use of an emotion regulation and safety planning app (BRITE) to be loaded on the phone of depressed and suicidal adolescents in order to improve depression and reduce the likelihood of a suicide attempt. The Mental Health Screener is a decision support tool to guide the primary care provider to make a referral that reflects patient clinical needs and patient and parental treatment preferences and perceived barriers to treatment. The Text Messages is a personalized text messaging intervention for patients and parents that targets engagement with the safety plan to increase the likelihood that a depressed or suicidal patient will maintain or initiate recommended services. Participants will receive usual care at their pediatric primary care practice following screening including information, psychoeducation, and referral to a mental health treatment provider.
Treatment As Usual
Participants in this group will receive usual care from their primary care provider or mental health care provider which may include development of a paper safety plan.
Locations (13)
Gibbsboro
Gibbsboro, New Jersey, United States
Conemaugh Memorial Medical Center-Family Medicine
Johnstown, Pennsylvania, United States
CHOP Primary Care, CHOP Campus
Philadelphia, Pennsylvania, United States
Roxborough
Philadelphia, Pennsylvania, United States
CHOP Primary Care, Cobbs Creek
Philadelphia, Pennsylvania, United States
Karabots
Philadelphia, Pennsylvania, United States
Children's Community Pediatrics (CCP) of Children's Hospital of Pittsburgh UPMC
Pittsburgh, Pennsylvania, United States
UPMC Center for Adolescent and Young Adult Health
Pittsburgh, Pennsylvania, United States
UPMC Family Medicine
Pittsburgh, Pennsylvania, United States
Kids Plus Pediatrics (KPP)
Pittsburgh, Pennsylvania, United States
Berks Community Health Center
Reading, Pennsylvania, United States
Springfield
Springfield, Pennsylvania, United States
CHOP Primary Care, West Chester
West Chester, Pennsylvania, United States