RecruitingNot ApplicableNCT05591937

S.T.A.N.D. Alacrity Center Signature Project

Screening and Treatment for Anxiety & Depression (S.T.A.N.D): Alacrity Center Signature Project on Triaging and Adapting to Level of Care

Sponsor

University of California, Los Angeles

Enrollment

1,000 participants

Start Date

Aug 29, 2022

Study Type

INTERVENTIONAL

Conditions

Depression Anxiety

Summary

The purpose of this study is to evaluate clinical decision-making algorithms for (a) triaging to level of care and (b) adapting level of care in a low income, highly diverse sample of community college students at East Los Angeles College (ELAC). The target enrollment is 200 participants per year, for five years (N=1000). Participants are between the ages of 18 and 40 years and will be randomized into either symptom severity decision-making (SSD) or data-driven decision-making (DDD). Participants in each condition will be triaged to one of three levels of care, including self-guided online prevention, coach-guided online cognitive behavioral therapy, and clinician-delivered care. After initial triaging, level of care will be adapted throughout the entire time of the study enrollment. Participants will complete computerized assessments and self-report questionnaires as part of the study. The total length of participation is 40 weeks.

Eligibility

Min Age: 18 YearsMax Age: 40 Years

Plain Language Summary

Simplified for easier understanding

This study is offering mental health prevention and therapy programs to community college students who are uninsured or on Medicaid. It aims to make mental health support more accessible for young adults who typically have few options. **You may be eligible if...** - You are currently enrolled at East Los Angeles College - You are uninsured or covered by California Medicaid - You have internet access to complete online assessments and programs **You may NOT be eligible if...** - You are unable to understand the consent form or answer screening questions - You have a serious condition requiring specialized care, such as psychosis, severe eating disorder, or severe substance use disorder - You are currently seeing a psychiatrist or psychologist for ongoing treatment Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALSelf-Guided Online Prevention

An online wellness program that contains self-guided online CBT prevention strategies with demonstrated efficacy for depression and anxiety in college samples. Participants can learn skills for coping with common stressful experiences and build resilience at their own pace.

BEHAVIORALCoach-Guided Online Cognitive Behavioral Therapy

An online digital therapy program that consists of online CBT modules supported by coaches through video chats. The modules are evidence-based and formatted into a unified approach for depression, anxiety and worry, panic, social anxiety, trauma and sleep dysregulation (developed as part of the University of California, Los Angeles (UCLA) Depression Grand Challenge). Lessons are designed to respond to participants' specific symptoms. Participants can access the system through any personal device (phone, tablet or computer) and speak to a certified student coach through remote video chat.

BEHAVIORALClinician-Delivered Psychological and Psychiatric Care

Evidence-based clinician-delivered CBT modules. Participants are connected to a team of clinicians who will evaluate participants' specific symptoms and create an individualized and tailored treatment plan. Treatment will include weekly sessions delivered through telehealth, and if deemed appropriate, participants may also have medication appointments.