About this trial
This study will evaluate the usability, feasibility, and acceptability of a novel multi-level Just-In-Time Training (JITT) implementation strategy (JITT-EBP) that aims to equip mentors and mentor supervisors to implement evidence-based practices (EBPs) with fidelity using methods that are sustainable in rural communities. JITT-EBP integrates (a) self-directed, on-demand, online training modules for mentors and mentor supervisors, (b) synchronous evidence-based supervision strategies, and (c) an apprenticeship delivery model in which EBPs are co-led by an experienced mentor and a novice mentor, providing opportunity for in-the-moment training and support. The study will conduct a pilot hybrid type 2 effectiveness-implementation trial to evaluate the use of JITT-EBP compared to usual training for implementing mentor-delivered Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), an evidence-based depression prevention program. 96 adolescents (age 12-17) and their parents, 8-18 mentors (depending on amount of turnover), and 4 mentor supervisors will be enrolled in the trial.
Eligibility criteria
Qualifiers
student at a partnering rural middle school or high school
age 12-17
have English speaking/reading/writing ability at a level to participate in IPT-AST
youth's parent has English or Spanish-speaking/reading/writing ability at a level to participate in research activities.
Disqualifiers
moderate or severe depression (PHQ-9 > 10)
active suicidal ideation with a plan and/or intent, requiring higher level of care
Youth does not have English-speaking ability at a level to participate in IPT-AST
youth's parent does not have English or Spanish-speaking/reading/writing ability at a level to participate in research activities.
Trial design
Treatments tested in this trial
- Interpersonal Psychotherapy-Adolescent Skills Training via Just-In-Time Training (JITT) implementation strategy
- Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) implemented via usual training