BRITEPath, Component 3 of iCHART (Integrated Care to Help At-Risk Teens)

Completed · Not applicable

Conditions studied: Depression, Suicidal Ideation

In brief

BRITEPath (BP) aims to support co-located mental health clinicians in the development of a high quality, effective, and personalized safety plan for referred patients who screen positive for depression and/or suicidal ideation. BRITEPath utilizes BRITE, a safety planning and emotion regulation app that is loaded on the patient's smart phone and has previously been shown to be well accepted and to reduce suicide attempts compared to usual care in psychiatric inpatients (HR = 0.49). To support mental health clinicians in the development of effective safety plans, study investigators will develop Guide2Brite (G2B), which provides step-by-step instructions for the mental health clinician on how to populate BRITE onto the patient's smartphone and BRITEBoard, a clinician dashboard that tracks patient symptoms, app use, and rating on helpfulness of different interventions assessed through BRITE.

Key facts

Study ID

NCT04000399

Run by

University of Pittsburgh

People needed

43

Starts

2019-08-06

Expected to finish

2021-02-09

Last updated by the study team

2022-08-08

Who can join

Age: 12 and older, up to 26. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Youth aged 12-26 yo
• Own a device (e.g. smartphone, ipod, tablet) with capability to download BRITE app
• Biological or adoptive parent is willing to provide informed consent for teen to participate
• Youth speaks and understands English
• Positive PHQ score or provider determines youth has depressive symptoms based on clinical interaction and refers youth to the study (in cases when PHQ is not available and study staff will complete the PHQ during the screening) OR Provider can refer if they are unclear if symptoms are depressive and PHQ scoring will be used to determine youth's eligibility. OR Screening Wizard screening questionnaire (which includes the PHQ and depressive symptom questions) indicates depression OR provider/parent have concern that youth/patient has a mood or behavioral problem
• Family agrees to see an (embedded) MH therapist at the practice
• PHQ scores:
• Score of 8 or higher on PHQ-8 -or- Score of 1 or higher on #9 of PHQ-9 suicidality item

You may not qualify if…

• Non English speaking No parent willing to provide informed consent No cell phone capability of downloading BRITE app Is currently experiencing mania or psychosis Evidence of an intellectual or developmental disorder (IDD) Life threatening medical condition that requires immediate treatment (included emergent suicidality, homicidality, abuse/neglect, or other mental or physical condition) Other cognitive or medical condition preventing youth from understanding study and/or participating.
• Currently receiving MH treatment/currently satisfied with treatment

Where it is running

• Northwell Hospital — Hyde Park, New York, United States
• Children's Community Pediatrics (CCP-Moon) of Children's Hospital of Pittsburgh of UPMC — Moon Township, Pennsylvania, United States
• STAR-Center — Pittsburgh, Pennsylvania, United States
• Wesley Family Services — Pittsburgh, Pennsylvania, United States
• Children's Community Pediatrics (CCP-Wexford) of Children's Hospital of Pittsburgh of UPMC — Wexford, Pennsylvania, United States
• Seattle Children's Hospital — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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