Evidence map›Paper›PMID 37347999›Full record

ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53

Treatment Engagement in Adolescents: The Associations of Sociodemographic Characteristics, Caregiver Perceived Barriers, and Clinical Impairment.

Dominique A Phillips, Golda S Ginsburg, Jill Ehrenreich-May, Amanda Jensen-Doss

Abstract read
In one paragraph

Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dominique A PhillipsDepartment of Psychology, University of Miami.
Golda S GinsburgDepartment of Psychiatry, University of Connecticut School of Medicine.
Jill Ehrenreich-MayDepartment of Psychology, University of Miami.
Amanda Jensen-DossDepartment of Psychology, University of Miami.

Funding

2/2-Unified Treatment of Adolescent Emotional Disorders in Community ClinicsR01MH106657 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI GINSBURG, GOLDA SUSAN · 2015 to 2018
$1.6M
1/2-Unified Treatment of Adolescent Emotional Disorders in Community ClinicsR01MH106536 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI EHRENREICH-MAY, JILL, JENSEN-DOSS, AMANDA · 2015 to 2018
$1.4M
NIMH NIH HHS R01 MH106536NIMH NIH HHS R01 MH106657
6 · The paper itself

Abstract

objectiveTo examine the associations between sociodemographic characteristics, perceived barriers to treatment, clinical impairment, and youth treatment engagement.

methodParticipants included 196 families (youth: ages 12 to 18; 64.3% cis-gender female; 23.5% Black, 60.7% White, and 12.2% Mixed/Other race; 41.3% Hispanic or Latinx ethnicity) recruited as part of a comparative effectiveness trial for adolescent anxiety and depression. Self-report measures of sociodemographic characteristics and caregiver perceived barriers were completed at intake. Youth clinical impairment was assessed at baseline via clinical interview. Measures of engagement were collected throughout treatment, including initiation status, session attendance, and termination status. Relationships were examined using analyses of variances and hierarchal linear and logistic modeling.

resultsPerceived barriers did not differ by sociodemographic characteristics. Greater perceived stressors and obstacles predicted fewer sessions attended and a lower likelihood of successful termination. Youth of caregivers with an advanced degree and those with caregivers who were employed part time attended more sessions and were more likely to initiate and terminate treatment successfully compared to youth with caregivers of a lower education level or student or unemployed status. At higher levels of youth clinical impairment, greater perceived treatment demands and issues predicted reduced likelihood of treatment initiation.

conclusionsPerceived barriers, sociodemographic characteristics, and clinical impairment were all associated with levels of engagement in the treatment process. Baseline and continued assessment of perceived and experienced barriers to treatment may promote individualized strategies for families identified as at-risk for reduced engagement.

Indexed as

Anxiety DisordersCaregiversHealth Services AccessibilityAdolescentAdultChildFemaleHumansMaleSociodemographic FactorsSocioeconomic Factors

Identifiers

PMID37347999
PMCPMC10739653

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.