Kind Minds Program for Youth Anxiety and Depression

(KMP Trial)

Overseen By Danielle Smith, PhD

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: University of California, Los Angeles

Must not be taking: Anxiety, Depression medications

Disqualifiers: Substance use, Suicidality, Bipolar, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 3

30 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial focuses on improving mental health in teens with anxiety or depression through a 9-week online mindfulness program called the Kind Minds Program. The researchers aim to determine if teens benefit more when their parent or caregiver also participates. Participants include teens aged 12-17 with anxiety or depression and their parent or caregiver. Both must speak English and feel comfortable using a smartphone for the program. The trial compares families where both the teen and parent join the program to those where only the teen participates. As an unphased trial, this study offers families a unique opportunity to explore innovative mental health support together.

Will I have to stop taking my current medications?

Yes, participants must not be taking medication to treat anxiety or depression to join this trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that mindfulness programs can be safe and helpful for young people with anxiety and depression. Studies have found that these programs can reduce anxiety and depression symptoms in teenagers. School-based mindfulness activities, in particular, have successfully improved mental health, with evidence showing a decrease in anxiety and depression.

The Kind Minds Program, the focus of this trial, includes both teens and their parents or caregivers in mindfulness activities. This approach aims to enhance the mental health benefits for the teens. While specific safety data for the Kind Minds Program is not detailed, mindfulness programs, in general, are well-tolerated. Similar programs have not reported any major negative effects.

In summary, mindfulness programs like Kind Minds are generally safe for teenagers and can improve mental health. Participants usually handle these programs well, with few, if any, negative effects. ^{1 2 3 4 5}

Why are researchers excited about this trial?

The Kind Minds Program is unique because it uses an online mindfulness approach specifically designed for teens, and it includes weekly video support from a Kindness Coach. Unlike traditional treatments for youth anxiety and depression, which often involve medication or in-person therapy sessions, this program offers flexibility and accessibility, allowing participation from the comfort of home. Researchers are excited about this trial because it explores the impact of involving not just the teen, but also their family, in the treatment process, potentially enhancing the supportive environment and improving outcomes.

What evidence suggests that this trial's treatments could be effective for youth anxiety and depression?

Research shows that mindfulness activities can help reduce anxiety and depression in teenagers. This trial includes two treatment arms. In the Kind Minds Program - Family arm, both teens and their parents participate, which studies suggest can lead to greater benefits. For example, one study discovered that anxiety symptoms decreased more when the whole family took part in the treatment. In the Kind Minds Program - Teen Only arm, only the adolescent receives the intervention. Evidence suggests that online programs for families can lead to noticeable improvements in mental health, with positive effects lasting over time. Overall, involving both teens and their parents in mindfulness activities seems promising for improving mental health. ^{1 6 7 8 9}

Who Is on the Research Team?

Denise A Chavira, PhD

Principal Investigator

University of California, Los Angeles

Are You a Good Fit for This Trial?

This trial is for teens aged 12-17 with anxiety or depression and their parents/caregivers. Both must speak English well enough to use an English-only digital mindfulness program, have a smartphone, and agree to download the program. They can't join if they're already receiving mindfulness therapy, taking certain medications, or have specific mental health conditions like bipolar disorder or autism.

Inclusion Criteria

My child and I both have smartphones and are willing to download a mindfulness app.

I am aged 12-17 and diagnosed with anxiety or depression.

I'm sorry, but this is not a complete criterion. Can you please provide me with the full criterion so I can accurately summarize it for you?

Exclusion Criteria

English reading level below 4th grade

non English speaking

I am currently getting mindfulness therapy or taking medication for anxiety or depression.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-3 weeks

Mindfulness Intervention

Adolescents participate in a 9-week digitally-based, kindness-focused, coached mindfulness intervention program. Half of the parents/caregivers are also randomized to participate.

9 weeks

Weekly video conference support

Evaluation

Pre, mid, and post evaluations including online questionnaires and clinical interviews via phone or video conference.

12 weeks

3 evaluations (pre, mid, post)

Follow-up

Participants are monitored for mental health outcomes, including anxiety and depressive symptoms, 12-14 weeks after baseline assessment.

2 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Kind Minds Program

Trial Overview

The Kind Minds Program is being tested to see if it helps reduce symptoms of anxiety and depression in youth when both the teen and parent practice mindfulness together. The study compares outcomes between families where only the teen participates versus those where both teen and parent engage in the 9-week online program.

How Is the Trial Designed?

Group I: Kind Minds Program -Family Experimental Treatment 1 Intervention

In the Family condition (KMP-Fam), both caregiver and adolescent will receive the KMP intervention via an online mindfulness program, augmented by weekly video conference support from a Community Health Worker (CHW) Kindness Coach

Group II: Kind Minds Program -Teen Only Active Control 1 Intervention

In the Teen-Only condition (KMP-TO), only the adolescent will receive the KMP intervention via an online mindfulness program augmented by weekly video conference support from a CHW Kindness Coach.

Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials

1,594

Recruited

10,430,000+

Published Research Related to This Trial

The EMPATHY program, a school-based initiative aimed at reducing suicidal thoughts and mental health issues among students aged 11-18, showed a significant decrease in suicidality rates from 4.4% at baseline to 2.8% after 15 months, indicating its effectiveness in improving student mental health.

In addition to reducing suicidality, the program also led to significant reductions in depression and anxiety scores over the 15-month period, demonstrating that multimodal interventions can positively impact the mental well-being of a large student population.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Long-term Results from the Empowering a Multimodal Pathway Toward Healthy Youth Program, a Multimodal School-Based Approach, Show Marked Reductions in Suicidality, Depression, and Anxiety in 6,227 Students in Grades 6-12 (Aged 11-18). Silverstone, PH., Bercov, M., Suen, VYM., et al.[2023]

This study will analyze adverse events in psychotherapy for youth with OCD by including at least 128 participants aged 8-17, comparing family-based cognitive behavioral therapy (FCBT) and family-based psychoeducation and relaxation training (FPRT).

The mixed methods approach will combine quantitative assessments of adverse events with qualitative interviews to better understand their nature and causes, aiming to improve the safety and effectiveness of psychotherapy for OCD.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Adverse events in cognitive behavioral therapy and relaxation training for children and adolescents with obsessive-compulsive disorder: A mixed methods study and analysis plan for the TECTO trial. Pretzmann, L., Christensen, SH., Bryde Christensen, A., et al.[2023]

A systematic review identified eight studies of internet-based programs for treating anxiety and depression in children and adolescents, with most interventions based on cognitive behavior therapy.

Six out of eight studies reported reductions in symptoms of anxiety and/or depression after the interventions, indicating early support for the effectiveness of these online programs, although more rigorous research is needed to confirm these findings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Review of internet-based prevention and treatment programs for anxiety and depression in children and adolescents. Calear, AL., Christensen, H.[2022]

The Cool Kids (CK) program, a 10-session cognitive behavioral therapy (CBT) group intervention, effectively reduced anxiety symptoms in 57 Spanish children and adolescents aged 7-17 with anxiety disorders, as evidenced by global registered measures.

Participants who attended more sessions of the CK program experienced greater improvements, indicating that increased engagement in the therapy correlates with better outcomes in reducing anxiety severity and enhancing daily functioning.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cool Kids: Cognitive Behavioral Therapy in a Spanish Sample of Children and Adolescents with Anxiety Disorders. Galí, D., Forcadell, E., Primé-Tous, M., et al.[2023]

The pediatric transdiagnostic brief behavioral therapy (BBT) program significantly increased anxiety-free days and quality-adjusted life-years (QALYs) compared to assisted referral to community outpatient mental health care (ARC) in a study of 185 youths, indicating its effectiveness in treating anxiety and depression.

BBT was found to be highly cost-effective, with a 95.6% probability of being cost-effective compared to ARC at a willingness-to-pay threshold of $50,000 per QALY, suggesting it is a financially viable option for improving youth mental health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Cost-effectiveness of Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care. Lynch, FL., Dickerson, JF., Rozenman, MS., et al.[2021]

The Cool Kids programme significantly reduced anxiety-related interference in the lives of both children and their parents, as measured by the Child Anxiety Life Interference Scale, in a naturalistic study involving 79 participants (39 parents and 40 children).

While the intervention showed effectiveness in a real-world clinical setting, the level of improvement observed during the follow-up period was not as pronounced as in previous efficacy studies, indicating that while the programme is implementable in practice, outcomes may vary from controlled research settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Is the Cool Kids programme working in outpatient psychiatric clinics? A Danish naturalistic effectiveness study. Djurhuus, ID., Bikic, A.[2019]

Effective early treatment of youth anxiety, including cognitive behavior therapy (CBT) and medication, significantly reduces the risk of developing chronic depressive symptoms and suicidal behavior in the long term, as shown in a study of 319 participants followed for an average of 6.25 years.

The study found that remission from anxiety treatment predicted a lower likelihood of suicidal behavior, highlighting the importance of addressing anxiety early to prevent future mood disorders and suicidality.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Mood and suicidality outcomes 3-11 years following pediatric anxiety disorder treatment. Keeton, CP., Caporino, NE., Kendall, PC., et al.[2022]

The transdiagnostic EMOTION program, a preventive cognitive behavioral therapy for children aged 8-12, demonstrated significant long-term reductions in self-reported anxious symptoms and parental reports of both anxious and depressive symptoms after 12 months, based on a study involving 795 children.

While the intervention effectively reduced anxiety symptoms, the results for depressive symptoms were less conclusive, as only parental reports indicated a reduction, suggesting further investigation is needed for the efficacy on self-reported depressive symptoms.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A 12-month follow-up of a transdiagnostic indicated prevention of internalizing symptoms in school-aged children: the results from the EMOTION study. Loevaas, MES., Lydersen, S., Sund, AM., et al.[2023]

Mindfulness-based cognitive therapy offers a promising skills-based approach for young people with depression or anxiety who do not fully respond to standard treatments.

This therapy equips participants with sustainable tools to manage stress and negative moods, potentially improving their overall mental health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Could mindfulness-based cognitive therapy prevent a lifelong recurrent course of depression or anxiety by addressing key mechanisms of vulnerability in high-risk adolescents? Ford, T., Richardson, J., Wilkinson, K., et al.[2021]

The safety of psychological interventions is critical, as adverse events (AEs) can occur and must be carefully evaluated to ensure that these interventions do not cause harm before being deemed beneficial.

There is a pressing need for standardized protocols for assessing and reporting AEs in psychological interventions to improve transparency, consistency, and ultimately enhance clinical practice.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Editorial: Primum non nocere - are adverse events accurately reported in studies on psychological interventions for children? Purgato, M., Cortese, S.[2023]

The comprehensive body system review (BSR) in the Safety Monitoring Uniform Report Form (SMURF) identified 129 additional adverse events (AEs) in pediatric patients, significantly more than the 48 AEs from the general inquiry and 16 from the drug-specific inquiry, highlighting its effectiveness in capturing important safety data.

Parents found the detailed BSR acceptable and satisfactory, while clinicians did not share the same level of acceptance, indicating a potential gap in the perceived utility of detailed adverse event reporting methods in pediatric psychopharmacology.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparison of increasingly detailed elicitation methods for the assessment of adverse events in pediatric psychopharmacology. Greenhill, LL., Vitiello, B., Fisher, P., et al.[2007]

In a study involving 488 participants aged 7 to 17, no significant differences in adverse events (AEs) were found between sertraline (an SSRI) and placebo, indicating that sertraline is generally safe for treating anxiety disorders in children and adolescents.

However, children (aged 12 and under) reported higher rates of psychiatric AEs across all treatment conditions, suggesting that closer monitoring for these side effects is necessary in younger patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Child/Adolescent anxiety multimodal study: evaluating safety. Rynn, MA., Walkup, JT., Compton, SN., et al.[2022]

Citations

1.

escholarship.org

escholarship.org/content/qt14w7p19q/qt14w7p19q.pdf

UCLA Electronic Theses and Dissertations

The Kind Minds study would not have been possible without a remarkable team. I am especially grateful to our coaches, who were at the heart ...

2.

pmc.ncbi.nlm.nih.gov

pmc.ncbi.nlm.nih.gov/articles/PMC12331330/

Anxiety and Depression in Today's Youth: A Current Look ...

Meta-analyses demonstrate that depression is associated with numerous negative outcomes, including academic underachievement, unemployment, early parenthood, ...

3.

mdpi.com

mdpi.com/1660-4601/15/7/1457

Outcomes of a Randomized Controlled Trial on the ...

The symptoms of depression decreased in participants in the intervention condition and symptoms of anxiety decreased in participants in both conditions, ...

4.

sciencedirect.com

sciencedirect.com/science/article/pii/S0887618523001408

Treating child anxiety using family-based internet delivered ...

Medium to large within-treatment effects were observed for all children from pre to post treatment with post treatment effects maintained until follow-up.

5.

researchgate.net

researchgate.net/publication/318682215_A_single-session_growth_mindset_intervention_for_adolescent_anxiety_and_depression_Nine-month_outcomes_of_a_randomized_trial

(PDF) A single-session growth mindset intervention for ...

Results: Compared to the control program, the mindset intervention led to significantly greater improvements in parent-reported youth depression ...

6.

childmind.org

childmind.org/

Child Mind Institute | Transforming Children's Lives

The Child Mind Institute is dedicated to transforming the lives of children and families struggling with mental health and learning disorders.

7.

cdc.gov

cdc.gov/children-mental-health/data-research/index.html

Data and Statistics on Children's Mental Health

This page provides data about indicators of positive mental health in children and mental health conditions that are most common in children.

8.

pmc.ncbi.nlm.nih.gov

pmc.ncbi.nlm.nih.gov/articles/PMC10217750/

School Mindfulness-Based Interventions for Youth, and ...

This program proved helpful in reducing internalizing and externalizing symptoms in children who reported clinically high levels of anxiety at pre-test, ...

9.

childmind.org

childmind.org/article/signs-of-anxiety-in-teenagers/

How Anxiety Affects Teenagers

With anxiety on the rise in teenagers, learn how anxious teenagers are different from anxious children, and what to look for.