S.T.A.N.D. Alacrity Center Signature Project
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…
Conditions studied
Depression, Anxiety
About this study
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.
Interventions
- Behavioral: Self-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.
- Behavioral: Coach-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.
- Behavioral: Clinician-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.
Primary outcomes
- Longitudinal trajectory of treatment adherence (Up to 40 weeks)
- Baseline symptom severity for mental health (Baseline)
- Longitudinal trajectory of symptom severity for mental health (Up to 40 weeks)
- Baseline social, occupational, and home functioning (Baseline)
- Baseline academic functioning (Baseline)
- Longitudinal trajectory of social, occupational, and home functioning (Up to 40 weeks)
- Longitudinal trajectory of academic functioning (Up to 40 weeks)
- Suicide and self-harm (Up to 40 weeks)
Eligibility information
Study locations
- East Los Angeles College, Los Angeles, California 91754 United States
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.