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Reducing Self-Stigma Among Individuals with History of Childhood Maltreatment

Not Applicable
Completed
Conditions
Stigma, Social
Child Abuse
Child Neglect
Help-Seeking Behavior
Interventions
Behavioral: Video
Registration Number
NCT05818228
Lead Sponsor
Research Foundation for Mental Hygiene, Inc.
Brief Summary

Individuals who report experiencing any kind of abuse during childhood report shame and self-blame, often leading to self-stigma and a reluctance to reveal their experiences and seek help. Such stigma may aggravate the mental health consequences of child maltreatment (CM).

The aim of the proposed study is twofold: (1) to evaluate the effectiveness of a brief video-based intervention in reducing self-stigma among individuals who experienced childhood abuse and/or maltreatment, and (2) to increase openness to seeking treatment.

Detailed Description

Prior research suggests that social contact-based interventions are the most efficient way of reducing stigma. This study aims to address self-stigma and empower individuals who self-reported experiencing any kind of abuse during childhood and increase their openness to seeking help, if needed.

A total of 1000 adults with self-report experience of any kind of childhood abuse will be recruited to participate in a Randomized Controlled Trial (RCT) testing the efficacy of the intervention. Participants will be randomized into one of two arms: 1) A 2-minute video intervention in which a CM survivor (presented by either a female or male actor) shares their personal CM experience and describes how they were able to overcome feelings of shame and self-blame to seek mental health care; or 2) A 2-minute control video using the same actors, but without CM-related content. Both videos will be preceded by and immediately followed by questionnaires assessing self-stigma and openness to seeking treatment. An additional assessment of emotional engagement will be added immediately following intervention delivery. Following the intervention, there will be a 30-day follow-up to examine potential long-term effects.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
685
Inclusion Criteria
  • Age 18-80
  • US resident
  • Individuals who endorse yes to one of the following items: physical aggression in family or household, emotional or verbal abuse in family or household, sexual abuse or inappropriate sexual experiences, negligence - physical or emotional, mental illness or substance abuse at home, incarceration of family member
  • Fluent in English and able to give informed consent
Exclusion Criteria
  • N/A

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Video with Childhood Maltreatment-Related ContentVideoParticipants will view a video of an actor describing the story of an individual who experienced childhood maltreatment and how they overcame its effects on their life.
Primary Outcome Measures
NameTimeMethod
Self-Stigma Questionnaire - Follow-Up30 days post-intervention

Change in stigma items from baseline - higher score indicates higher stigma (range of 15 to 60)

Help Seeking Intentions (3 items of the ATSPPH) - Follow-Up30 days post-intervention

Change in treatment-seeking intentions from baseline - higher score indicates higher help-seeking intentions (range of 3 to 12)

Self-Stigma Questionnaire - Post-InterventionImmediately post-intervention

Change in stigma items from baseline - higher score indicates higher stigma (range of 15 to 60)

Help Seeking Intentions (3 items of the ATSPPH) - Post-InterventionImmediately post-intervention

Change in treatment-seeking intentions from baseline - higher score indicates higher help-seeking intentions (range of 3 to 12)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

New York State Psychiatric Institute

🇺🇸

New York, New York, United States

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