Mobile Phone Intervention to Reduce Youth Suicide in Rural Communities

Not Applicable

Completed

• Conditions: Emotions; Suicide; Positive Affect; Trusted Adults; Help-Seeking Behavior
• Interventions: Behavioral: Control; Behavioral: Intervention

• Registration Number: NCT03145363
• Lead Sponsor: University of Rochester

Brief Summary

The goal of this research project is to conduct a pilot RCT of Text4Strength, an interactive automated text messaging extension of Sources of Strength (SoS), a universal school-based suicide prevention program that prepares diverse 'key opinion leaders' to conduct public health messaging and activities with peers to increase school-wide positive coping norms, communication with trusted adults, and seeking help for suicidal peers (Wyman et al., 2010). The investigators previously developed and field tested Text4Strength messages (RSRB#00047481 and 53924 closed) to demonstrate feasibility, safety, student engagement, and student-perceived relevance for a universal texting extension. The investigators will now conduct a pilot randomized controlled trial in one large school in Western New York that has implemented Sources of Strength for the past two years. The school will continue with Sources of Strength in the 2016-17 school, and add this school-wide texting component as part of this research study. Consistent with Leon's guidelines on pilot studies, the primary focus will be to identify areas of promise, success in reaching proximate targets, and the need for additional modifications (Leon, Davis, \& Kraemer, 2011). Findings from this study will inform further refinement of the text messaging program and provide preliminary data for a larger efficacy trial.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Study Start: 2016-06-29
• Study First Submitted: 2017-04-25
• Study First Submitted QC: 2017-05-04
• Study First Posted: 2017-05-09
• Primary Completion: 2017-05-26
• Study Completion: 2017-05-26
• Status Verified: 2017-07
• Last Update Submitted: 2017-07-17
• Last Update Posted: 2017-07-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 222

Inclusion Criteria

• 9th-12th grade students in study school
• must have own cell phone

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Exclusion Criteria

• no cell phone
• not sufficiently English-speaking to complete surveys

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Control	Receive informational text messages
Intervention	Intervention	receive interactive text messages

Primary Outcome Measures

Name	Time	Method
Help-Seeking norms	change from baseline to three-month follow-up	Help-seeking from adults at school (Schmeelk-Cone, et al, 2012)
Resources for Coping	change from baseline to three-month follow-up	uptake of Sources of Strength concepts (Wyman et al., 2010)
Emotion self-regulation skills	change from baseline to three-month follow-up	Difficulties with Emotion Regulation Scales (DERS) (Gratz \& Roemer, 2004)

Secondary Outcome Measures

Name	Time	Method
Suicidal Ideation	baseline, immediate follow-up, three-month follow-up	one question from the MFQ about suicidal ideation in the past two weeks
Depression	baseline, immediate follow-up, three-month follow-up	Mood and Feelings Questionnaire (MFQ: Angold, et al., 1996; Costello \& Angold, 1988)