Mobile Phone Intervention to Reduce Youth Suicide in Rural Communities
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Rochester
- Enrollment
- 222
- Primary Endpoint
- Resources for Coping
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Masking Description
Participants do not know which group they were randomized into.
Eligibility Criteria
- Ages
- 13 Years to 19 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •9th-12th grade students in study school
- •must have own cell phone
Exclusion Criteria
- •no cell phone
- •not sufficiently English-speaking to complete surveys
Arms & Interventions
Intervention
receive interactive text messages
Intervention: Intervention (Behavioral)
Control
Receive informational text messages
Intervention: Control (Behavioral)
Outcomes
Primary Outcomes
Resources for Coping
Time Frame: change from baseline to three-month follow-up
uptake of Sources of Strength concepts (Wyman et al., 2010)
Emotion self-regulation skills
Time Frame: change from baseline to three-month follow-up
Difficulties with Emotion Regulation Scales (DERS) (Gratz \& Roemer, 2004)
Help-Seeking norms
Time Frame: change from baseline to three-month follow-up
Help-seeking from adults at school (Schmeelk-Cone, et al, 2012)
Secondary Outcomes
- Suicidal Ideation(baseline, immediate follow-up, three-month follow-up)
- Depression(baseline, immediate follow-up, three-month follow-up)
Investigators
Anthony Pisani
Associate Professor
University of Rochester
