Culture and Well-Being for Latinos: Study Protocol for Cultural-Social Engagement and Suicide Among Hispanics (K23MH125078)
Overview
- Phase
- N/A
- Intervention
- Social Engage (S-ENGAGE)
- Conditions
- Social Isolation
- Sponsor
- University of Rochester
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Change in Cultural-Social Engagement (A)
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
The proposed K23 study is an intervention study using an experimental therapeutics approach. This pilot RCT asks: "Does SOCIAL-ENGAGE increase cultural-social engagement and decrease suicide risk among Spanish-speaking adults?" We will first optimize a behavioral intervention - SOCIAL ENGAGE (S-ENGAGE) - for target engagement using human-centered design approaches with Spanish-speaking adults at risk for suicide (n=5) and then conduct a pilot RCT (n=60) to test target engagement (cultural-social engagement) and clinical impact (suicide risk) of S-ENGAGE with this population. The ultimate goal is for S-ENGAGE to be offered as a suicide prevention program for Hispanics at risk for suicide.
Investigators
Caroline Silva
Assistant Professor
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •Identify as Hispanic/Latino adult (age 18+);
- •Primary Spanish-Speaker;
- •Patient in the UR health system;
- •Low cultural-social engagement (i.e., score ≤ 2 on the adapted Berkman-Syme Social Network Index);
- •Elevated suicide risk (i.e., presence of passive or active suicide ideation in the past month on the Columbia-Suicide Severity Rating Scale \[C-SSRS\]).
Exclusion Criteria
- •Medical or psychiatric comorbidities that impair ability to consent (e.g., active psychotic or manic episode, cognitive impairment).
Arms & Interventions
Social Engage (S-ENGAGE)
S-ENGAGE is a skills-based psychotherapy that focuses on helping patients engage in meaningful rewarding social activities. Subjects will receive 10 one-hour individual sessions of S-ENGAGE over 10 weeks.
Intervention: Social Engage (S-ENGAGE)
The Healthy Lifestyles Education Program
The healthy lifestyles education program consists of a notebook containing evidence-based educational material on mental health, physical activity, and information on community resources. Study staff meet with participants once, individually, for 1 hour to review each section and answer questions participants might have.
Intervention: The Healthy Lifestyles Education Program
Outcomes
Primary Outcomes
Change in Cultural-Social Engagement (A)
Time Frame: Baseline and 10 weeks
Average number of cultural-social interactions (measured via EMA), with greater number indicating greater cultural-social engagement (i.e., better outcome).
Change in Cultural-Social Engagement (B)
Time Frame: Baseline and 10 weeks
Time spent in positive Spanish-language conversations (measured via passive monitoring of conversations), with more time indicating greater cultural-social engagement (i.e., better outcome).
Change in Cultural-Social Engagement (C)
Time Frame: Baseline and 10 weeks
Number of visits to cultural-social settings outside the home (measured via GPS), with greater number indicating greater cultural-social engagement (i.e., better outcome).
Change in Cultural-Social Engagement (D)
Time Frame: Baseline and 10 weeks
Self-reported feelings of belonging to Hispanic cultural groups (measured via EMA with the Interpersonal Needs Questionnaire), with greater scores indicating greater cultural-social engagement (i.e., better outcome).
Secondary Outcomes
- Change in Suicide Risk (A)(Baseline and 10 weeks)
- Change in Suicide Risk (B)(Baseline and 10 weeks)