We R Native: Designing and Evaluating Technologies to Promote Adolescent Mental Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,030
- 试验地点
- 1
- 主要终点
- Positive Coping
研究概览
简要总结
The BRAVE study is a randomized controlled trial carried out by the Northwest Portland Area Indian Health Board and the mHealth Impact Lab. The team recruited 2,330 AI/AN teens and young adults nationwide (15-24 years old) via social media channels and text message and enrolled 1,030 to participate in the 9-month study. Teens and young adults enrolled in the study received either: 8 weeks of BRAVE text messages designed to improve mental health, help-seeking skills, and promote cultural pride and resilience; or 8 weeks of Science Technology Engineering and Math (STEM) text messages, designed to elevate and re-affirm Native voices in science, technology, engineering, math and medicine; and then received the other set of messages. Retention in the study was high, with 87% of participants completing both BRAVE and STEM intervention arms.
详细描述
There are approximately 2.1 million self-identified American Indian and Alaska Native (AI/AN or Native) youth under the age of 24 living in the United States. Like many teens, AI/AN youth report frequent technology use and poor mental health outcomes, including trauma, stress, anxiety, depression, and suicidality.
To support Native youth, the Northwest Portland Area Indian Health Board (NPAIHB) launched We R Native in 2012, a holistic health resource for Native youth, by Native youth (www.weRnative.org).
While this broad reach and utilization is promising, more focused research is needed to better understand the acceptability and usability of the mental health messages delivered by We R Native, and systematic research is needed to determine whether We R Native's messages actually improve mental health and resilience, teach mental health skills (like coping skills, mindfulness, help-seeking, and use of suicide prevention chat-lines, etc.), and promote healthy social norms - all protective factors against suicide and substance abuse.
Housed at the Colorado School of Public Health, the mission of the mHealth Impact Lab is to facilitate the rapid and rigorous development, implementation, and evaluation of mobile and digital technology for health promotion and disease prevention that address inequalities in health outcomes.
The research teams tested whether We R Native's BRAVE messages improved self-efficacy and behaviors related to mental health, resilience, and cultural pride; as well as the relative impact of user engagement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 24 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The study included self-identified American Indian and Alaska Native youth
- •Age 15-24 years old
排除标准
- •Participants were required to have a cell phone with text message capabilities
研究组 & 干预措施
BRAVE Intervention Arm
The BRAVE campaign included 3-5 text messages per week, including 1 role model video per week and a related image.
干预措施: BRAVE (Behavioral)
STEM Control Arm
The STEM campaign included 3-5 text messages per week for 8 weeks, including 1 role model video per week and a related image.
干预措施: STEM (Behavioral)
结局指标
主要结局
Positive Coping
时间窗: Up to 8 months
Proportion of respondents that report higher mean scores of coping skills
Self-esteem
时间窗: Up to 8 months
Proportion of respondents who report higher mean scores of self-satisfaction, having good qualities, pride, self-worth, and self-respect
Health
时间窗: Up to 8 months
Changes in mean scores of perceived mental, physical, and spiritual health
Resilience
时间窗: Up to 8 months
Proportion of respondents that report higher mean scores on resilience
次要结局
未报告次要终点
研究者
Stephanie Craig Rushing
Project Director
Northwest Portland Area Indian Health Board