Reducing Self-Stigma Among Individuals with History of Childhood Maltreatment: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 685
- 试验地点
- 2
- 主要终点
- Self-Stigma Questionnaire - Follow-Up
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- 未提供
结局指标
主要结局
Self-Stigma Questionnaire - Follow-Up
时间窗: 30 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-Up
时间窗: 30 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-Intervention
时间窗: Immediately 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-Intervention
时间窗: Immediately post-intervention
Change in treatment-seeking intentions from baseline - higher score indicates higher help-seeking intentions (range of 3 to 12)
次要结局
未报告次要终点
研究者
Yuval Y Neria
Director of PTSD team at Columbia University
Research Foundation for Mental Hygiene, Inc.