RCT of Brief Intervention Addressing Stigma Among Parents of Children With Mental Health Problems
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 1,600
- 试验地点
- 1
- 主要终点
- Parental Internalized Stigma of Mental Illness scale (PISMI)
研究概览
简要总结
The goal of this study is to test the efficacy of brief video interventions parental internalized stigma and stigma-related outcomes (e.g., treatment intentions, caregiver burden, secrecy) among parents (ages 25-50) of children ages 6-18 with depression, ADHD, or substance use problems.
Timely identification and treatment of mental health problems in youth is a public health priority. However, many youth do not receive treatment, and stigma has been identified as the primary barrier to help-seeking. Parents experience stigma related to their children having mental health problems, which has been associated with reduced help-seeking and increased parental distress. Prior experiments have found brief video-based interventions (BVIs), 1-2 minute videos similar to those viewed by youth on social media platforms, based on the principle of "social contact" with individuals affected by a stigmatized condition, effective in reducing mental health stigma and increasing help-seeking.
In this 4-arm RCT, the investigators will recruit parents aged 25-50 using an online crowdsourcing platform, to test the efficacy of BVIs featuring a personal parent narrative of their experience with their child's a) depression, b) ADHD, or c) substance use, or d) a control condition that provides general written psychoeducational information without social contact.
详细描述
Brief video-based interventions (BVIs) have been studied as a means of reducing stigma toward mental health problems and increasing help-seeking. "Contact-based interventions," in which a representative of a stigmatized group shares their personal stories, have been found one of the most effective anti-stigma interventions. Effective contact-based interventions target to a specific population, account for the specific interests of that population, and credibly provide stories that highlight recovery in a plausible manner to moderately disconfirm stereotypes. BVIs package contact-based stigma interventions into short (1-2 minute) messages in the style of social media content. Prior RCTs have tested BVIs targeting depression-related stigma in adolescents, featuring a young person describing experiences with depressive symptoms, that improved as they sought support from parents and professionals. Parents often experience stigma to their children's mental health problems and play a critical gate-keeping role for children accessing mental health treatment. Additionally, parental stigma is associated with child mental health outcomes, and potential mediators between parental stigma and child outcomes including parental wellbeing, attitudes toward the child, help-seeking, and self-efficacy. Thus, the investigators hypothesize that BVIs targeted to parents of children with similar mental health conditions (e.g., depression, ADHD, or substance use) will have greater impact on reducing stigma and increasing treatment intentions than generic written psychoeducational content without a social contact component.
This study will measure distinct stigma-related outcomes relevant to parents of children with mental health problems:
- Parental internalized stigma
- Treatment intentions
- Treatment engagement
- Attitudes toward the child
- Caregiver burden
- Self-efficacy
- secrecy coping (i.e., to avoid potential negative repercussions of stigma).
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
- 25 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Self-identify as English Speaking
- •Live in the US
- •Ages 25-50
- •Have a child 6-18 years old with either depression, ADHD, or a substance use problem
排除标准
- •Do not speak English
- •Do not live in the US
- •<25 or >50
- •Do not have a child between ages 6-18 with depression, ADHD, or a substance use problem
研究组 & 干预措施
Experimental: ADHD social contact brief video
Novel brief video (1-2 mins) in which a mother talks about their child's ADHD, impact on the parent, how parent helped support recovery
干预措施: Brief video (Other)
Experimental: substance use social contact brief video
Novel brief video (1-2 mins) in which a mother talks about their child's depression, impact on the parent, how parent helped support recovery
干预措施: Brief video (Other)
Control
Written psychoeducational information about children's mental health, treatment options, and how parents can support child
Experimental: Depression social contact brief video
Novel brief video (1-2 mins) in which a mother talks about their child's depression, impact of the parent, how parent helped support recovery
干预措施: Brief video (Other)
结局指标
主要结局
Parental Internalized Stigma of Mental Illness scale (PISMI)
时间窗: Immediately after viewing video, 30 days after intervention
Measures internalized stigma among parents of children with mental health problems; scores range 12-48; higher scores indicate worse outcomes
Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (adapted)
时间窗: Immediately after viewing video, 30 days after intervention
3-item measure of treatment intentions, modified for parents of children with mental health problems; scores range 0-9; higher scores indicate better outcomes
次要结局
- Zarit Burden Interview screen(Immediately after viewing video, 30 days after intervention)
- Secrecy coping scale (adapted)(Immediately after viewing video, 30 days after intervention)
- Parental self-efficacy(Immediately after viewing video, 30 days after intervention)
- Parental attitudes and responses toward adolescent depression (adapted)(Immediately after viewing video, 30 days after intervention)
- Treatment engagement(30 days after intervention)
研究者
Doron Amsalem
Associate Professor of Clinical Psychiatry
Columbia University