Randomized Controlled Trial of a Choice-driven, Interactive, Storytelling Web-based App to Investigate Mental Health Treatment Initiation Among Symptomatic Latinas
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 700
- 试验地点
- 1
- 主要终点
- Number of Participants Initiating Mental Health Treatment (MH Tx)
研究概览
简要总结
This study compares a choice-driven, interactive, evidence-informed storytelling web-based app intervention with links to resources and treatment (Tx) recommendations (made by a character via her blog) and Tx locator, to a web-based app with links to publicly available informational internet videos, MH resources, and a treatment locator for at least moderately anxious/depressed untreated English and Spanish speaking Latinas to determine if a story-based, character-driven approach is more effective for catalyzing mental health treatment initiation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Latina (women who are from or have family ties to Latin America)
- •Currently resides in LA or Orange County
- •Age 18 and older
- •Able to speak, read, and write in English or Spanish
- •Score 10 or higher on GAD-7 and/or PHQ-8
- •Access to the internet via smartphone, tablet, or computer
- •Not currently receiving mental health therapy or pharmacotherapy
- •Has not accessed mental health services during the previous 6 months
排除标准
- •Not Latina or Hispanic
- •Under age 18
研究组 & 干预措施
Catalina transmedia web-based app
Access to Confronting My Emotions/ Enfrentando Mis Emociones (Catalina), an interactive web-based app containing 31 minutes of story based, character-driven videos, featuring evidence-informed Latina characters (Catalina and Veronica) in a relatable story about dealing with depression and anxiety. All features are available 24 hours/day in Spanish and English via a participant's unique link, including access to "Veronica's Blog" linked to the story, and links to resources such as infographics on depression and anxiety, hotlines and helplines, free evidence-based apps, online support groups, SAMHSA's MH service locator plus "Veronica's" recommendation of up to 3 Latinx-serving MH Tx clinics in LA & Orange Counties where participants can see a primary care physician for referral to MH therapy or pharmacotherapy. Monthly text/email messages will be sent for 9 months to prompt/remind Latinas they can use their unique link to re-watch videos and re-visit Veronica's blog.
干预措施: Catalina (Behavioral)
Links to informational videos
Access to the control web-based app that offers links to 31 minutes of publicly available informational videos specifically about depression and anxiety in Spanish and English (that are not story based and feature no fictionalized characters), available 24 hours/ day via participant's unique link on Chorus. It will provides direct links to 3 public websites: 1) Mental Health America, 2) Anxiety & Depression Association of America, 3) SAMHSA. All offer even more links to various MH resources, platforms, videos, and to SAMHSA's MH service locator by ZIP Code including to low cost sites for MH Tx.
干预措施: Control webpage (Behavioral)
结局指标
主要结局
Number of Participants Initiating Mental Health Treatment (MH Tx)
时间窗: 9 months
MH Tx initiation, defined as completing a MH specialist visit (initial evaluation or therapy visit) or a primary care visit that results in a pharmacotherapy prescription as documented by EHR data at the site identified by the participant as where they initiated MH Tx.
次要结局
- Psychological openness(9 months)
- Mental health help seeking attitude(9 months)
- Propensity to seek help(9 months)
- Indifference to Stigma(9 months)
- Stigma Concerns(9 months)
研究者
MarySue Heilemann, PhD, RN, FAAN
Principal Investigator
University of California, Los Angeles