Population Screening Using Smartphone in Milpa Alta (Smart-screen)

Massive Mental Health Screening Using Smartphone in Milpa Alta Community, Mexico.

The objective of this study is to make a suicide screening in the entire population of Milpa Alta (approximately 150,000 inhabitants), taking into account other outcomes such as depression, anxiety, alcohol and drugs. For this, an app for Smartphone (MeMind) or a web platform (www.MeMind.net) will be used in which the participants will take a self-administered questionnaire, composed of several psychometric instruments .

It is expected that 70% of the population between 15 and 70 years old can do so directly with their own Smartphone, although web access posts will be enabled in educational and municipal units to avoid discrimination based on age or access to technology.

Our main hypothesis argues that the early identification of people at risk in almost the entire community can be done with an App for Smartphone, serving to depict a map of mental health and related needs of the population, serving for the planning of healthcare services of the local environment, and ultimately for the best assistance of groups and individuals with greater needs through their identification and early reference to medical assistance.

Study Overview

• Status: Unknown
• Conditions: Depressive Disorder; Depression; Anxiety; Suicidal Ideation; Drug Abuse; Alcohol Abuse
• Intervention / Treatment: Other: Self-administered evaluation questionnaire

• Study Type: Observational
• Enrollment (Anticipated): 150000

Contacts and Locations

Study Locations

• Mexico
  • Mexico City, Mexico, 12000
    • Recruiting
    • Alcaldía Milpa Alta. Ciudad de México
    • Contact: Pavel Arenas Castañeda; Phone Number: +52-5586148610; Email: arenaspavel@gmail.com
    • Principal Investigator: Enrique Baca-García, Dr
    • Principal Investigator: Fuensanta Aroca, Dr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years to 70 years (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Community composed of school population between 15 and 24 years of the educational institutions of Milpa Alta, and adult population of the municipality of Milpa Alta.

Description

Inclusion Criteria:

1. Use a smartphone as personal or computer terminals enabled by the municipality of Milpa Alta or educational services.
2. Be able to understand the nature, purpose and methodology of the study.
3. Accept participation in the study and check the corresponding box in the app to verify that the informed consent has been expressly given.

Exclusion Criteria:

1. Subject deprived of liberty (by judicial or administrative decision)
2. Subject protected by law (guardianship or conservatorship)

Study Plan

How is the study designed?

Design Details

• Observational Models: Ecologic or Community
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Milpa Alta inhabitants; Population among 15 and 70 years old	Other: Self-administered evaluation questionnaire; Smartphone app with MeMind questionnaires

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Suicidal ideation	Columbia-Suicide Severity Rating Scale (C-SSRS) is encompassed into MeMind for this purpose. In C-SSRS, four constructs are measured. The first is the severity of ideation, which is rated on a 5-point ordinal scale from 1="wish to be dead" to 5="suicidal intent with plan". The second is the intensity of ideation, which comprises 5 items, each rated on a 5-point ordinal scale: frequency, duration, controllability, deterrents, and reason for ideation. The third is the behavior, which is rated on a nominal scale that includes actual, aborted, and interrupted attempts; preparatory behavior; and nonsuicidal self-injurious behavior. And the fourth is the lethality, which assesses actual attempts; actual lethality is rated on a 6-point ordinal scale. Results are coded in the instrument itself with colored labels that indicates definitions of suicidal ideation and behavior, quantify both of them and gauge their severity. Definitions are available elsewhere (http://cssrs.columbia.edu).	1 Day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Depression	Participants will be asked to complete a questionnaire regarding possible symptoms related to depression. PHQ-9 questionnaire is emcompassed into Memind for this purpose.	1 Day
Anxiety	Participants will be asked to complete a questionnaire regarding possible symptoms related to anxiety. GAD-7 (only screening questions) is emcompassed into Memind for this purpose.	1 Day
Drug Utilization	Participants will be asked to complete a questionnaire regarding possible symptoms related to anxiety. DAST (only questions 1,6,7) is emcompassed into Memind for this purpose.	1 Day
Alcohol Drinking	Participants will be asked to complete a questionnaire regarding possible symptoms related to alcohol abuse. Alcohol Use Disorders Identification Test (AUDIT-C)	1 Day

Collaborators and Investigators

• Sponsor: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
• Collaborators: Universidad Nacional Autonoma de Mexico; Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado; Milpa Alta Municipalty; Centro Interdisciplinario de Ciencias de la Salud, Mexico; Educational Institutions of Milpa Alta

Publications and helpful links

General Publications

• Arenas-Castaneda PE, Aroca Bisquert F, Martinez-Nicolas I, Castillo Espindola LA, Barahona I, Maya-Hernandez C, Lavana Hernandez MM, Manrique Miron PC, Alvarado Barrera DG, Trevino Aguilar E, Barrios Nunez A, De Jesus Carlos G, Vildosola Garces A, Flores Mercado J, Barrigon ML, Artes A, de Leon S, Molina-Pizarro CA, Rosado Franco A, Perez-Rodriguez M, Courtet P, Martinez-Ales G, Baca-Garcia E. Universal mental health screening with a focus on suicidal behaviour using smartphones in a Mexican rural community: protocol for the SMART-SCREEN population-based survey. BMJ Open. 2020 Jul 19;10(7):e035041. doi: 10.1136/bmjopen-2019-035041.

Helpful Links

• Related Info

Study record dates

Study Major Dates

• Study Start (Actual): August 26, 2019
• Primary Completion (Anticipated): January 23, 2021
• Study Completion (Anticipated): April 1, 2021

Study Registration Dates

• First Submitted: August 22, 2019
• First Submitted That Met QC Criteria: August 22, 2019
• First Posted (Actual): August 26, 2019

Study Record Updates

• Last Update Posted (Actual): July 7, 2020
• Last Update Submitted That Met QC Criteria: July 1, 2020
• Last Verified: July 1, 2020

More Information

Terms related to this study

• Keywords: Mental Health; Suicidal Ideation; Mass Screening; Health Surveys
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Chemically-Induced Disorders; Alcohol-Related Disorders; Mood Disorders; Self-Injurious Behavior; Suicide; Substance-Related Disorders; Alcoholism; Depressive Disorder; Suicidal Ideation
• Other Study ID Numbers: SmartMexSurvey1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Yes
• IPD Plan Description: Data will be available for researchers upon request
• IPD Sharing Access Criteria: Upon request to Enrique Baca Garcia (enrique.baca@uam.es)
• IPD Sharing Supporting Information Type: Study Protocol; Statistical Analysis Plan (SAP); Informed Consent Form (ICF)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No