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Brief Intervention Addressing Stigma Among Parents of Children With Mental Health Problems

2 settembre 2026 aggiornato da: Doron Amsalem, New York State Psychiatric Institute

RCT of Brief Intervention Addressing Stigma Among Parents of Children With Mental Health Problems

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.

Panoramica dello studio

Stato

Non ancora reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

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:

  1. Parental internalized stigma
  2. Treatment intentions
  3. Treatment engagement
  4. Attitudes toward the child
  5. Caregiver burden
  6. Self-efficacy
  7. secrecy coping (i.e., to avoid potential negative repercussions of stigma).

Tipo di studio

Interventistico

Iscrizione (Stimato)

1600

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

Luoghi di studio

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto

Accetta volontari sani

Sì

Descrizione

Inclusion Criteria:

  • 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

Exclusion Criteria:

  • 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

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Altro
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: 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
Altro: Brief video
Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
Sperimentale: 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
Altro: Brief video
Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
Sperimentale: 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
Altro: Brief video
Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
Nessun intervento: Control
Written psychoeducational information about children's mental health, treatment options, and how parents can support child

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Parental Internalized Stigma of Mental Illness scale (PISMI)
Lasso di tempo: 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
Immediately after viewing video, 30 days after intervention
Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (adapted)
Lasso di tempo: 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
Immediately after viewing video, 30 days after intervention

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Zarit Burden Interview screen
Lasso di tempo: Immediately after viewing video, 30 days after intervention
Brief measure of caregiver burden; scores range 0-16; higher scores indicate worse outcomes
Immediately after viewing video, 30 days after intervention
Secrecy coping scale (adapted)
Lasso di tempo: Immediately after viewing video, 30 days after intervention
Parental attitudes toward concealing the child's problems from others; scores range 4-24; higher scores indicate worse outcomes
Immediately after viewing video, 30 days after intervention
Parental self-efficacy
Lasso di tempo: Immediately after viewing video, 30 days after intervention
Single item measure from Parenting sense of competence (PSOC) scale; scores range 1-6; higher scores indicate better outcomes
Immediately after viewing video, 30 days after intervention
Parental attitudes and responses toward adolescent depression (adapted)
Lasso di tempo: Immediately after viewing video, 30 days after intervention
Select items measuring critical and supportive responses to child's emotional needs; scores range 0-32; higher scores indicate better outcomes
Immediately after viewing video, 30 days after intervention
Treatment engagement
Lasso di tempo: 30 days after intervention
3 questions about considering treatment, taking steps to start treatment, or starting treatment in the prior 30 days; yes/no categorical responses - no minimum or maximum values
30 days after intervention

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

New York State Psychiatric Institute

Collaboratori

Columbia University

Investigatori

  • Investigatore principale: Doron Amsalem, MD, Columbia University; New York State Psychiatric Institute

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

1 ottobre 2026

Completamento primario (Stimato)

1 dicembre 2026

Completamento dello studio (Stimato)

1 dicembre 2026

Date di iscrizione allo studio

Primo inviato

13 maggio 2026

Primo inviato che soddisfa i criteri di controllo qualità

13 maggio 2026

Primo Inserito (Effettivo)

19 maggio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

3 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

2 settembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • AAAV7555

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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