Brief Intervention Addressing Stigma Among Parents of Children With Mental Health Problems
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.
調査の概要
詳細な説明
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).
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Doron Amsalem, MD
- 電話番号：929-404-8802
- メール：doron.amsalem@nyspi.columbia.edu
研究連絡先のバックアップ
- 名前：Timothy Becker, MD
- 電話番号：914-997-5203
- メール：tdb2143@cumc.columbia.edu
研究場所
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New York
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New York、New York、アメリカ、10032
- Columbia University Irving Medical Center
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コンタクト：
- Doron Amsalem, MD
- 電話番号：929-404-8802
- メール：doron.amsalem@nyspi.columbia.edu
-
コンタクト：
- Timothy Becker, MD
- 電話番号：914-997-5203
- メール：tdb2143@cumc.columbia.edu
-
-
参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：他の
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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
|
Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
|
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実験的：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
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Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
|
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実験的：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
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Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
|
|
介入なし：Control
Written psychoeducational information about children's mental health, treatment options, and how parents can support child
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Parental Internalized Stigma of Mental Illness scale (PISMI)
時間枠：Immediately after viewing video, 30 days after intervention
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Measures internalized stigma among parents of children with mental health problems; scores range 12-48; higher scores indicate worse outcomes
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Immediately after viewing video, 30 days after intervention
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Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (adapted)
時間枠：Immediately after viewing video, 30 days after intervention
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3-item measure of treatment intentions, modified for parents of children with mental health problems; scores range 0-9; higher scores indicate better outcomes
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Immediately after viewing video, 30 days after intervention
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Zarit Burden Interview screen
時間枠：Immediately after viewing video, 30 days after intervention
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Brief measure of caregiver burden; scores range 0-16; higher scores indicate worse outcomes
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Immediately after viewing video, 30 days after intervention
|
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Secrecy coping scale (adapted)
時間枠：Immediately after viewing video, 30 days after intervention
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Parental attitudes toward concealing the child's problems from others; scores range 4-24; higher scores indicate worse outcomes
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Immediately after viewing video, 30 days after intervention
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Parental self-efficacy
時間枠：Immediately after viewing video, 30 days after intervention
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Single item measure from Parenting sense of competence (PSOC) scale; scores range 1-6; higher scores indicate better outcomes
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Immediately after viewing video, 30 days after intervention
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Parental attitudes and responses toward adolescent depression (adapted)
時間枠：Immediately after viewing video, 30 days after intervention
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Select items measuring critical and supportive responses to child's emotional needs; scores range 0-32; higher scores indicate better outcomes
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Immediately after viewing video, 30 days after intervention
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Treatment engagement
時間枠：30 days after intervention
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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
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30 days after intervention
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協力者と研究者
捜査官
- 主任研究者：Doron Amsalem, MD、Columbia University; New York State Psychiatric Institute
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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