Teen Helpline Motivational Interviewing Study (MI)
Using Performance Feedback and Facilitation to Integrate Motivational Interviewing in Teen Helpline Services
The proposed study will establish a foundation for research within peer-delivered helplines for teens. It aims to evaluate the impact of a Motivational Interviewing training at peer-to-peer helpline. The study will leverage emerging technologies to surmount the challenges of providing tailored training to a large and diverse mental health workforce at scale.
Aim 1: Adapt Motivational Interviewing (MI) strategies for use in a teen peer-delivered text-based digital helpline.
Aim 2: Co-design performance feedback (PF) and facilitated practice (FP) processes to support MI adherence among peer helpers.
Aim 3: Examine feasibility, acceptability, and initial outcomes in a pilot feasibility trial. Peer helpers (N=50) will be randomized to receive MI training or MI training + PF-FP.
연구 개요
상세 설명
This study will adapt and implement Motivational Interviewing (MI) within Teen Talk App, a text-based teen-to-teen helpline, with the goal of increasing real-world help-seeking among youth users. Using human-centered design methods, teen helpers, supervisors, and users will participate in focus groups, interviews, and iterative prototyping activities to adapt MI for brief text-based interactions and to refine an implementation strategy consisting of performance feedback and facilitated practice (PF-FP). Stakeholder input will be used to ensure the intervention and implementation strategy are acceptable, feasible, and fit within existing helpline workflows.
Following adaptation, a pilot feasibility trial will evaluate the implementation strategy among Teen Talk peer helpers. Helpers who enroll in the study (N=50) will be randomized to receive either training as usual or enhanced training consisting of monthly performance feedback and facilitated practice sessions over a 6-month period. Teen Talk users (N=100) will also be recruited to assess clinical outcomes, including help-seeking behaviors and mental health symptoms. The study will provide preliminary data on implementation outcomes, helper MI skill use, and user outcomes to inform a future fully powered effectiveness-implementation trial.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 장소
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California
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San Diego, California, 미국, 92182-8000
- 모병
- San Diego State University
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연락하다:
- Sylvanna M. Vargas, MPH, PhD
- 전화번호: 3057614632
- 이메일: svargas3@sdsu.edu
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참여기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria
Teen Helpers
- Current helpline peer helpers
- Aged 14-19 years.
- Provides assent and documented parental consent (when applicable).
- Completes study measures prior to the first Motivational Interviewing (MI) training session.
- Attends and completes assigned MI training activities.
- Has access to technology required for online participation (computer, tablet, or smartphone with internet access; videoconferencing capability if needed).
- Plans to continue helpline activities throughout the study period.
Teen Users
- Aged 13-19 years.
- Current U.S. resident.
- Has engaged in at least 20 back-and-forth text exchanges with a helpline volunteer.
- Demonstrates active communication and engagement on the helpline platform.
- Has access to technology required to complete online surveys and, if selected, interviews (computer, tablet, or smartphone with internet access).
Exclusion Criteria
Teen Helpers
- Plans to discontinue helpline activities within the next 8 months.
Teen Users
- Identified as currently experiencing acute suicide risk (i.e., assigned a "high-risk" flag by the helpline algorithm or identified as high risk by helpline staff).
- Requires immediate crisis intervention or emergency services that could be disrupted by participation in the research study.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Performance feedback and facilitated practice
Helpline volunteers randomized into this study arm will receive additional MI training through feedback and practice (they will receive standard helpline training and MI training).
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All participants will receive Motivational Interviewing training through an educational workshop.
Participants in the intervention arm will receive performance feedback and facilitated practice (implementation strategy).
Those in the control arm will receive training as usual.
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간섭 없음: Training as usual
Helpline volunteers randomized into this study arm will not receive additional MI training through feedback or practice (they will receive standard helpline training only).
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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General Help Seeking Questionnaire
기간: 11 months (consent to post 6-month follow up)
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Measure of help seeking behavior.
Minimum score = 10; Maximum score = 70.
Higher scores indicate greater intentions or willingness to seek help.
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11 months (consent to post 6-month follow up)
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Patient Health Questionnaire-8
기간: 11 months (consent to post 6-month follow up)
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Measure helpline user distress.
Minimum score = 0; Maximum score = 24.
Higher scores indicate greater depressive symptom severity.
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11 months (consent to post 6-month follow up)
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- IRB-24-0310
- K23MH137387 (미국 NIH 보조금/계약)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
Quantitative Data. De-identified, clinical self-report questionnaires from the pilot trial (Aim 3) will be shared via the National Institute of Mental Health Data Archive (NDA).
Qualitative data will not be shared to protect participant confidentiality.
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
Motivational Interviewing Training에 대한 임상 시험
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