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.
研究概览
详细说明
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.
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习地点
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California
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San Diego、California、美国、92182-8000
- 招聘中
- San Diego State University
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接触：
- Sylvanna M. Vargas, MPH, PhD
- 电话号码：3057614632
- 邮箱：svargas3@sdsu.edu
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
描述
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.
学习计划
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：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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无干预：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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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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General Help Seeking Questionnaire
大体时间：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
大体时间：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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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- IRB-24-0310
- K23MH137387 (美国 NIH 拨款/合同)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
IPD 计划说明
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.
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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