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| ID | Type | Description | Link |
|---|---|---|---|
| R01MH137232 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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This study compares a choice-driven, interactive, evidence-informed storytelling web-based app intervention with links to resources and treatment (Tx) recommendations (made by a character via her blog) and Tx locator, to a web-based app with links to publicly available informational internet videos, MH resources, and a treatment locator for at least moderately anxious/depressed untreated English and Spanish speaking Latinas to determine if a story-based, character-driven approach is more effective for catalyzing mental health treatment initiation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Catalina transmedia web-based app | Experimental | Access to Confronting My Emotions/ Enfrentando Mis Emociones (Catalina), an interactive web-based app containing 31 minutes of story based, character-driven videos, featuring evidence-informed Latina characters (Catalina and Veronica) in a relatable story about dealing with depression and anxiety. All features are available 24 hours/day in Spanish and English via a participant's unique link, including access to "Veronica's Blog" linked to the story, and links to resources such as infographics on depression and anxiety, hotlines and helplines, free evidence-based apps, online support groups, SAMHSA's MH service locator plus "Veronica's" recommendation of up to 3 Latinx-serving MH Tx clinics in LA & Orange Counties where participants can see a primary care physician for referral to MH therapy or pharmacotherapy. Monthly text/email messages will be sent for 9 months to prompt/remind Latinas they can use their unique link to re-watch videos and re-visit Veronica's blog. |
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| Links to informational videos | Active Comparator | Access to the control web-based app that offers links to 31 minutes of publicly available informational videos specifically about depression and anxiety in Spanish and English (that are not story based and feature no fictionalized characters), available 24 hours/ day via participant's unique link on Chorus. It will provides direct links to 3 public websites: 1) Mental Health America, 2) Anxiety & Depression Association of America, 3) SAMHSA. All offer even more links to various MH resources, platforms, videos, and to SAMHSA's MH service locator by ZIP Code including to low cost sites for MH Tx. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Catalina | Behavioral | Catalina transmedia web-based app intervention with 10 story-based videos (including bonus story extender videos) totaling 31 minutes plus the blog of the character, "Veronica," which has MH resource links including Veronica's recommendations of at least 3 local Latinx-serving clinics in LA and Orange County ZIP Codes that offer low-cost MH Tx. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Initiating Mental Health Treatment (MH Tx) | MH Tx initiation, defined as completing a MH specialist visit (initial evaluation or therapy visit) or a primary care visit that results in a pharmacotherapy prescription as documented by EHR data at the site identified by the participant as where they initiated MH Tx. | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological openness | Psychological openness (attitudes) subscale score of the Inventory of Attitudes towards Seeking Mental Health Services (IASMHS). The IASMHS is a 24 item scale and has three internally consistent factors: psychological openness, help-seeking propensity, and indifference to stigma. The subscales,range from 0 to 32. Higher scores indicate more positive attitude toward seeking mental health services. |
| Measure | Description | Time Frame |
|---|---|---|
| Depression | The Patient Health Questionnaire 8 (PHQ-8) is an 8 item questionnaire for depression symptoms experienced during the preceding 2 weeks. Responses are scaled 0-3, total score range 0-24. A score of 10 or greater is considered major depression, 20 or more is severe major depression. | 9 months |
| Anxiety |
Inclusion Criteria:
Exclusion Criteria:
Screening is based on self-identification as woman or female
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Study Coordinator | Contact | 310-210-4273 | mediahealthstudy@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| MarySue V. Heilemann, PhD,RN,FAAN | UCLA School of Nursing | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCLA | Recruiting | Los Angeles | California | 90095 | United States |
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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Individual-level randomized controlled trial
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| Control webpage | Behavioral | Links to informational videos (totaling 31 minutes) on depression and anxiety, listing of the same 3 local Latinx-serving clinics in LA and Orange County ZIP codes that offer low-cost MH Tx, and links to nationally available websites that offer resources (including access to service locators). |
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| 9 months |
| Mental health help seeking attitude | The Mental Health Seeking Attitudes Scale (MHSAS) contains 9 items which produce a single mean score, ranging 1-7. It measures respondents' overall evaluation (unfavorable vs. favorable) of their seeking help from a mental health professional if they found themselves to be dealing with a mental health concern. A higher score indicates a more favorable attitude toward seeking help. | 9 months |
| Propensity to seek help | Help seeking propensity subscale score of the Inventory of Attitudes towards Seeking Mental Health Services (IASMHS). The IASMHS is a 24 item scale and has three internally consistent factors: psychological openness, help-seeking propensity, and indifference to stigma. Subscales range from 0 to 32. Higher scores indicate a greater willingness to seek help. | 9 months |
| Indifference to Stigma | Indifference to Stigma subscale score of the Inventory of Attitudes towards Seeking Mental Health Services (IASMHS). The IASMHS is a 24 item scale and has three internally consistent factors: psychological openness, help-seeking propensity, and indifference to stigma. The subscale contains 8 items related to how concerned an individual would feel if others knew they were seeking psychological help, with each item rated on a 5-point Likert scale from 0 (disagree) to 4 (agree); a higher score indicates a greater indifference to stigma; meaning the person is less concerned about others finding out about their mental health treatment. | 9 months |
| Stigma Concerns | Stigma Concerns about Care (SCC) is a 3-item questionnaire with responses on a 1-10 point scale, with higher scores indicating more concern about stigma. | 9 months |
The Generalized Anxiety Disorder-7 (GAD7) is a 7-item questionnaire to measure the severity of anxiety over the preceding 2 weeks. Responses range from 0 (not at all) to 3 (nearly every day), with total score range 0-21. Higher scores indicate more severe anxiety. |
| 9 months |