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| Name | Class |
|---|---|
| Harvard University | OTHER |
| University of California, Berkeley | OTHER |
| University of Michigan | OTHER |
| Institute for Financial Management and Research |
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This study will evaluate the effectiveness of interventions to increase engagement with mental health services among a sample of college students in Chennai, India. The study is being conducted in partnership with an arts and science college for women in Chennai. The sample will be recruited within classrooms, during college hours. All students present in the classroom per the allotted time will be introduced to the study. The research team will obtain consent from those interested after screening them for age eligibility (between the ages of 18 and 30 years). Study participants will then complete a baseline survey including questions around demographics, perceptions of their own mental health, mental health treatment history, and the PHQ-ADS, a standardized composite screening tool for depression and anxiety. The experimental design is an RCT with 4 groups, randomized at the individual level: (1) a control group, which will watch a video with information about mental health and be able to access therapy in college and at SCARF, a mental health center in Chennai, at no cost for the duration of the study; (2) a screening group, in which, in addition to the interventions in the control group, students will be informed whether their responses to the PHQ-ADS questions fit in the standard risk categories of no, mild, moderate, or severe distress and corresponding recommendations for whether to make an appointment with a counselor/therapist; (3) a rewards group, in which, in addition to the interventions in the control group, students will be provided with a cash payment for attending their first therapy session; and (4) a combined screening and rewards group. The investigators will measure interest in, and take-up of, therapy at the individual level.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Information about mental health and therapy and free access to therapy | |
| Screening | Experimental | Information about screening for depression and anxiety. Information about mental health and therapy and free access to therapy |
|
| Rewards | Experimental | Financial rewards for attending therapy. Information about mental health and therapy and free access to therapy |
|
| Screening + Rewards | Experimental | Information about screening for depression and anxiety, and financial rewards for attending therapy (combination of previous two treatments). Information about mental health and therapy and free access to therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rewards | Behavioral | Financial rewards for attending therapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants expressing interest in therapy | Student stating interest in the participant survey in booking an appointment with a study counselor, or asking to be contacted by a study counselor to discuss mental health and therapy | Immediately after treatment (Day 1) |
| Proportion of participants making an appointment | student completing the process to make an appointment for therapy with a study counselor, through the participant survey or otherwise | From enrolment until two months after enrolment |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants taking-up of a mental health care app | This is measured in two ways: participants expressing interest in accessing a mental-healthcare app in the survey, and participants actually clicking a link to download the app. | Immediately after treatment (Day 1) |
| Proportion of participants demanding for information about mental health |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants reporting they would consider seeking therapy in future | Participants are asked whether they would consider seeking therapy in future | Immediately after treatment (Day 1) |
| Proportion of participants reporting specific steps they would take to take care of their mental health |
Inclusion criteria:
Exclusion criteria: None
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| College campus | Chennai | Tamil Nadu | India |
De-identified individual-level data will be posted online
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Feb 12, 2025 | Mar 13, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D008403 | Mass Screening |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006306 | Health Surveys |
| D011795 | Surveys and Questionnaires |
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| OTHER |
| Abdul Latif Jameel Poverty Action Lab | OTHER |
| Schizophrenia Research Foundation (SCARF India), Chennai, India | UNKNOWN |
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| Screening | Behavioral | Information about screening for depression and anxiety |
|
This is measured in two ways: participants expressing interest in receiving more information about mental health, and participants actually clicking a link to access the information |
| Immediately after treatment (Day 1) |
| Proportion of participants attending therapy sessions | Data will be collected from the administrative records of the counselling office on whether participants actually attended a therapy session, as well as the number of sessions attended. | From enrolment until two months after enrolment |
Participants are asked what steps they would take in order to take care of their psychological well-being (for example, spending time with family, or going to a counselor) |
| Immediately after treatment (Day 1) |
| Proportion of participants reporting specific motivating/inhibiting factors for taking up therapy | Participants are asked to select what factors are motivating or inhibiting them in taking up therapy. | Immediately after treatment (Day 1) |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D015980 | Public Health Practice |