Testing Mediators and Moderators of a Fotonovela for Depression to Promote Help-seeking Behavior

NCT04319458 | Unknown

• 1 other identifier: 19-000112
• Study Type: interventional
• Target: 182
• Locations: 1 country
• Sites: 1

Brief Summary

Although rates of depression are similar in Latinx populations compared to non-Latinx whites (NLW), there are significant disparities in service utilization. Mental health literacy - one's knowledge and attitudes about mental health and treatment-seeking - is a significant predictor of help-seeking behavior and likely contributes to mental health disparities among Latinx. Understanding ways to improve mental health literacy in Latinx populations is important to reducing these disparities. Health literacy interventions that are engaging, dramatic, and culturally-relevant, such as fotonovelas (graphic novels designed to change health-related knowledge and attitudes), show promise in changing mental health literacy in Latinx populations. However, little is known about how these interventions work and for whom they are most effective. Furthermore, although there is some evidence that fotonovelas can change mental health attitudes and intent to seek treatment, their impact on help-seeking behavior is less understood. The purpose of this study is to examine 1) if narrative and cultural elements of a fotonovela for Latinx with depression (i.e., transportation, identification, and social proliferation) are important mediators in changing mental health attitudes and help-seeking behaviors and 2) if factors such as rurality, acculturation, depression severity and logistic barriers to treatment moderate these relationships.

Conditions

Mental Health Literacy

Outcome Measures

Primary Outcomes (1)

• Help-Seeking Behavior

  The measure of help-seeking behavior is a checklist of behaviors that has been modified from the Service Assessment for Children and Adolescents. The measure assesses different sources of treatment, including psychiatrist, psychologist, social worker, spiritual advisors, ER visits, and traditional healers. Participants are asked if in the past 3 months, they have sought services from any of these professionals. Each item is binary (i.e., Yes or No). The total score will be calculated by summing the number of "yes" answers (i.e., the number of services used).

  3 months

Study Arms (2)

Fotonovela

EXPERIMENTAL

Fotonovela mental health literacy intervention: Secret Feelings/Sentimientos Secretos

Behavioral: Fotonovela

Control

ACTIVE COMPARATOR

Control mental health literacy intervention: NIH publication - Depression: What You Need to Know

Behavioral: Control

Interventions

Fotonovela BEHAVIORAL

Secret Feelings/Sentimientos Secretos

Fotonovela

Control BEHAVIORAL

NIH Brochure: Depression: What You Need to Know

Control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years or older
• fluent in English or Spanish
• mild, moderate, or severe levels of depression
• identify as Latinx or Hispanic

You may not qualify if:

• receipt of psychotherapy or pharmacotherapy for mental health problems in the last 6 months
• unable to read in English or Spanish

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

University of California Los Angeles

Los Angeles, California, 90095, United States

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 6, 2019
• First Posted: March 24, 2020
• Study Start: March 1, 2019
• Primary Completion: August 30, 2020
• Study Completion: August 30, 2020
• Last Updated: March 25, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)