Promoting Youth Mental Health in Inequitable Contexts: Applying Participatory Action Research

NCT04554420 | Withdrawn

• 1 other identifier: U54MD007598
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

The current study addresses the gap in equity in mental health education for adolescents of color in South Los Angeles. Particularly, the focus is on developing, testing and evaluating the feasibility and youth responsiveness of a curriculum reflecting the main principles/concepts of the framework of "Youth Participatory Action Research" and general mental health outcomes for adolescents living in a context of poverty and significant inequities.

Conditions

Youth Participatory Action Research; Youth Mental Health; Health Equity

Outcome Measures

Primary Outcomes (6)

• Critical Consciousness Scale - Assessing change from pre-intervention to immediately post-intervention

  Measure assesses capacity to critically analyze socio-political conditions, endorsement of social equity, and action to change perceived inequities; Subscale/Sample Item/Number of Items: a) Critical reflection perceived inequality: "Poor children have fewer chances to get a good high school education" (n=8), b) Critical reflection egalitarianism: "Group equality should be our ideal" (n=5), c) Critical action socio-political participation: "Participate in a discussion about a social or political issue (n=9); 6 point Likert- type (Strongly disagree to Strongly agree)

  Measure will be implemented pre-intervention and immediately post-intervention

• Research Self-Efficacy - Assessing change from pre-intervention to immediately post-intervention

  Measure assesses perceived self-efficacy to conduct and analyze research; Sample item/Number of items: "I believe I can master research related knowledge" (n=4); 5 point Likert-type (Strongly disagree to Strongly Agree)

  Measure will be implemented pre-intervention and immediately post-intervention

• Multigroup Ethnic Identity Measure - Assessing change from pre-intervention to immediately post-intervention

  Measure assesses multiple dimensions of ethnic/racial identity, including the following; Subscale/Sample items/Number of items: a) Ethnic behaviors: "I participate in cultural practices of my own group" (n=4), b) Affirmation and belonging: "I have a lot of pride in my ethnic group" (n=6), c) Ethnic identity achievement: "In order to learn more about my group, I have often talked to other people about my group" (n=4); 4 point Likert-type (Strongly disagree to Strongly agree)

  Measure will be implemented pre-intervention and immediately post-intervention

• Revised Child Anxiety and Depression Scale-Short Version - Assessing change from pre-intervention to immediately post-intervention

  Measure assesses anxiety and depression in the general population/non-clinical of youth; Subscale/Sample items/Number of items: a) Anxiety: "Worries about things" (n=15), b) Depression: "Feels worthless" (n=10); 4 Likert-type (Never to Always)

  Measure will be implemented pre-intervention and immediately post-intervention

• Adolescent Distress-Eustress Scale - Assessing change from pre-intervention to immediately post-intervention

  Measure assesses distress (negative stress) and eustress (positive stress) in adolescents; Subscale/Sample items/Number of items: a) Distress: "I felt overwhelmed" (n=5), b) Eustress: "I felt motivated" (n=5); 5 point Likert-type (Not like me to Very much like me)

  Measure will be implemented pre-intervention and immediately post-intervention

• Child and Youth Resilience Measure-28 - Assessing change from pre-intervention to immediately post-intervention

  Measure assesses resilience in youth; Subscale/Sample items/Number of items: a) Individual: "I cooperate with people around me" (n=11), b) Caregiving: "My caregivers watch me closely" (n=7), c) Contextual: "I am treated fairly in my community" (n=10); 5 point Likert-type (Does not describe me at all to Describes me a lot)

  Measure will be implemented pre-intervention and immediately post-intervention

Study Arms (1)

Youth Participatory Action Research-Mental Health Curriculum

EXPERIMENTAL

Youth will be engaged with youth participatory approaches in learning about the intersection of mental health and systemic/community level issues.

Behavioral: Youth Participatory Action Research-Mental Health Curriculum

Interventions

Youth Participatory Action Research-Mental Health Curriculum BEHAVIORAL

The mental health curriculum will focus on enhancing the knowledge, critical consciousness (i.e., exploration of systemic/racial problems), research self-efficacy, and other skills of youth to integrate their lived experiences and identity to learning about the intersection of system and community level issues in mental health. Activities will center on participatory action approaches to engaging youth in culturally/community responsive ways.

Youth Participatory Action Research-Mental Health Curriculum

Eligibility Criteria

• Age: 14 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• High school age youth, 14-17 years old
• Youth living in South Los Angeles

You may not qualify if:

• Not meeting the age range of 14-17 years old
• Youth not living in South Los Angeles

Sponsors & Collaborators

• Charles Drew University of Medicine and Science: lead
• Los Angeles County Department of Public Health: collaborator

Study Officials

• Noe R Chavez, PhD

  Charles Drew University of Medicine and Science

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants (youth) will receive intervention (mental health curriculum) and a pre-intervention and post-intervention survey will be used to evaluate the intervention. Additionally, a set of focus groups will be conducted post-intervention to assess the feasibility, implementation process, and youth responsiveness. No control condition will be used for this pilot intervention.

Study Record Dates

• First Submitted: September 2, 2020
• First Posted: September 18, 2020
• Study Start: February 1, 2024
• Primary Completion: April 1, 2024
• Study Completion: June 1, 2024
• Last Updated: April 2, 2024

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share