Reducing Depression-related Stigma and Increasing-treatment Seeking Among Black Adolescents

NCT04890990 | Completed DMC

• 1 other identifier: 2000028980
• Study Type: interventional
• Target: 1,291
• Locations: 1 country
• Sites: 1

Brief Summary

The purposes of this study are to:

1. 1.test among adolescent the utility of brief video-based interventions to reduce stigma-related attitudes and increase help-seeking intentions toward depression;
2. 2.examine the role of race (Black vs other) as an independent factor in the primary outcome.

Conditions

Depression; Racism

Outcome Measures

Primary Outcomes (1)

• Change in Depression-related stigma (Depression Stigma Scale [DSS]; Personal component only): TOTAL SCORE

  The DSS (Christensen, Jorm, Evans, \& Groves, 2004) is a self-report instrument composed of two 9-item subscales. The first subscale measures the participants' own/ personal attitudes, and the second measures participants' beliefs about the attitudes of others ('Depression is sign of weakness' vs. 'Most people believe that depression is a sign of weakness'). We will use the Personal subscale (DSS-Personal) in this study. The DSS has a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). The total score comprises the sum of its item scores, and a higher score indicates more stigma (worse outcome). The DSS-Personal subscale has shown adequate psychometric properties: 0.71 test-retest reliability, 0.76 internal consistency (Griffiths et al., 2004). In our earlier study (Amsalem and Martin, 2021), Cronbach's a was .83.

  Before / after viewing videos (within 10 minutes)

Secondary Outcomes (31)

• Change in Help-seeking (General Help-Seeking Questionnaire [GHSQ]; Emotional and Suicide components): MEAN SCORE

  Before / after viewing videos (within 10 minutes)

• Change in Racial attitudes: feelings thermometer

  Before / after viewing videos (within 10 minutes)

• Change in DSS Item 1

  Before / after viewing videos (within 10 minutes)

• Change in DSS Item 2

  Before / after viewing videos (within 10 minutes)

• Change in DSS Item 3

  Before / after viewing videos (within 10 minutes)

Study Arms (3)

Black girl, control (BC)

ACTIVE COMPARATOR

\~120-second video of a Black adolescent girl, without depression

Behavioral: Short videos

Black girl, depressed (BD)

ACTIVE COMPARATOR

\~120-second video of a Black adolescent girl, depressed

Behavioral: Short videos

Black girl, depressed, adjusted (BDa)

ACTIVE COMPARATOR

\~120-second video of a Black adolescent girl, depressed - adjusted for the specifics of being a Black girl (as informed by a focus group of Black girls and women)

Behavioral: Short videos

Interventions

Short videos BEHAVIORAL

Intervention videos will each be of 90-second duration and feature two underage professionals (ages 16) acting as a simulated patient. All videos will focus on an empowered presenter with depression sharing her personal story regarding depression and describe how social supports from family, friends, and community, as well as professional help assisted her in overcoming symptoms of the illness. The actors will include a Black girl and a white girl.

Black girl, control (BC); Black girl, depressed (BD); Black girl, depressed, adjusted (BDa)

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• English-speaking
• Living in the US
• Ages 14 - 18

You may not qualify if:

• None

Sponsors & Collaborators

• Yale University: lead

Study Sites (1)

Yale Child Study Center

New Haven, Connecticut, 06510, United States

Location

Related Publications (4)

• Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. Br J Psychiatry. 2004 Oct;185:342-9. doi: 10.1192/bjp.185.4.342.

  PMID: 15458995 BACKGROUND

• Wilson CJ, Deane FP, Marshall KL, Dalley A. Adolescents' suicidal thinking and reluctance to consult general medical practitioners. J Youth Adolesc. 2010 Apr;39(4):343-56. doi: 10.1007/s10964-009-9436-6. Epub 2009 Jul 15.

  PMID: 20229227 BACKGROUND

• Norton AT, Herek GM. Heterosexuals' attitudes toward transgender people: findings from a national probability sample of US Adults. Sex Roles. 2013;68(11-12):738-753. doi:10.1007/s11199-011-0110-6

  BACKGROUND

• Martin A, Calhoun A, Paez J, Amsalem D. Destigmatizing perceptions about Black adolescent depression: randomized controlled trial of brief social contact-based video interventions. J Child Psychol Psychiatry. 2022 Nov;63(11):1270-1278. doi: 10.1111/jcpp.13570. Epub 2022 Jan 23.

  PMID: 35066880 DERIVED

MeSH Terms

Conditions

Depression; Racism

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Prejudice; Social Behavior; Social Discrimination

Study Design

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

Study Record Dates

• First Submitted: May 12, 2021
• First Posted: May 18, 2021
• Study Start: July 15, 2021
• Primary Completion: August 7, 2021
• Study Completion: August 7, 2021
• Last Updated: August 25, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)