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DepressionNCT04890990

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

A study testing Short videos in people with Depression and Racism, run by Yale University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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

Who is it for?
Ages 14 to 18 yearsHealthy volunteers can take part
Conditions the study is for
Depression, Racism
What is being tested?
Short videos
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,291 participants
Where
1 siteUnited States
Study dates
15 Jul 2021to 7 Aug 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

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

Who cannot join

  • None

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Yale Child Study Center

    New Haven, Connecticut, 06510

Other trials in United States

About this study

The purposes of this study are to:

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

Intervention videos will each be of ~120-second duration and feature an underage female professional (age 16) acting as a simulated patient. All three videos will focus on her as 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.

Assessments will occur at baseline and post-intervention, and will include:

  1. Demographics (baseline only);
  2. Primary outcome: Depression-related stigma(Depression Stigma Scale [DSS]) summary score.
  3. Secondary outcomes: a. DSS individual items; b. Help-seeking (General Help-Seeking Questionnaire [GHSQ]) summary score and individual items; and bc Racial attitudes: feelings thermometers.

The investigators intend to randomly assign ~1,000 individuals aged 14-18 as follows:

Subjects oversampled for Black participants (50% Black; 50% other);

Randomized, in equal proportions, and stratified by race, to view one of three ~120-second videos of a girl with:

  1. No depression control (Black; BC);
  2. Depression (Black, following same script as in our earlier study (Amsalem and Martin, 2021), DB); and
  3. Depression adjusted (Black, with script adjusted based on input from focus group of Black girls and women; DBa).
Conditions
Depression, Racism
Being tested
Short videos
Medical subject headings
Depression, Racism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Short videosBehavioural

    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.

Study groups in NCT04890990
Study groupRoleWhat they receive
Black girl, control (BC)Active comparator~120-second video of a Black adolescent girl, without depression
Receives: Behavioral: Short videos
Black girl, depressed (BD)Active comparator~120-second video of a Black adolescent girl, depressed
Receives: 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)
Receives: Behavioral: Short videos

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: Before / after viewing videos (within 10 minutes)

Secondary outcomes (31)
  1. Change in Help-seeking (General Help-Seeking Questionnaire [GHSQ]; Emotional and Suicide components): MEAN SCORE

    The General Help-Seeking Questionnaire (GHSQ) (Wilson, Deane, Marshall, \& Dalley, 2008) was developed to measure help-seeking intentions from different sources (friend, parent, mental health professional, and others) and is divided into personal-emotional problems and suicidal thoughts (Ibrahim et al., 2019). The instrument consists of 10 items for each part, measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). One question is stated as 'I would not seek help from anyone' and is reverse-scored. Higher scores on this scale indicate more help seeking (better outcome). The GHSQ has shown good psychometric properties: Cronbach's alpha = .70 and test-retest of .86 for personal-emotional problems, and Cronbach's alpha = .83 and test-retest of .88 for suicidal thoughts.

    Measured: Before / after viewing videos (within 10 minutes)

  2. Change in Racial attitudes: feelings thermometer

    We will use a feelings thermometer, modeled after Norton and Herek, 2013:

    "Using a scale from zero to 100, please tell us your personal feelings toward each of the following groups of friends, teachers, or colleagues. As you do this task, think of an imaginary thermometer. The warmer or more favorable you feel toward the group, the higher the number you should give it. The colder or less favorable you feel, the lower the number. If you feel neither warm nor cold toward the group, rate it 50." To familiarize respondents with the response format, they will be first presented with thermometers for "Men in general" and "Women in general," with each respondent rating her or his own sex first. Next, they rate racially different groups (white women, white men, Black women, Black men) with the order of presentation randomized. Higher ratings (maximum 100) indicate warmer, more favorable feelings toward the target whereas lower ratings (minimum 0) indicate colder, more negative feelings.

    Measured: Before / after viewing videos (within 10 minutes)

  3. Change in DSS Item 1

    People with depression could snap out of it if they wanted

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  4. Change in DSS Item 2

    Depression is a sign of personal weakness

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  5. Change in DSS Item 3

    Depression is not a real medical illness

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  6. Change in DSS Item 4

    People with depression are dangerous

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  7. Change in DSS Item 5

    It is best to avoid people with depression, so you don't become depressed yourself

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  8. Change in DSS Item 6

    People with depression are unpredictable

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  9. Change in DSS Item 7

    If I had depression, I would not tell anyone

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  10. Change in DSS Item 8

    I would not employ someone if I knew they had been depressed

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  11. Change in DSS Item 9

    I would not vote for a politician if I knew they had been depressed

    Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  12. Change in GHSQ Emotional Item 1

    Intimate partner (e.g., girlfriend, boyfriend)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  13. Change in GHSQ Emotional Item 2

    Friend (not related to you)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  14. Change in GHSQ Emotional Item 3

    Parent

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  15. Change in GHSQ Emotional Item 4

    Other relative/family member

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  16. Change in GHSQ Emotional Item 5

    Mental health professional (e.g., psychologist, social worker, counselor)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  17. Change in GHSQ Emotional Item 6

    Phone helpline (e.g., lifeline)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  18. Change in GHSQ Emotional Item 7

    Doctor/GP

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  19. Change in GHSQ Emotional Item 8

    Minister or religious leader (e.g., Priest, Rabbi, Chaplain)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  20. Change in GHSQ Emotional Item 9

    I would not seek help from anyone

    REVERSE SCORED ITEM Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). LOWER scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  21. Change in GHSQ Emotional Item 10

    I would seek help from another not listed above

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  22. Change in GHSQ Suicide Item 1

    Intimate partner (e.g., girlfriend, boyfriend)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  23. Change in GHSQ Suicide Item 2

    Friend (not related to you)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  24. Change in GHSQ Suicide Item 3

    Parent

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  25. Change in GHSQ Suicide Item 4

    Other relative/family member

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  26. Change in GHSQ Suicide Item 5

    Mental health professional (e.g., psychologist, social worker, counselor)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  27. Change in GHSQ Suicide Item 6

    Phone helpline (e.g., lifeline)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  28. Change in GHSQ Suicide Item 7

    Doctor/GP

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  29. Change in GHSQ Suicide Item 8

    Minister or religious leader (e.g., Priest, Rabbi, Chaplain)

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  30. Change in GHSQ Suicide Item 9

    I would not seek help from anyone

    REVERSE SCORED ITEM Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). LOWER scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

  31. Change in GHSQ Suicide Item 10

    I would seek help from another not listed above

    Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).

    Measured: Before / after viewing videos (within 10 minutes)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 May 2021
  2. Study start15 Jul 2021
  3. Primary completion7 Aug 2021
  4. Study completion7 Aug 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,291 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04890990
Sponsor's protocol ID
2000028980
Status last verified
Aug 2021
First submitted
12 May 2021
Last updated
25 Aug 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 15458995
  • 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.

    PubMed 20229227
  • 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

  • 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.

    PubMed 35066880

Questions about this trial

What is this clinical trial studying?

A study testing Short videos in people with Depression and Racism, run by Yale University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Depression-related stigma (Depression Stigma Scale [DSS]; Personal component only): TOTAL SCORE (time frame: Before / after viewing videos (within 10 minutes)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04890990, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Aug 2021.

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