About this trial
The goal of this study is to test the efficacy of brief video interventions parental internalized stigma and stigma-related outcomes (e.g., treatment intentions, caregiver burden, secrecy) among parents (ages 25-50) of children ages 6-18 with depression, ADHD, or substance use problems.
Timely identification and treatment of mental health problems in youth is a public health priority. However, many youth do not receive treatment, and stigma has been identified as the primary barrier to help-seeking. Parents experience stigma related to their children having mental health problems, which has been associated with reduced help-seeking and increased parental distress. Prior experiments have found brief video-based interventions (BVIs), 1-2 minute videos similar to those viewed by youth on social media platforms, based on the principle of "social contact" with individuals affected by a stigmatized condition, effective in reducing mental health stigma and increasing help-seeking.
In this 4-arm RCT, the investigators will recruit parents aged 25-50 using an online crowdsourcing platform, to test the efficacy of BVIs featuring a personal parent narrative of their experience with their child's a) depression, b) ADHD, or c) substance use, or d) a control condition that provides general written psychoeducational information without social contact.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Self-identify as English Speaking
Live in the US
Ages 25-50
Have a child 6-18 years old with either depression, ADHD, or a substance use problem
Disqualifiers
Do not speak English
Do not live in the US
<25 or >50
Do not have a child between ages 6-18 with depression, ADHD, or a substance use problem
Trial design
Parallel
Treatments tested in this trial
Brief video
Other interventionBrief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)
Treatment groups
Trial outcomes
Primary outcomes
Parental Internalized Stigma of Mental Illness scale (PISMI)
Measures internalized stigma among parents of children with mental health problems; scores range 12-48; higher scores indicate worse outcomes
Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (adapted)
3-item measure of treatment intentions, modified for parents of children with mental health problems; scores range 0-9; higher scores indicate better outcomes
Secondary outcomes
Zarit Burden Interview screen
Brief measure of caregiver burden; scores range 0-16; higher scores indicate worse outcomes
Secrecy coping scale (adapted)
Parental attitudes toward concealing the child's problems from others; scores range 4-24; higher scores indicate worse outcomes
Parental self-efficacy
Single item measure from Parenting sense of competence (PSOC) scale; scores range 1-6; higher scores indicate better outcomes
Parental attitudes and responses toward adolescent depression (adapted)
Select items measuring critical and supportive responses to child's emotional needs; scores range 0-32; higher scores indicate better outcomes
Sponsors and contacts
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New York State Psychiatric Institute
Lead sponsor
Columbia University
Sponsor institution
Columbia University
Collaborator
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