Brief Intervention Addressing Stigma Among Parents of Children With Mental Health Problems

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-50
SponsorNew York State Psychiatric Institute

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Brief video

    Other intervention

    Brief video about depression (arm 1), ADHD (arm 2), or substance use (arm 3)

Treatment groups

1,600 Participants
are divided into 4 treatment groups
Group A: Experimental: Depression social contact brief videoExperimental treatment 1 intervention
Group B: Experimental: ADHD social contact brief videoExperimental treatment 1 intervention
Group C: Experimental: substance use social contact brief videoExperimental treatment 1 intervention
Group D: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

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

Time frame
Immediately after viewing video, 30 days after intervention
2

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

Time frame
Immediately after viewing video, 30 days after intervention

Secondary outcomes

1

Zarit Burden Interview screen

Brief measure of caregiver burden; scores range 0-16; higher scores indicate worse outcomes

Time frame
Immediately after viewing video, 30 days after intervention
2

Secrecy coping scale (adapted)

Parental attitudes toward concealing the child's problems from others; scores range 4-24; higher scores indicate worse outcomes

Time frame
Immediately after viewing video, 30 days after intervention
3

Parental self-efficacy

Single item measure from Parenting sense of competence (PSOC) scale; scores range 1-6; higher scores indicate better outcomes

Time frame
Immediately after viewing video, 30 days after intervention
4

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

Time frame
Immediately after viewing video, 30 days after intervention

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

New York State Psychiatric Institute

Lead sponsor

Columbia University

Sponsor institution

Columbia University

Collaborator

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