Digital Strategies to Advance Help-Seeking - Aim 3
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-29
SponsorColumbia University
About this trial
This proposal aims to establish a Digital Laboratory focused on advancing help-seeking and expediting treatment initiation in youth ages 12-29 who are at Clinical High-Risk (CHR) for developing psychosis. Leveraging the Health Action Process Approach (HAPA) model, this study will identify help-seeking subtypes in 25,000 youth who screen positive for psychosis-risk on Mental Health America's national online screening platform, iteratively develop and test theory and data-driven, personalized strategies to advance help-seeking using Micro-Randomized Trials and a Sequential Multiple Assignment Randomized Trial, identify the most accurate CHR screening threshold in an online environment, and link youth, when indicated, to local clinical care via AMP-SCZ, a NIH funded national network of CHR programs throughout the US. This academic-industry partnership aims to curate one of the largest datasets of youth with CHR, and to develop effective strategies to enhance early help-seeking, in a population where help-seeking is critical and a significant barrier to care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ages 12-29 years
Living within a 50-mile radius of a US based AMP-SCZ site
Able to complete the English language PQ-B on MHA's screening platform
Disqualifiers
None
Trial design
Design model
Sequential
Treatments tested in this trial
Digital nudge
Other interventionDigital help seeking advancement strategies over text and online.
Treatment groups
25,000 Participants
are divided into 4 treatment groupsGroup A: Self-Efficacy NudgeActive comparator 1 intervention
Group B: Needs/Risks NudgeActive comparator 1 intervention
Group C: Outcome expectationsActive comparator 1 intervention
Group D: Neutral nudgeNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Proportion of youth who initiate a text or schedule an assessment after scoring PQ-B (Prodromal-Questionnaire) positive
Initiating a text or scheduling an assessment after scoring PQ-B positive
Time frame
2 weeks2
Proportion of youth who advance to complete a clinical assessment
Advancing to complete a remote clinical assessment.
Time frame
2 weeks3
Proportion of youth who advance to care
Advancing to local AMP-SCZ (Accelerating Medicines Partnership - Schizophrenia) intake and treatment initiation, if indicated.
Time frame
2 weeksSponsors and contacts
Click on the lead sponsor to view all of their trials.
Columbia University
Lead sponsor
University of California, San Francisco
Collaborator
University of California, Davis
Collaborator
Mental Health America
Collaborator
University of Washington
Collaborator
Strong365
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Source ClinicalTrials.gov