Health TrialsbyHealthPanel

Gather.Town Gaming for Pregnant Adolescents With Depression Literacy

ConditionGamification
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age15-19
SponsorNational Taiwan University

About this trial

Aim

The study seeks to:

1. To assess the effect of the Gather.town gaming intervention on promoting depression literacy among pregnant adolescents in Thailand. 2. To compare the depression literacy before and after receiving the Gather.town gaming intervention in the experimental group.

Methods This quasi-experimental study employed a two-group, pretest-posttest design to assess the effect of a Gather.town gaming intervention on promoting depression literacy among pregnant adolescents in Thailand. 64 first-time pregnant adolescents aged 15-19 years with gestational age under 21 weeks were recruited from three hospitals using stratified random sampling. Participants were randomly assigned to the experimental group (n = 32) or control group (n = 32).

The experimental group participated in eight sessions of REBT-based interactive gaming on the Gather.town platform over four weeks (two sessions per week), while the control group received routine antenatal care and a depression literacy booklet. Quantitative data were collected at four time points (baseline, immediate post-intervention, 1-month, and 3-month follow-ups) using validated tools, including the Depression Literacy Questionnaire (D-Lit), depressive symptoms (EPDS), mental distress (BSRS-5), and platform usability (SUS). Qualitative data were gathered through focus group interviews after the intervention. Statistical analyses were performed using SPSS version 22. Descriptive statistics summarized participant characteristics. Chi-square tests examined group differences. Generalized Estimating Equations (GEE) were used to compare depression literacy scores across time points while accounting for clustering by hospital and adjusting for covariates. The significance level was set at p \< 0.05.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

First-time pregnant adolescents aged 15-19 years with gestational ages not exceeding 21 weeks.

Being able to read Thai and use a computer or laptop to operate the intervention materials.

Disqualifiers

Being unwilling to participate in this study.

Being unable to adhere to the entire intervention process or follow-up.

Self-reported psychiatric diagnosis of any severe mental illnesses, i.e., major depression, schizophrenia, or bipolar disorder.

Trial design

Design model

Sequential

Treatments tested in this trial

  • The Gather.town gaming intervention

    Other intervention

    The online game-based learning intervention (oGBL): The investigator will develop the oGBL intervention based on Rational Emotive Behavior Therapy (REBT), which consists of 8 sessions and plays a game through the Gather.Town platform.

Treatment groups

64 Participants
are divided into 2 treatment groups
Group A: The Gather.town gaming interventionExperimental treatment 1 intervention
Group B: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change from baseline in the knowledge of depression, as measured by a true or false questionnaire of the Depression Literacy Questionnaire (D-Lit)

Scores are measured using a true or false questionnaire, with one point awarded for each correct answer. The score ranges from 0 to 21, with higher scores indicating greater knowledge.

Time frame
Baseline, immediately after the intervention, and at the 1-month and 3-month follow-ups

Secondary outcomes

1

Change from baseline in mental distress levels, as measured by the Likert scale of the 5-item Brief Symptom Rating Scale (BSRS-5)

Scores are measured on a Likert scale ranging from 0 to 4. The total score ranges from 0 to 20, with scores more than 15 indicating severe mental distress, scores between 10 and 14 indicating moderate distress, scores between 6 and 9 indicating mild distress, and scores lower than 6 indicating normal status.

Time frame
Baseline, immediately, and after the intervention
2

Change from baseline in depression levels, as measured by the Likert scale of The Edinburgh Postnatal Depression Scale (EPDS)

Scores are measured on a Likert scale ranging from 0 to 3. The total score ranges from 0 to 30, with ≥ 11 indicating likely to be suffering from depression

Time frame
Baseline, immediately, and after the intervention
3

To measure the usability of the Gather.town platform, as measured by the Likert scale of the System Usability Scale (SUS)

Scores are measured on a Likert scale ranging from 1 to 5. The total score ranges from 0 to 100, with higher total scores indicating a good level of system usability

Time frame
immediately after the intervention

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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

National Taiwan University

Lead sponsor

Source ClinicalTrials.gov

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