Qoyangnuptu: Qoyangnuptu Intervention (QI) App
ConditionMental Health Wellness 1
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age14-25
SponsorNorthern Arizona University
About this trial
The goal of this clinical trial is to learn about the impacts of using a mobile health app, the Qoyangnuptu Intervention App (QI App) a Southwestern Tribal Community. The main questions it aims to answer are:
In American Indian/Alaska Native communities with unique cultural characteristics, how should a youth-focused sociotechnical behavioral health intervention be designed to encourage sustained engagement and positively impact indicators of behavioral health?; How can interactive technical interventions be designed to best support sustained community engagement in a challenged network environment?
Participants will:
* Receive daily guidance and encouragement to use the app from an anonymous, trained peer mentor * Be able to ask their peer mentors questions in a monitored one-on-one chat in the QI app or in a monitored group chat in the QI app * Log their mood and stress level on the app once per day * Practice mindfulness skills as directed in the QI app, including guided breathing, meditation, drawing, coloring, and walking * Practice Hopi cultural activities like running using the QI app to help track progress towards team mileage goals
Eligibility criteria
This trial accepts healthy volunteersQualifiers
14-25 years old
Belongs to Southwestern Tribal community
Has a smartphone capable of running the QI App
Is able to access the Internet with smartphone at least once per day
Disqualifiers
Younger than 14 or older than 25
Does not belong to Southwestern Tribal Community
Does not have a smartphone capable of running the QI App
Is not able to access the Internet with smartphone at least once per day
Trial design
Design model
Parallel
Treatments tested in this trial
QI App Users
BehavioralQI App users will be asked to complete a daily, 2-question mood and stress survey. They will be encouraged to use the QI App to practice mindfulness skills including meditation, drawing, coloring, breathing, and walking. They will be encouraged to use the QI App to help them participate in asynchronous group running activities.
Parents/Guardians of QI App Users
BehavioralParents/Guardians of QI App users will be informed that their child is using the QI App for a 6-week period.
Treatment groups
24 Participants
are divided into 2 treatment groupsGroup A: QI App UsersExperimental treatment 1 intervention
Group B: Parents/Guardians of QI App UsersExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
To measure the acceptability of the QI App.
Through qualitative interviews, the investigators will determine the acceptability of the QI App. 12 participants will be interviewed after they have used the app for 6 weeks.
Time frame
Baseline, 6 weeks after starting the app, 12 weeks after starting the appSecondary outcomes
1
Impact of app usage on attitudes towards seeking professional mental health assistance.
Measured by the Attitudes Towards Seeking Professional Psychological Help - Short Form Scale before participating as a Peer Mentor, 6 weeks into participating as a Peer Mentor, and 12 weeks after starting as a peer mentor. The Attitudes Towards Seeking Professional Psychological Help is a 10-item measure used to assess attitudes towards seeking professional psychological help on a 4-point Likert scale, ranging from 0 to 3. Higher total score indicates more positive attitudes towards seeking seeking professional psychological help and is associated with lower levels of stigma against mental illness.
Time frame
Baseline, 6 weeks after starting the app, 12 weeks after starting the app2
Impact of app usage on measures of depression.
Patient Health Questionnaire-9 before participating as a Peer Mentor, 6 weeks into participation as a Peer Mentor, and 12 weeks after starting as a peer mentor. The Patient Health Questionnaire-9 is a 9-item measure used to assess frequency that a participant experiences depressive symptoms. Each item is score on a 4-point scale from 0 ("not at all") to 3 ("every day"). Higher total scores indicate more frequent experience of depressive symptoms.
Time frame
Baseline, 6 weeks after starting the app, 12 weeks after starting the app3
Impact of app usage on measures of stress.
Perceived Stress Scale 4 before participating as a Peer Mentor, 6 weeks into participation as a Peer Mentor, and 12 weeks after starting as a peer mentor. The Perceived Stress Scale 4 measures participant perceptions of their thoughts and feelings over the past month on 4 items. Each item is scored on a 5-point scale from from 0 ("Never") to 4 ("Very Often"). Higher scores indicate higher levels of stress.
Time frame
Baseline, 6 weeks after starting the app, 12 weeks after starting the app4
Impact of app usage on measures of mindfulness.
State Mindfulness Scale Physical Activity before participating as a Peer Mentor, 6 weeks into participation as a Peer Mentor, and 12 weeks after starting as a peer mentor. The State Mindfulness Physical Activity scale is a 12 item measure with six items assessing state mindfulness of the mind (i.e., thoughts and emotions) and six items assessing state mindfulness of the body (i.e., movement, body sensations, muscle engagement). The response scale is 0 - 4, with anchors of Not at all (0) and Very much (4). Initial evidence supports a bi-factor structure of the measure in which both a general state mindfulness factor and two specific factors (mind and body) are supported. The bi-factor structure supports the use of using a single score to capture overall state mindfulness, but also the use of two scores capture mindfulness of the mind and mindfulness of the body.
Time frame
Baseline, 6 weeks after starting the app, 12 weeks after starting the appSponsors and contacts
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Source ClinicalTrials.gov