By Youth, For Youth: Digital Supported Peer Navigation for Addressing Child Mental Health Inequities
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ClinicalTrials.gov Identifier: NCT06122688 |
Recruitment Status :
Not yet recruiting
First Posted : November 8, 2023
Last Update Posted : November 8, 2023
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Condition or disease | Intervention/treatment | Phase |
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Anxiety Depression Mental Health Issue | Behavioral: Navigator Plus App Intervention | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 8360 participants |
Allocation: | Randomized |
Intervention Model: | Crossover Assignment |
Intervention Model Description: | In each county, 10 sites will participate (10 high schools in Los Angeles and 10 Primary Care Clinics in Riverside), with sites randomized to cross over from control to intervention status in a step wedged design each Fall following the beginning of the school year. Three months is allowed for training and setup at each site prior to intervention delivery. |
Masking: | None (Open Label) |
Primary Purpose: | Health Services Research |
Official Title: | By Youth, For Youth: Digital Supported Peer Navigation for Addressing Child Mental Health Inequities |
Estimated Study Start Date : | March 31, 2024 |
Estimated Primary Completion Date : | April 1, 2027 |
Estimated Study Completion Date : | April 1, 2027 |
Arm | Intervention/treatment |
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No Intervention: Care as usual
All individuals within each site regardless of type of site or step period will begin with a control period of care as usual Youth and parents within each site will have access to navigators who will share information about mental health and social services supports as well as referrals. The duration of the control period (1, 2, or 3 years; collected via medical and/or other administrative records) will depend on the step period of the individual's site. |
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Experimental: Implementation
In this stepped wedge design, following a period of care as usual as a control, sites will then cross over to the experimental arm, during which, all youth and their caregivers at the enrolled site are encouraged to download and use the wellness app for the duration of the implementation period. Navigators promote and support use of the app.
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Behavioral: Navigator Plus App Intervention
Navigators will provide their usual care services and also be encouraged to use the Connected for Wellness (CFW) app during their usual activities with youth and caregivers at their site. The duration of this period (2, 3, or 4 years) will depend on the step period of the individual's site. All youth at the school or clinic site can use the CFW app on their own and through the app receive prevention strategies, psycho-education that destigmatizes mental health, encourages referrals to local resources as needed, and increases motivation to access care if needed. |
- Proportion of youth referred to mental health services who initiate care. [ Time Frame: 1 year ]Referral to and initiation of mental health services data will be obtained from electronic medical records.
- Proportion of youth completing a mental health screening who are referred to care. [ Time Frame: 1 year ]Mental health screening and referral to mental health services data will be obtained from electronic medical records.
- Proportion of youth in school/clinic completing a mental health screening. [ Time Frame: 1 year ]Mental health screening data will be obtained from electronic medical records.
- Proportion of youth initiating mental health services who have 3 or more visits. [ Time Frame: 1 year ]Mental health initiation and visit data will be obtained from electronic medical records.
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Ages Eligible for Study: | 13 Years to 99 Years (Child, Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Youth 13-22 enrolled in high school or participating primary care clinics, and their caregivers.
Exclusion Criteria:
- Those not meeting inclusion criteria
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06122688
Contact: Lisa Fortuna, MD, MPH | (951) 827-0742 | lisa.fortuna@medsch.ucr.edu | |
Contact: Sheryl Kataoka, MD, MSHS | skataoka@mednet.ucla.edu |
Responsible Party: | University of California, Riverside |
ClinicalTrials.gov Identifier: | NCT06122688 |
Other Study ID Numbers: |
U01MH131827 ( U.S. NIH Grant/Contract ) |
First Posted: | November 8, 2023 Key Record Dates |
Last Update Posted: | November 8, 2023 |
Last Verified: | November 2023 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Depression Behavioral Symptoms |