Adolescent Behavior, Anxiety, Disaster, PTSD, Stress, Trauma
Conditions
Keywords
Mobile app, Disaster, Digital Medicine, Teens
Brief summary
In October, 2017, Northern California experienced devastating and historic wildfires. Sonoma Rises is an app designed for anyone who was impacted by this event and is intended to help survivors of disaster find their new normal. This study will assess the feasibility and efficacy of a self-help post-disaster mental health intervention delivered via a mobile app with a sample of teens who are experiencing post-disaster mental health symptoms.
Interventions
BEHAVIORALSonoma Rises
All participants will receive the intervention, Sonoma Rises, a mobile app designed by psychologists at the National Center for PTSD for wildfire survivors to facilitate recovery from disaster. Users can access evidence-informed tools to help cope with stress, heal from loss, prioritize self-care, connect with others, manage anger, and track their mood using validated assessments. There are also tools designed just for teens and users are linked to psychoeducation on disaster and health and other mental health resources and services.
Sponsors
Stanford University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The study will be a randomized, open label non-concurrent multiple-baseline experimental study with participants acting as their own controls.
Eligibility
Sex/Gender
ALL
Age
13 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
1. Males & females aged 13-17 years directly impacted by the 2017 wildfires having lost their home or been temporarily displaced 2. Screen positive for PTSD (Child Trauma Screening Questionnaire = 5 or higher) 3. Have regular access to a smart phone and a computer 4. Have a personal email address 5. Speak and read English fluently 6. Have parental consent
Exclusion criteria
1. A positive self-reported history of psychosis, bipolar, or schizophrenia 2. Serious self-reported physical health concerns necessitating surgery or with prognosis \<6 months 3. A positive screen for a current Substance User Disorder (CRAFFT = 2 or higher) 4. Current self-reported suicidal ideation 5. Self-reported pregnancy 6. Self-reported less than four weeks of stable prescription medication for anxiety, anti-depressant, and sleep promoting medications prior to the screening assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PTSD functional impairment | 4 months | Child PTSD Symptom Scale for Diagnostic and Statistical Manual-5; score ranges from 0-7; higher scores indicate more PTSD related functional impairment |
| Feasibility: intervention promotion | 4 months | Net promoter score (i.e., How likely are you to recommend this to a friend? score range 0-5; lower score indicates higher likelihood of promotion) |
| Feasibility: engagement rate | 4 months | Engagement rate (i.e., Number and average length of logins to the mobile app intervention) |
| PTSD Symptom Severity | 4 months | Child PTSD Symptom Scale for Diagnostic and Statistical Manual-5; score ranges from 0-80; higher scores indicate more PTSD symptom severity |
| Feasibility: intervention retention: number of treatment completers | 4 months | retention (i.e., number of treatment completers) |
| Feasibility: intervention safety: number of adverse events | 4 months | safety (i.e., number of adverse events) |
| Feasibility: intervention adherence: number of treatment components completed | 4 months | adherence rates (i.e., number of treatment components completed) |
| Feasibility: intervention satisfaction/acceptability | 4 months | satisfaction/acceptability (i.e., participant satisfaction with treatment how would you rate your overall satisfaction with the program?- range 0-10 - higher score indicates more satisfaction) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Externalizing symptoms | 4 months | Behavior and Feelings Survey- Youth; range 0-24; higher scores indicate more externalizing symptoms (behavior problems) |
| Psychosocial functioning | 4 months | Ohio Youth Scale - Functioning Subscale; Score range 0-80; higher score indicated better functioning |
| Internalizing symptoms | 4 months | Behavior and Feelings Survey - Youth; range 0-24; higher scores indicate more internalizing symptoms (anxiety, depression, stress) |
Countries
United States
Outcome results
None listed