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SOVA Ambassadors Community Setting

SOVA Ambassadors Community Setting

Status
Terminated
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06066697
Enrollment
12
Registered
2023-10-04
Start date
2023-10-25
Completion date
2024-11-22
Last updated
2026-01-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Depression

Keywords

Adolescent, Adolescent Medicine, Mental Health Services, eHealth, Online Systems, Primary Healthcare, Social Media, Social Support

Brief summary

The purpose of this study is to examine participant adherence to intervention feasibility and acceptability of intervention, attention control, and implementation strategy.

Detailed description

A 1:1 pilot randomized controlled trial of the SOVA Peer Ambassador Program compared to attention control: brief psychoeducational independent assignments (i.e. reading SOVA articles and responding to open-ended questions without content creation and without peer interaction) (N=40) and evaluate feasibility of implementation strategy.

Interventions

BEHAVIORALSOVA Ambassador

The SOVA Ambassador intervention includes: adolescents will have access to the website specifically for adolescents: sova.pitt.edu These anonymous websites aim to: (1) challenge negative health beliefs and increase depression/anxiety knowledge through daily blog posts enhanced with peer commentary; (2) promote social support through online peer interactions; and (3) encourage parent-adolescent mental health communication through same day blog posts with questions for discussion. Participants that receive this intervention will contribute monthly articles and regular comments.

BEHAVIORALSelf-Reflection

Participant will be given an article from the sova.pitt.edu website and a prompt to write about privately.

Sponsors

University of Pittsburgh
Lead SponsorOTHER
National Institute on Minority Health and Health Disparities (NIMHD)
CollaboratorNIH

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)

Masking description

The statistician conducting analyses will be blinded to randomized arm.

Eligibility

Sex/Gender
ALL
Age
14 Years to 21 Years
Healthy volunteers
No

Inclusion criteria

* Ages 14 to 21 Can read and understand English Has completed 6th grade Scores at least 5 or greater on the PHQ-8 (depression) and/or 5 or greater on GAD-7 (anxiety) consistent with at least mild symptoms

Exclusion criteria

* no access to internet Has an intellectual or physical ability which prohibits reading text on the internet (can participate if able to use with assistance, e.g. can use text to speech) No active email account (can participate if plans to create one)

Design outcomes

Primary

MeasureTime frameDescription
Feasibility of Intervention12 weeksAverage number of articles written per participant; Research team extract data from websites and observation notes

Secondary

MeasureTime frameDescription
Feasibility of Control Arm12 weeksAverage number of submissions to questions on the REDCap form per participant in the Attention control arm Research team extract data from REDCap
Acceptability of Intervention12 weeksAcceptability of Intervention Measure; Open-ended question (asked the SOVA Website meets my approval)
Acceptability of Implementation StrategyBaselineOpen-ended question: How acceptable to you was it to participate in this program? (referring to mental health program used as an implementation strategy) asked at baseline
Acceptability of Randomization12 weeksSingle item open-ended question inquiring how acceptable it was to being randomly chosen to participate in the SOVA Ambassador arm versus the control arm
Depression Severity6 weeksPatient Health Questionnaire-9 measures depression severity a higher score indicating greater severity. The PHQ-8 version was used with the 9th item omitted, score range is 0 to 24
Anxiety Severity6 weeksGeneralized Anxiety Disorders 7-item Questionnaire measures extent of anxiety symptoms. The total score ranges from 0 to 21 with a higher score indicating greater severity.
Resilience/Positive Youth Development6 weeksPositive Youth Development will be assessed using The Positive Youth Development Very Short Form (PYD-VSF). The confidence subscale is reported which has 3 items with a total score ranging from 3 to 13 (α = 0.78), a higher score associated with a greater level of confidence.
Self-Esteem6 weeksThe 10-item Rosenberg Self-Esteem Scale (RSES) (α = 0.93) will be administered to assess participants' self-esteem. Items on the Rosenberg Self-Esteem Scale ask about self-worth and self-acceptance and are scored using a four-point scale from 1 = strongly disagree, to 4 = strongly agree. The scores on each question are summed together, with higher scores indicating greater self-esteem. Scores range from 10-40 with a higher score equating to higher self esteem.
Emotional Self-Efficacy6 weeksEmotional self-efficacy will be assessed using The Mental Health Self-Efficacy Scale (MHSES) (α = 0.82) Clarke 2014. MHSES was developed according to guidelines by Bandura as to how to create self-efficacy questionnaires (Bandura, 2006) . The questionnaire contains six items asking about the participant's confidence level in performing mental health self-care behaviors. Scoring of the MHSES is based on a 10-point Likert scale ranging from 1 ("Not at all confident") to 10 ("Totally confident"). Scores are a mean score ranging 1-10 with higher scores meaning higher mental health self-efficacy.
Social Isolation6 weeksThe revised UCLA Loneliness Scale will be administered to all participants to measure social isolation (α = 0.93). This 20-item scale measures one's feelings of social isolation and is scored using a four-point scale (1 = never; 2 = rarely; 3 = sometimes; 4 = often) . Score range 20-80, higher score is higher isolation.
Social Support6 weeksThe Medical Outcome Study Social Support Scale measures types of social support. Higher levels associated with greater support. We will use the emotional/informational subscale from this report and calculate the mean per item score on a range of 1 to 5.
Stigma6 weeksThe Depression Stigma Scale measures stigmatizing attitudes toward depression treatment. It is a continuous measure and the total score ranges from 0-36. There are two subscales: the personal stigma subscale which totals 0-18 and the perceived stigma subscale which totals 0-18. These two are summed for the total stigma score. A higher score indicates a worse outcome.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORAna Radovic, MD, MSc

University of Pittsburgh

Participant flow

Participants by arm

ArmCount
SOVA Peer Ambassador Program
Participants will be given login information for a website sova.pitt.edu. They will be given weekly emails notifications about new posts. The participant will be onboarded as a blogging peer ambassador. The participant will be expected to contribute content to the website at least once a month by 1. writing a blog article 2. sending information (de-identified photo or video or music) to post • If they choose this option they will be encouraged to submit their own photo, video, or music to the website or they will be encouraged to write a response to a photo, video, or music piece. 3. being interviewed by the RA and then the RA ghostwriting an article about the interview which they pre-approve prior to it being posted. SOVA Ambassador: The SOVA Ambassador intervention includes: adolescents will have access to the website specifically for adolescents: sova.pitt.edu These anonymous websites aim to: (1) challenge negative health beliefs and increase depression/anxiety knowledge through daily blog posts enhanced with peer commentary; (2) promote social support through online peer interactions; and (3) encourage parent-adolescent mental health communication through same day blog posts with questions for discussion. Participants that receive this intervention will contribute monthly articles and regular comments.
6
Attention Control: Brief Psychoeducational Independent Assignments
Participants will be sent a REDCap form where they will receive a link to a SOVA article to read and a question for them to answer about what they read that will be accessible only to the study team. They will be asked to do this a couple times a month and will be reminded about their participation. Self-Reflection: Participant will be given an article from the sova.pitt.edu website and a prompt to write about privately.
6
Total12

Baseline characteristics

CharacteristicTotalSOVA Peer Ambassador ProgramAttention Control: Brief Psychoeducational Independent Assignments
Age, Continuous15.8 years
STANDARD_DEVIATION 1.6
15.7 years
STANDARD_DEVIATION 1.4
15.9 years
STANDARD_DEVIATION 1.7
Anxiety Severity6.59 units on a scale
STANDARD_DEVIATION 2.65
5.67 units on a scale
STANDARD_DEVIATION 2.5
7.5 units on a scale
STANDARD_DEVIATION 2.81
Depression Severity7.83 units on a scale
STANDARD_DEVIATION 2.29
6.83 units on a scale
STANDARD_DEVIATION 1.6
8.83 units on a scale
STANDARD_DEVIATION 2.99
Emotional Self-Efficacy6.3 units on a scale
STANDARD_DEVIATION 1.6
6.4 units on a scale
STANDARD_DEVIATION 1.9
6.2 units on a scale
STANDARD_DEVIATION 1.4
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants1 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants5 Participants6 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
MacArthur Scale of Subjective Social Status (National)6.0 units on a scale
STANDARD_DEVIATION 2
6.1 units on a scale
STANDARD_DEVIATION 2.2
5.9 units on a scale
STANDARD_DEVIATION 1.8
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
6 Participants4 Participants2 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
5 Participants2 Participants3 Participants
Resilience/Positive Youth Development8.5 units on a scale
STANDARD_DEVIATION 2.9
8.5 units on a scale
STANDARD_DEVIATION 3.1
8.5 units on a scale
STANDARD_DEVIATION 3
Self-Esteem28.3 units on a scale
STANDARD_DEVIATION 3.9
28.3 units on a scale
STANDARD_DEVIATION 3.8
28.2 units on a scale
STANDARD_DEVIATION 4.4
Sex: Female, Male
Female
9 Participants4 Participants5 Participants
Sex: Female, Male
Male
3 Participants2 Participants1 Participants
Social Isolation47.1 units on a scale
STANDARD_DEVIATION 6.7
50.2 units on a scale
STANDARD_DEVIATION 5.6
44 units on a scale
STANDARD_DEVIATION 6.6
Social Support3.3 units on a scale
STANDARD_DEVIATION 0.9
3.2 units on a scale
STANDARD_DEVIATION 0.8
3.4 units on a scale
STANDARD_DEVIATION 1
Stigma19.2 units on a scale
STANDARD_DEVIATION 8.1
18.8 units on a scale
STANDARD_DEVIATION 6.9
19.7 units on a scale
STANDARD_DEVIATION 9.9

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 60 / 6
other
Total, other adverse events
0 / 60 / 6
serious
Total, serious adverse events
0 / 60 / 6

Outcome results

Primary

Feasibility of Intervention

Average number of articles written per participant; Research team extract data from websites and observation notes

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramFeasibility of Intervention1.67 content piecesStandard Deviation 1.75
Secondary

Acceptability of Implementation Strategy

Open-ended question: How acceptable to you was it to participate in this program? (referring to mental health program used as an implementation strategy) asked at baseline

Time frame: Baseline

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
SOVA Peer Ambassador ProgramAcceptability of Implementation StrategyVery acceptable3 Participants
SOVA Peer Ambassador ProgramAcceptability of Implementation StrategySomewhat acceptable0 Participants
SOVA Peer Ambassador ProgramAcceptability of Implementation StrategyNeither1 Participants
SOVA Peer Ambassador ProgramAcceptability of Implementation StrategySomewhat unacceptable0 Participants
SOVA Peer Ambassador ProgramAcceptability of Implementation StrategyVery unacceptable0 Participants
SOVA Peer Ambassador ProgramAcceptability of Implementation StrategyDid not attend program2 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of Implementation StrategyVery unacceptable0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of Implementation StrategyVery acceptable3 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of Implementation StrategySomewhat unacceptable0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of Implementation StrategySomewhat acceptable0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of Implementation StrategyDid not attend program3 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of Implementation StrategyNeither0 Participants
Secondary

Acceptability of Intervention

Acceptability of Intervention Measure; Open-ended question (asked the SOVA Website meets my approval)

Time frame: 12 weeks

Population: 5 individuals in SOVA Ambassador arm did not complete 12 week measure, lost to follow-up

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website meets my approval.Completely Agree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website meets my approval.Agree1 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website meets my approval.Neither Agree nor Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website meets my approval.Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website meets my approval.Completely Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website is appealing to me.Completely Agree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website is appealing to me.Agree1 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website is appealing to me.Neither Agree nor Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website is appealing to me.Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionThe SOVA website is appealing to me.Completely Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI like the SOVA website.Completely Agree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI like the SOVA website.Agree1 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI like the SOVA website.Neither Agree nor Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI like the SOVA website.Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI like the SOVA website.Completely Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI welcome the SOVA website.Completely Agree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI welcome the SOVA website.Agree1 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI welcome the SOVA website.Neither Agree nor Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI welcome the SOVA website.Disagree0 Participants
SOVA Peer Ambassador ProgramAcceptability of InterventionI welcome the SOVA website.Completely Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI welcome the SOVA website.Neither Agree nor Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website meets my approval.Completely Agree3 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI like the SOVA website.Completely Agree2 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website meets my approval.Agree3 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI welcome the SOVA website.Completely Agree2 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website meets my approval.Neither Agree nor Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI like the SOVA website.Agree3 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website meets my approval.Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI welcome the SOVA website.Completely Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website meets my approval.Completely Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI like the SOVA website.Neither Agree nor Disagree1 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website is appealing to me.Completely Agree2 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI welcome the SOVA website.Agree4 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website is appealing to me.Agree4 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI like the SOVA website.Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website is appealing to me.Neither Agree nor Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI welcome the SOVA website.Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website is appealing to me.Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionI like the SOVA website.Completely Disagree0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of InterventionThe SOVA website is appealing to me.Completely Disagree0 Participants
Secondary

Acceptability of Randomization

Single item open-ended question inquiring how acceptable it was to being randomly chosen to participate in the SOVA Ambassador arm versus the control arm

Time frame: 12 weeks

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
SOVA Peer Ambassador ProgramAcceptability of RandomizationSomewhat Acceptable1 Participants
SOVA Peer Ambassador ProgramAcceptability of RandomizationSomewhat Unacceptable0 Participants
SOVA Peer Ambassador ProgramAcceptability of RandomizationVery Acceptable0 Participants
SOVA Peer Ambassador ProgramAcceptability of RandomizationVery Unacceptable0 Participants
SOVA Peer Ambassador ProgramAcceptability of RandomizationNeither0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of RandomizationVery Unacceptable0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of RandomizationSomewhat Acceptable3 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of RandomizationNeither0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of RandomizationSomewhat Unacceptable0 Participants
Attention Control: Brief Psychoeducational Independent AssignmentsAcceptability of RandomizationVery Acceptable3 Participants
Secondary

Anxiety Severity

Generalized Anxiety Disorders 7-item Questionnaire measures extent of anxiety symptoms. The total score ranges from 0 to 21 with a higher score indicating greater severity.

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramAnxiety Severity7 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsAnxiety Severity5.5 units on a scaleStandard Deviation 2.88
Secondary

Anxiety Severity

Generalized Anxiety Disorders 7-item Questionnaire measures extent of anxiety symptoms. The total score ranges from 0 to 21 with a higher score indicating greater severity.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramAnxiety Severity7.5 units on a scaleStandard Deviation 6.24
Attention Control: Brief Psychoeducational Independent AssignmentsAnxiety Severity7.5 units on a scaleStandard Deviation 3.08
Secondary

Depression Severity

Patient Health Questionnaire-9 measures depression severity a higher score indicating greater severity. The PHQ-8 version was used with the 9th item omitted, score range is 0 to 24

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramDepression Severity9 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsDepression Severity8 units on a scaleStandard Deviation 5.4
Secondary

Depression Severity

Patient Health Questionnaire-9 measures depression severity a higher score indicating greater severity. The PHQ-8 version was used with the 9th item omitted, score range is 0 to 24

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramDepression Severity9.00 units on a scaleStandard Deviation 6.68
Attention Control: Brief Psychoeducational Independent AssignmentsDepression Severity9.50 units on a scaleStandard Deviation 3.02
Secondary

Emotional Self-Efficacy

Emotional self-efficacy will be assessed using The Mental Health Self-Efficacy Scale (MHSES) (α = 0.82) Clarke 2014. MHSES was developed according to guidelines by Bandura as to how to create self-efficacy questionnaires (Bandura, 2006) . The questionnaire contains six items asking about the participant's confidence level in performing mental health self-care behaviors. Scoring of the MHSES is based on a 10-point Likert scale ranging from 1 (Not at all confident) to 10 (Totally confident). Scores are a mean score ranging 1-10 with higher scores meaning higher mental health self-efficacy.

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramEmotional Self-Efficacy6 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsEmotional Self-Efficacy7.3 units on a scaleStandard Deviation 1.5
Secondary

Emotional Self-Efficacy

Emotional self-efficacy will be assessed using The Mental Health Self-Efficacy Scale (MHSES) (α = 0.82) Clarke 2014. MHSES was developed according to guidelines by Bandura as to how to create self-efficacy questionnaires (Bandura, 2006) . The questionnaire contains six items asking about the participant's confidence level in performing mental health self-care behaviors. Scoring of the MHSES is based on a 10-point Likert scale ranging from 1 (Not at all confident) to 10 (Totally confident). Scores are a mean score ranging 1-10 with higher scores meaning higher mental health self-efficacy.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramEmotional Self-Efficacy6.7 units on a scaleStandard Deviation 0.9
Attention Control: Brief Psychoeducational Independent AssignmentsEmotional Self-Efficacy6.3 units on a scaleStandard Deviation 1
Secondary

Feasibility of Control Arm

Average number of submissions to questions on the REDCap form per participant in the Attention control arm Research team extract data from REDCap

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramFeasibility of Control Arm5.5 entriesStandard Deviation 1.2
Secondary

Resilience/Positive Youth Development

Positive Youth Development will be assessed using The Positive Youth Development Very Short Form (PYD-VSF). The confidence subscale is reported which has 3 items with a total score ranging from 3 to 13 (α = 0.78), a higher score associated with a greater level of confidence.

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramResilience/Positive Youth Development4 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsResilience/Positive Youth Development7.8 units on a scaleStandard Deviation 1.9
Secondary

Resilience/Positive Youth Development

Positive Youth Development will be assessed using The Positive Youth Development Very Short Form (PYD-VSF). The confidence subscale is reported which has 3 items with a total score ranging from 3 to 13 (α = 0.78), a higher score associated with a greater level of confidence.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramResilience/Positive Youth Development7 units on a scaleStandard Deviation 2.3
Attention Control: Brief Psychoeducational Independent AssignmentsResilience/Positive Youth Development8.7 units on a scaleStandard Deviation 2.3
Secondary

Self-Esteem

The 10-item Rosenberg Self-Esteem Scale (RSES) (α = 0.93) will be administered to assess participants' self-esteem. Items on the Rosenberg Self-Esteem Scale ask about self-worth and self-acceptance and are scored using a four-point scale from 1 = strongly disagree, to 4 = strongly agree. The scores on each question are summed together, with higher scores indicating greater self-esteem. Scores range from 10-40

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramSelf-Esteem25 score on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsSelf-Esteem28.8 score on a scaleStandard Deviation 5.7
Secondary

Self-Esteem

The 10-item Rosenberg Self-Esteem Scale (RSES) (α = 0.93) will be administered to assess participants' self-esteem. Items on the Rosenberg Self-Esteem Scale ask about self-worth and self-acceptance and are scored using a four-point scale from 1 = strongly disagree, to 4 = strongly agree. The scores on each question are summed together, with higher scores indicating greater self-esteem. Scores range from 10-40 with a higher score equating to higher self esteem.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramSelf-Esteem26.0 units on a scaleStandard Deviation 3.7
Attention Control: Brief Psychoeducational Independent AssignmentsSelf-Esteem26.3 units on a scaleStandard Deviation 2.2
Secondary

Social Isolation

The revised UCLA Loneliness Scale will be administered to all participants to measure social isolation (α = 0.93). This 20-item scale measures one's feelings of social isolation and is scored using a four-point scale (1 = never; 2 = rarely; 3 = sometimes; 4 = often) . Score range 20-80, higher score is higher isolation.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramSocial Isolation52 units on a scaleStandard Deviation 8.6
Attention Control: Brief Psychoeducational Independent AssignmentsSocial Isolation42.2 units on a scaleStandard Deviation 4.8
Secondary

Social Isolation

The revised UCLA Loneliness Scale will be administered to all participants to measure social isolation (α = 0.93). This 20-item scale measures one's feelings of social isolation and is scored using a four-point scale (1 = never; 2 = rarely; 3 = sometimes; 4 = often) . Score range 20-80, higher score is higher isolation.

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramSocial Isolation50 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsSocial Isolation40.7 units on a scaleStandard Deviation 8.4
Secondary

Social Support

The Medical Outcome Study Social Support Scale measures types of social support. Higher levels associated with greater support. We will use the emotional/informational subscale from this report and calculate the mean per item score on a range of 1 to 5.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramSocial Support3.3 units on a scaleStandard Deviation 0.7
Attention Control: Brief Psychoeducational Independent AssignmentsSocial Support3.1 units on a scaleStandard Deviation 0.3
Secondary

Social Support

The Medical Outcome Study Social Support Scale measures types of social support. Higher levels associated with greater support. We will use the emotional/informational subscale from this report and calculate the mean per item score on a range of 1 to 5.

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramSocial Support3.6 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsSocial Support3.2 units on a scaleStandard Deviation 0.8
Secondary

Stigma

The Depression Stigma Scale measures stigmatizing attitudes toward depression treatment. It is a continuous measure and the total score ranges from 0-36. There are two subscales: the personal stigma subscale which totals 0-18 and the perceived stigma subscale which totals 0-18. These two are summed for the total stigma score. A higher score indicates a worse outcome.

Time frame: 12 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramStigma12 units on a scale
Attention Control: Brief Psychoeducational Independent AssignmentsStigma17.0 units on a scaleStandard Deviation 3.1
Secondary

Stigma

The Depression Stigma Scale measures stigmatizing attitudes toward depression treatment. It is a continuous measure and the total score ranges from 0-36. There are two subscales: the personal stigma subscale which totals 0-18 and the perceived stigma subscale which totals 0-18. These two are summed for the total stigma score. A higher score indicates a worse outcome.

Time frame: 6 weeks

ArmMeasureValue (MEAN)Dispersion
SOVA Peer Ambassador ProgramStigma19.8 units on a scaleStandard Deviation 3.9
Attention Control: Brief Psychoeducational Independent AssignmentsStigma18.5 units on a scaleStandard Deviation 2.3

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026