Bipolar and Related Disorders, Depressive Disorder, Psychosis
Conditions
Brief summary
Researchers aim to test a brief culturally-responsive young adult orientation program for community mental health services. They will conduct a 24-month randomized trial with 80 young adults from racial and ethnic minority groups in a community-based mental health clinic.
Detailed description
The study objective is to assess the feasibility and acceptability of three new culturally-responsive components added to the brief young adult engagement intervention called Just Do You. The new components incorporate techniques from the DSM-5 Cultural Formulation Interview (CFI) and creative arts therapy to increase culturally-responsive content in Just Do You, which demonstrated evidence of keeping young adults connected to their treatment in a prior trial. Components are designed to elicit relevant cultural characteristics, experiences, and perspectives of diverse young adults enrolled in psychiatric rehabilitation as part of the Just Do You orientation program. The investigators will examine whether the new culturally-responsive components improve engagement in mental health services and increase service utilization. A total of 80 young adults enrolled in an outpatient psychiatric rehabilitation program in New York will be recruited over 24 months to take part in a randomized full factorial pilot trial. Participants will be given a baseline assessment and randomly assigned to one of eight combinations of intervention components. Just Do You will be delivered first to all participants, with the assigned combination of new components to follow. The intervention will be delivered at the psychiatric rehabilitation program and will last up to five weeks for each participant, depending on the experimental condition. Outcome measures will be assessed at baseline, post-intervention, and 3-month follow up.
Interventions
BEHAVIORALJust Do You
Just Do You Core Intervention utilizes creative arts and a provider team of a licensed clinician and professional peer to increase young adult engagement in adult outpatient mental health programs. Content addresses recovery, advantages of using mental health services, working with providers, stigma, and mental health literacy.
BEHAVIORALComponent A
Content addresses participant cultural identities and how they may be barriers and facilitators to on-going engagement with services.
BEHAVIORALComponent B
Content addresses identity-based motivations for on-going engagement with services and hope for the future.
BEHAVIORALComponent C
Content addresses community and environmental barriers and facilitators to on-going engagement with services and self-efficacy.
Sponsors
New York University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 34 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-34 * From groups other than non-Hispanic White * Enrolled in services at the partnering clinic site
Exclusion criteria
* Cognitive impairments (i.e., young adult cannot understand consent process) * Unable to comprehend and speak English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant acceptability questionnaire | Immediately after the intervention | Self-report measure for assessing intervention acceptability from the perspectives of intervention recipients. Based on the theoretical framework of acceptability. Items are scored from 1 to 5. Possible total scores range from 9 to 45, with higher scores indicating greater acceptability. |
| Qualitative interviews | Immediately after the intervention | Interviews with participants to assess acceptability of Components A, B, and C |
| Intervention adherence | Baseline through study completion, an average of 2 years; repeated measure to assess change through study completion | Provider reported rate of intervention components completed by participants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Service utilization | Assessed 3 months after baseline | Provider reported service utilization. Total number of contacts between participant and service providers starting 1 month before baseline though 3-month follow up to assess change in participant engagement. |
| Client Engagement in Child Protective Services Scale | Assessed immediately after the intervention and 3 months after baseline | This scale is altered to measure young adult engagement in mental health services. The scale includes 8 questions and responses will be summed. The range for the scale is 8 to 40, with higher scores indicating higher levels of engagement. |
Countries
United States
Contacts
Primary ContactKiara L Moore, PhD
Outcome results
None listed