Care Burden, Caregiver Burnout, Caregiver Stress, Caregiver Wellbeing, Care Giving Burden, Support, Family
Conditions
Keywords
Digital Intervention, Social Media, Virtual Therapeutic Content, Virtual Educational Content, Supporters, Caregiving
Brief summary
The purpose of the present study is to investigate the feasibility, accessibility, and potential clinical benefits of implementing a moderated online social media platform with therapeutic content, Altitudes, to parents, caregivers, and supporters of young people with psychosis across the state of North Carolina, including in Coordinated Specialty Care (CSC) programs, Specialized Treatment Early in Psychosis (STEP) programs, and other community services where caregivers or supporters of young persons experiencing psychosis receive care. The investigators will evaluate acceptability and feasibility with up to 50 caregivers and supporters over the course of 6 months. Acceptability and usability will be assessed with various acceptability measures with the Altitudes caregivers and supporters, and caregivers and supporters' engagement with the digital platform. The investigators will additionally evaluate the impact of the platform on caregiver and supporter's psychological status, well-being, and social support, as measured via self-report questionnaires.
Detailed description
Purpose: The purpose of the present study is to investigate the feasibility, accessibility, and potential clinical benefits of implementing a moderated online social media platform with therapeutic content, Altitudes, to parents, caregivers, and supporters of young people with psychosis across the state of North Carolina, including in CSC programs, STEP programs, and other community services where caregivers or supporters of young persons experiencing psychosis receive care. Participants: Fifty parent or supporter participants from CSC clinics (OASIS, SHORE, Eagle, Encompass, AEGIS, and WeCare2), STEP programs, or community services will be recruited for Altitudes. Procedures (methods): All participants will be recruited over a 20-week to 28-week period at from the North Carolina's community services. Participants will engaged with the digital platform, known as Altitudes, for approximately 6 months. Site usage information as well as feedback about their experience will be collected from these participants through the Altitudes platform. Site usage information (e.g., number of posts/comments made on the site, the number and types of 'Journeys' or 'Tracks' \[psychoeducation and therapeutic content\] completed by participants, etc.) will be collected automatically through the Altitudes platform. Before being given access to Altitudes, a research coordinator, family peer support specialist, or moderator will provide instructions and guidance for using the site (i.e., Altitudes onboarding). Experiences, wellbeing, and support measures will be collected at baseline, mid-treatment (\ 3 months) and post-treatment (\ 6 months) for the Altitudes participants. As Altitudes involves psychoeducational and therapeutic content, this platform is considered an adjunct to care parents and supporters may be receiving. As such, Altitudes participants will not be compensated for their involvement in the platform. Site usage information will be collected automatically through the Altitudes site. However, Altitudes participants will be compensated for providing feedback about their experience with Altitudes as well as for completing other assessments. Finally, Altitudes will be monitored at least once daily by trained family peer support specialists, master's or Ph.D. level clinicians, and/or graduate students with relevant clinical/research experience with individuals experiencing psychosis and their supporters. Dr. Emily Parsons, trained clinical psychologist and family therapist, will lead bi-weekly supervision calls to ensure appropriate care and support of Altitudes participants involved in this project, to discuss case conceptualization and suggestions for engaging individuals in the platform, as well as to monitor any potential safety concerns.
Interventions
DEVICEDevice: Altitudes USA
Experimental participants will be onboarded to the digital platform, including the different spaces and how to use the site. The site includes educational and therapeutic content that is tailored to each individual and their current needs and experiences, including psychoeducation, supporting their loved one, self- care, social support, and so on. Further, the platform includes a moderated social media function, where users and family peer workers can post text, images, videos, and comments to connect and share their experiences. The site is monitored by graduated students and trained clinicians.
Sponsors
North Carolina Department of Health and Human Services
University of North Carolina, Chapel Hill
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* The participants must be a parent, caregiver, or supporter of a young person who is currently receiving treatment from a CSC program for FEP or STEP clinic, on the waitlist to receive services from the CSC, who has recently graduated/discharged from a CSC program, or was referred to the study from the community (via Early Psychosis Interventions of North Carolina (EPI-NC) warm line, community psychiatrist/therapist, or inpatient/outpatient mental health services) where young person is experiencing psychosis but was not referred or enrolled in CSC * Parent, caregiver, or supporter must be \> 18 years of age * Participants recruited from NC CSC programs (i.e., OASIS, SHORE, Encompass, Eagle, AEGIS, WeCare2), STEP programs, and the community screening process * Parent, caregiver, or supporter must have access to internet through a mobile phone, tablet, or computer
Exclusion criteria
* Parent or caregiver is currently engaged in legal action against the loved one experiencing psychosis * Parent or caregiver does not speak and understand English as the platform, its moderation, interviews, and measures are available only in English * Parent, caregiver, or supporter is \<18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean Change in Altitudes Usability Questionnaire (AUQ) - Moderation and Peer Support Subscale | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 20-item scale. The moderation and peer support subscale is three 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 3 to 21. Higher scores indicate higher regard of the moderators and peer support on the Altitudes platform. |
| Mean Change in Altitudes Usability Questionnaire (AUQ) - Ideas for Increased Engagement Subscale | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 20-item scale. The ideas for increased engagement subscale is five 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 5 to 35. Each question has to be interrupted individually to assess of the subscale. |
| Mean Change in Altitudes Usability Questionnaire (AUQ) - Barriers to Use Subscale | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 20-item scale. The barriers to use subscale is six 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 6 to 42. Lower scores indicate less issues with barriers to engaging with the platform. |
| Mean Engagement With the Altitudes Platform | [Up to Month 6] | The Altitudes platform passively collects engagement data, including the number of therapy material accessed, number of problem-solving discussion forums (i.e., talk-it-outs), and any posts, comments, or reactions (emojis to other users' posts/comments) made on the platform. The investigators will provide the means and standard deviations for these site usage categories throughout the study period. |
| Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Bond Subscale | [Time Frame: Month 3, Month 6] | The Working Alliance Inventory for Guided Internet Interventions (WAI-I) is a 4-item scale. Answers are on a 5-point scale with options seldom, sometimes, fairly often, very often, and always. Possible scores are averaged across items and range from 1 to 5. Higher scores indicate stronger bond with the supporting therapist. |
| Mean Change in Altitudes Health Care Climate Questionnaire (A-HCCQ) - Total Score | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 15-item scale. Answers are on a 7-point Likert scale (1-7) with options Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 15 to 105 with higher scores reflecting better perceptions of their relationship with Altitudes moderators. |
| Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Total Score | [Time Frame: Month 3, Month 6] | The Working Alliance Inventory for Guided Internet Interventions (WAI-I) is a 12-item scale. Answers are on a 5-point scale with options seldom, sometimes, fairly often, very often, and always. Possible scores are averaged across items and range from 1 to 5. Higher scores indicate greater therapeutic alliance. |
| Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Task and Goals Subscale | [Time Frame: Month 3, Month 6] | The Working Alliance Inventory for Guided Internet Interventions (WAI-I) task and goals subscale is an 8-item scale. Answers are on a 5-point scale with options seldom, sometimes, fairly often, very often, and always. Possible scores are averaged across items and range from 1 to 5. Higher scores indicate greater agreement between the therapist and client on tasks and goals. |
| Mean Change in Altitudes Perceived Competence Scale (A-PCS) - Total Score | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 4-item scale. Answers are on a 7-point Likert scale with options Not at all true\[1\], Somewhat true\[4\], Very true\[7\] with a sliding scale between answers. Possible scores range from 4 to 28. Higher scores indicate stronger perceived competence and ability in using the Altitudes platform. |
| Mean Change in Altitudes Usability Questionnaire (AUQ) - Overall Impressions of Platform Subscale | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 20-item scale. The overall impressions of the platform scale is three 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 3 to 21. Higher scores indicate better overall impressions of the Altitudes platform. |
| Mean Change in Altitudes Usability Questionnaire (AUQ) - Perception of Other Platform Users Subscale | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 20-item scale. The perception of other platform users subscale is four 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 4 to 28. Higher scores indicate better perception of interactions with other Altitudes participants. |
| Mean Change in Altitudes Usability Questionnaire (AUQ) - Safety and Confidentiality Subscale | [Time Frame: Month 3, Month 6] | The Altitudes Health Care Climate Questionnaire is a 20-item scale. The safety and confidentiality subscale is two 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 2 to 14. Higher scores indicate higher perceived safety and confidentiality when using the platform. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Change in University of California, Los Angeles (UCLA) Loneliness Scale - Total Score | [Time Frame: Baseline, up to Month 6] | The UCLA Loneliness scale is a 20-item scale. Answers are on a 4-point scale with options I often feel this way, I sometimes feel this way, I rarely feel this way, and I never feel this way. Possible scores range from 20 to 80. Higher scores reflect worse outcomes (greater feelings of loneliness). The UCLA Loneliness Scale is a part of the PhenX Toolkit. |
| Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Emotion-Focused Subscale | [Time Frame: Baseline, Up to Month 6] | The Brief-COPE is a 28-item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The emotion-focused subscale is 12 items. Answers are on a 4-point scale ranging from 1 I haven't been doing this at all to 4 I have been doing this a lot. Possible scores range from 12 to 48. Higher scores on each reflect more frequent use of emotion focused coping. |
| Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Avoidant-Focused Subscale | [Time Frame: Baseline, Up to Month 6] | The Brief-COPE is a 28-item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The avoidant-focused subscale is 8 items. Answers are on a 4-point scale ranging from 1 I haven't been doing this at all to 4 I have been doing this a lot. Possible scores range from 8 to 32. Higher scores on each reflect more frequent use of avoidance for coping. |
| Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Problem-Focused Subscale | [Time Frame: Baseline, Up to Month 6] | The Brief-COPE is a 28-item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The problem-focused subscale is 8 items. Answers are on a 4-point scale ranging from 1 I haven't been doing this at all to 4 I have been doing this a lot. Possible scores range from 8 to 32. Higher scores on each reflect more frequent use of problem focused coping. |
| Mean Change in Family Questionnaire of Expressed Emotion - Emotional Overinvolvement (EOI) Subscale | [Time Frame: Baseline, Up to Month 6] | The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement (EOI)) of family members toward patients with mental illness. The EOI subscale consists of 10 items with each item is rated on a 4-point scale (1 = never/very rarely; 4 = very often). The EOI subscale is scored by adding together the ratings from the individual items. Possible scores ranging from 10 to 40 with higher scores indicating greater levels of emotional overinvolvement with their loved one. |
| Mean Change in Family Questionnaire of Expressed Emotion - Critical Comments Subscale | [Time Frame: Baseline, Up to Month 6] | The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement (EOI)) of family members toward patients with mental illness. The subscale is 10-items and is rated on a 4-point scale (1 = never/very rarely; 4 = very often). It is scored by adding together the ratings from the individual items. Possible scores ranging from 10 to 40 with higher scores indicating greater levels of critical comments with their loved one. |
| Mean Change in Family Questionnaire of Expressed Emotion - Total Score | [Time Frame: Baseline, Up to Month 6] | The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement (EOI)) of family members toward patients with mental illness. The FQ has two subscales: critical comments, and EOI. Each item is rated on a 4-point scale (1 = never/very rarely; 4 = very often). The FQ is scored by adding together the ratings from the individual items. Possible scores range from 20 to 80 with higher scores indicating greater levels of expressed emotion. |
| Mean Change in the Experience of Caregiving Inventory (ECI) - Negative Experiences Subscale | [Time Frame: Baseline, Up to Month 6] | The ECI Scale is a 66-item scale. Answers are on a 5-point scale starting at 0 with options never, rarely, sometimes, often, and nearly always. The negative experience subscale is 52 items with possible scores range from 0 to 208. Higher scores reflect feeling less prepared to provide caregiving and more negative experiences in caregiving. |
| Mean Change in the Experience of Caregiving Inventory (ECI) - Positive Experience Subscales | [Time Frame: Baseline, Up to Month 6] | The ECI Scale is a 66-item scale. Answers are on a 5-point scale starting at 0 with options never, rarely, sometimes, often, and nearly always. The positive experience subscale is 14 items with possible scores range from 0 to 56. Higher scores indicate greater feelings of preparedness and experiences with caregiving. |
| Mean Change in Medical Outcomes Study (MOS) Social Support Survey - Total Score | [Time Frame: Baseline, Up to Month 6] | The MOS Social Support Survey is a 19-item scale. Answers are on a 5-point scale with options none of the time, a little of the time, some of the time, most of the time, and all of the time. Possible scores range from 19 to 95. Higher scores reflect higher feelings of social support (more perceived social support). The MOS Social Support Survey is a part of the PhenX Toolkit. |
| Mean Change in Generalized Anxiety Disorder 7-item (GAD-7) - Total Score | [Time Frame: Baseline, Up to Month 6] | The GAD-7 is an 7-item scale. Answers are on a 4-point scale (0 = not at all; 3 = nearly every day) Possible scores range from 0 to 21. Higher scores reflect worse anxiety). |
| Mean Change in Patient Health Questionnaire (PHQ) - Total Score | [Time Frame: Baseline, Up to Month 6] | The PHQ is an 8-item scale. Answers are on a 4-point scale (0 = not at all; 3 = nearly every day). Possible scores range from 0 to 24. Higher scores reflect a greater severity of depression. |
| Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Non-Reactivity Subscale | [Time Frame: Baseline, Up to Month 6] | The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The non-reactivity subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 with higher scores indicate more mindful non-reactivity to thoughts and feelings. |
| Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Non-Judgmental Inner Experience Subscale | [Time Frame: Baseline, Up to Month 6] | The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The non-judgemental subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 once appropriate items have been reversed scored with higher scores indicate more nonjudgmental thoughts towards their beliefs and feelings. |
| Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Mindful Action Subscale | [Time Frame: Baseline, Up to Month 6] | The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The mindful action subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 after appropriate items have been reversed scored with higher scores indicate more awareness around their actions and experiences. |
| Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Description Subscale | [Time Frame: Baseline, Up to Month 6] | The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The description subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 after reverse scoring of appropriate items with higher scores indicate more to describe their feelings and experiences. |
| Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Observation Subscale | [Time Frame: Baseline, Up to Month 6] | The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The observation subscale is 3 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 3 to 15 with higher scores indicate more observational awareness. |
| Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Total Score | [Time Frame: Baseline, Up to Month 6] | The Five Facet Mindfulness Questionnaire: 24-item is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. It can be divided into five subscales: Observing, Describing, Acting in Awareness, Non-judging, and Non-reactivity. Answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 24 to 120 once necessary questions (i.e., negative) have been reversed scored. Higher scores indicate more mindfulness and self- awareness. |
| Mean Change in Self-Compassion Scale: Short Form (SCS) - Total Score | [Time Frame: Baseline, Up to Month 6] | The Self-Compassion Scale is a 12-item self-report questionnaire designed to measure an individual's self-compassion towards themselves as well as their feelings and emotions. It can be divided into six subscales with two questions for each: Self-Kindness, Self-Judgment, Common Humanity, Isolation, Mindfulness, Over-identified. Answers are on a 5- point scale ranging from 1 Almost never to 5 Almost always. Total score is calculated by totaling the mean of each subscales and reversing the negative subscales (self-judgment, isolation, and over-identification) then taking the mean of the summed subscales. Possible scores range from 1 to 5 with higher scores indicate increased self-compassion. |
| Mean Change in the Modified Psychosis Attitude Survey - Total Score | [Time Frame: Baseline, Up to Month 6] | The Modified Psychosis Attitudes Survey is a 19-item self-report questionnaire designed to measure an individual's beliefs and attitude towards psychosis (e.g., identifying psychosis, interacting with individuals experiencing psychosis, etc.). The survey can be divided into 4 subscales: perceived confidence, optimism, fulfillment, and stress-vulnerability orientation. Answers range from Very strongly disagree, Strongly disagree, Mildly disagree, Neutral, Mildly agree, Strongly agree, Very strongly agree. Total score is obtained with summing each question, after reverse scoring appropriate questions. Possible scores range from 19 to 133. Higher total score indicates an increased knowledge, optimism, and attitudes towards psychosis. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mean Change in the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 (PCL-5) | [Time Frame: Baseline, Up to Month 6] | The PCL-5 is a 20-item self-report measure of the 20 DSM-5 symptoms of Post Traumatic Stress Disorder (PTSD). Included in the scale are four domains consistent with the four criteria of PTSD in DSM-5: Re-experiencing (criterion B), Avoidance (criterion C), Negative alterations in cognition and mood (criterion D), and Hyper-arousal (criterion E). Answers are on a 5-point scale including Not at all, A little bit, Moderately, Quite a bit, and Extremely and with total scores ranging from 0 to 80. Higher scores on the PCL-5 reflect more severe trauma-related symptoms. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Altitudes Condition Individuals whose loved ones are experiencing first-episode psychosis (FEP) and receiving services from OASIS, SHORE, Eagle, Encompass, AEGIS, and WeCare2), STEP programs, or community services will be recruited to participate in a digital platform, Altitudes, for 6 months as part of an adjunct service to the clinic's services. Participants will have access to and encouraged to use the educational and therapeutic content as well as the moderated online community network during their time engaging with the platform. They will be asked to complete a battery of measures at baseline, 3-months, and 6 months. | 17 |
| Total | 17 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 1 |
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | Altitudes Condition |
|---|---|
| Age, Continuous | 51.529 Years STANDARD_DEVIATION 8.718 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 16 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 15 Participants |
| Region of Enrollment United States | 17 Participants |
| Sex/Gender, Customized Female | 14 Participants |
| Sex/Gender, Customized Male | 3 Participants |
| Sex/Gender, Customized Non-binary | 0 Participants |
| Sex/Gender, Customized Other (please specify) | 0 Participants |
| Sex/Gender, Customized Transgender female | 0 Participants |
| Sex/Gender, Customized Transgender male | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 17 |
| other Total, other adverse events | 0 / 17 |
| serious Total, serious adverse events | 0 / 17 |
Outcome results
Primary
Mean Change in Altitudes Health Care Climate Questionnaire (A-HCCQ) - Total Score
The Altitudes Health Care Climate Questionnaire is a 15-item scale. Answers are on a 7-point Likert scale (1-7) with options Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 15 to 105 with higher scores reflecting better perceptions of their relationship with Altitudes moderators.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Health Care Climate Questionnaire (A-HCCQ) - Total Score | 0.091 Scores on a scale | Standard Deviation 16.257 |
Primary
Mean Change in Altitudes Perceived Competence Scale (A-PCS) - Total Score
The Altitudes Health Care Climate Questionnaire is a 4-item scale. Answers are on a 7-point Likert scale with options Not at all true\[1\], Somewhat true\[4\], Very true\[7\] with a sliding scale between answers. Possible scores range from 4 to 28. Higher scores indicate stronger perceived competence and ability in using the Altitudes platform.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Perceived Competence Scale (A-PCS) - Total Score | -0.545 Scores on a scale | Standard Deviation 2.067 |
Primary
Mean Change in Altitudes Usability Questionnaire (AUQ) - Barriers to Use Subscale
The Altitudes Health Care Climate Questionnaire is a 20-item scale. The barriers to use subscale is six 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 6 to 42. Lower scores indicate less issues with barriers to engaging with the platform.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Usability Questionnaire (AUQ) - Barriers to Use Subscale | 1.818 score on a scale | Standard Deviation 2.562 |
Primary
Mean Change in Altitudes Usability Questionnaire (AUQ) - Ideas for Increased Engagement Subscale
The Altitudes Health Care Climate Questionnaire is a 20-item scale. The ideas for increased engagement subscale is five 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 5 to 35. Each question has to be interrupted individually to assess of the subscale.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Usability Questionnaire (AUQ) - Ideas for Increased Engagement Subscale | 0.182 score on a scale | Standard Deviation 2.96 |
Primary
Mean Change in Altitudes Usability Questionnaire (AUQ) - Moderation and Peer Support Subscale
The Altitudes Health Care Climate Questionnaire is a 20-item scale. The moderation and peer support subscale is three 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 3 to 21. Higher scores indicate higher regard of the moderators and peer support on the Altitudes platform.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Usability Questionnaire (AUQ) - Moderation and Peer Support Subscale | -0.455 score on a scale | Standard Deviation 3.267 |
Primary
Mean Change in Altitudes Usability Questionnaire (AUQ) - Overall Impressions of Platform Subscale
The Altitudes Health Care Climate Questionnaire is a 20-item scale. The overall impressions of the platform scale is three 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 3 to 21. Higher scores indicate better overall impressions of the Altitudes platform.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Usability Questionnaire (AUQ) - Overall Impressions of Platform Subscale | 0.455 Scores on a scale | Standard Deviation 2.296 |
Primary
Mean Change in Altitudes Usability Questionnaire (AUQ) - Perception of Other Platform Users Subscale
The Altitudes Health Care Climate Questionnaire is a 20-item scale. The perception of other platform users subscale is four 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 4 to 28. Higher scores indicate better perception of interactions with other Altitudes participants.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Usability Questionnaire (AUQ) - Perception of Other Platform Users Subscale | -0.182 Scores on a scale | Standard Deviation 2.822 |
Primary
Mean Change in Altitudes Usability Questionnaire (AUQ) - Safety and Confidentiality Subscale
The Altitudes Health Care Climate Questionnaire is a 20-item scale. The safety and confidentiality subscale is two 7-point Likert scale answers with options of Strongly Disagree, Mildly Disagree, Slightly Disagree, Neutral, Slightly Agree, Mildly Agree, and Strongly Agree. Possible scores range from 2 to 14. Higher scores indicate higher perceived safety and confidentiality when using the platform.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Altitudes Usability Questionnaire (AUQ) - Safety and Confidentiality Subscale | -0.182 Scores on a scale | Standard Deviation 2.786 |
Primary
Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Bond Subscale
The Working Alliance Inventory for Guided Internet Interventions (WAI-I) is a 4-item scale. Answers are on a 5-point scale with options seldom, sometimes, fairly often, very often, and always. Possible scores are averaged across items and range from 1 to 5. Higher scores indicate stronger bond with the supporting therapist.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Bond Subscale | 0.818 Scores on a scale | Standard Deviation 1.722 |
Primary
Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Task and Goals Subscale
The Working Alliance Inventory for Guided Internet Interventions (WAI-I) task and goals subscale is an 8-item scale. Answers are on a 5-point scale with options seldom, sometimes, fairly often, very often, and always. Possible scores are averaged across items and range from 1 to 5. Higher scores indicate greater agreement between the therapist and client on tasks and goals.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Task and Goals Subscale | 0.273 Scores on a scale | Standard Deviation 6.68 |
Primary
Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Total Score
The Working Alliance Inventory for Guided Internet Interventions (WAI-I) is a 12-item scale. Answers are on a 5-point scale with options seldom, sometimes, fairly often, very often, and always. Possible scores are averaged across items and range from 1 to 5. Higher scores indicate greater therapeutic alliance.
Time frame: [Time Frame: Month 3, Month 6]
Population: Data are only reported for participants who completed both mid-treatment and post treatment assessments.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Working Alliance Inventory for Guided Internet Interventions (WAI-I) - Total Score | 1.091 Scores on a scale | Standard Deviation 7.529 |
Primary
Mean Engagement With the Altitudes Platform
The Altitudes platform passively collects engagement data, including the number of therapy material accessed, number of problem-solving discussion forums (i.e., talk-it-outs), and any posts, comments, or reactions (emojis to other users' posts/comments) made on the platform. The investigators will provide the means and standard deviations for these site usage categories throughout the study period.
Time frame: [Up to Month 6]
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Altitudes Condition | Mean Engagement With the Altitudes Platform | Posts on community page | 1.71 clicks per category | Standard Deviation 2.201 |
| Altitudes Condition | Mean Engagement With the Altitudes Platform | Reactions on community page | 7.35 clicks per category | Standard Deviation 9.893 |
| Altitudes Condition | Mean Engagement With the Altitudes Platform | Talk-it-out | 0.12 clicks per category | Standard Deviation 0.332 |
| Altitudes Condition | Mean Engagement With the Altitudes Platform | Comments on community page | 3.12 clicks per category | Standard Deviation 6.214 |
| Altitudes Condition | Mean Engagement With the Altitudes Platform | Therapy | 41.41 clicks per category | Standard Deviation 52.571 |
Secondary
Mean Change in Family Questionnaire of Expressed Emotion - Critical Comments Subscale
The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement (EOI)) of family members toward patients with mental illness. The subscale is 10-items and is rated on a 4-point scale (1 = never/very rarely; 4 = very often). It is scored by adding together the ratings from the individual items. Possible scores ranging from 10 to 40 with higher scores indicating greater levels of critical comments with their loved one.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Family Questionnaire of Expressed Emotion - Critical Comments Subscale | -1.294 score on a scale | Standard Deviation 4.972 |
Secondary
Mean Change in Family Questionnaire of Expressed Emotion - Emotional Overinvolvement (EOI) Subscale
The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement (EOI)) of family members toward patients with mental illness. The EOI subscale consists of 10 items with each item is rated on a 4-point scale (1 = never/very rarely; 4 = very often). The EOI subscale is scored by adding together the ratings from the individual items. Possible scores ranging from 10 to 40 with higher scores indicating greater levels of emotional overinvolvement with their loved one.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Family Questionnaire of Expressed Emotion - Emotional Overinvolvement (EOI) Subscale | -2.353 score on a scale | Standard Deviation 4.344 |
Secondary
Mean Change in Family Questionnaire of Expressed Emotion - Total Score
The Family Questionnaire (FQ) is a 20-item, self-administered questionnaire that measures expressed emotion status (criticism and emotional over involvement (EOI)) of family members toward patients with mental illness. The FQ has two subscales: critical comments, and EOI. Each item is rated on a 4-point scale (1 = never/very rarely; 4 = very often). The FQ is scored by adding together the ratings from the individual items. Possible scores range from 20 to 80 with higher scores indicating greater levels of expressed emotion.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Family Questionnaire of Expressed Emotion - Total Score | -3.647 score on a scale | Standard Deviation 8.276 |
Secondary
Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Description Subscale
The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The description subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 after reverse scoring of appropriate items with higher scores indicate more to describe their feelings and experiences.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Description Subscale | 0.588 score on a scale | Standard Deviation 1.278 |
Secondary
Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Mindful Action Subscale
The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The mindful action subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 after appropriate items have been reversed scored with higher scores indicate more awareness around their actions and experiences.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Mindful Action Subscale | -0.059 score on a scale | Standard Deviation 2.41 |
Secondary
Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Non-Judgmental Inner Experience Subscale
The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The non-judgemental subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 once appropriate items have been reversed scored with higher scores indicate more nonjudgmental thoughts towards their beliefs and feelings.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Non-Judgmental Inner Experience Subscale | 0.235 score on a scale | Standard Deviation 1.985 |
Secondary
Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Non-Reactivity Subscale
The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The non-reactivity subscale is 5 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 5 to 25 with higher scores indicate more mindful non-reactivity to thoughts and feelings.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Non-Reactivity Subscale | 0.294 score on a scale | Standard Deviation 1.863 |
Secondary
Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Observation Subscale
The Five Facet Mindfulness Questionnaire: 24 is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. The observation subscale is 3 items with answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 3 to 15 with higher scores indicate more observational awareness.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Observation Subscale | 0.882 score on a scale | Standard Deviation 1.691 |
Secondary
Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Total Score
The Five Facet Mindfulness Questionnaire: 24-item is a 24-item self-report questionnaire designed to measure an individual's mindful self-awareness. It can be divided into five subscales: Observing, Describing, Acting in Awareness, Non-judging, and Non-reactivity. Answers are on a 5-point Likert scale of Never or very rarely true, Rarely true, Sometimes true, Often true, and Very often true or always true. Possible scores range from 24 to 120 once necessary questions (i.e., negative) have been reversed scored. Higher scores indicate more mindfulness and self- awareness.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Five Facet Mindfulness Questionnaire: 24-item (FFMQ-24) - Total Score | 2.059 score on a scale | Standard Deviation 3.96 |
Secondary
Mean Change in Generalized Anxiety Disorder 7-item (GAD-7) - Total Score
The GAD-7 is an 7-item scale. Answers are on a 4-point scale (0 = not at all; 3 = nearly every day) Possible scores range from 0 to 21. Higher scores reflect worse anxiety).
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Generalized Anxiety Disorder 7-item (GAD-7) - Total Score | -0.588 score on a scale | Standard Deviation 5.075 |
Secondary
Mean Change in Medical Outcomes Study (MOS) Social Support Survey - Total Score
The MOS Social Support Survey is a 19-item scale. Answers are on a 5-point scale with options none of the time, a little of the time, some of the time, most of the time, and all of the time. Possible scores range from 19 to 95. Higher scores reflect higher feelings of social support (more perceived social support). The MOS Social Support Survey is a part of the PhenX Toolkit.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Medical Outcomes Study (MOS) Social Support Survey - Total Score | 1.353 score on a scale | Standard Deviation 16.159 |
Secondary
Mean Change in Patient Health Questionnaire (PHQ) - Total Score
The PHQ is an 8-item scale. Answers are on a 4-point scale (0 = not at all; 3 = nearly every day). Possible scores range from 0 to 24. Higher scores reflect a greater severity of depression.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Patient Health Questionnaire (PHQ) - Total Score | -1.118 score on a scale | Standard Deviation 5.476 |
Secondary
Mean Change in Self-Compassion Scale: Short Form (SCS) - Total Score
The Self-Compassion Scale is a 12-item self-report questionnaire designed to measure an individual's self-compassion towards themselves as well as their feelings and emotions. It can be divided into six subscales with two questions for each: Self-Kindness, Self-Judgment, Common Humanity, Isolation, Mindfulness, Over-identified. Answers are on a 5- point scale ranging from 1 Almost never to 5 Almost always. Total score is calculated by totaling the mean of each subscales and reversing the negative subscales (self-judgment, isolation, and over-identification) then taking the mean of the summed subscales. Possible scores range from 1 to 5 with higher scores indicate increased self-compassion.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in Self-Compassion Scale: Short Form (SCS) - Total Score | 0.064 score on a scale | Standard Deviation 0.266 |
Secondary
Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Avoidant-Focused Subscale
The Brief-COPE is a 28-item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The avoidant-focused subscale is 8 items. Answers are on a 4-point scale ranging from 1 I haven't been doing this at all to 4 I have been doing this a lot. Possible scores range from 8 to 32. Higher scores on each reflect more frequent use of avoidance for coping.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Avoidant-Focused Subscale | -0.471 score on a scale | Standard Deviation 5.026 |
Secondary
Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Emotion-Focused Subscale
The Brief-COPE is a 28-item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The emotion-focused subscale is 12 items. Answers are on a 4-point scale ranging from 1 I haven't been doing this at all to 4 I have been doing this a lot. Possible scores range from 12 to 48. Higher scores on each reflect more frequent use of emotion focused coping.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Emotion-Focused Subscale | 0.706 score on a scale | Standard Deviation 6.302 |
Secondary
Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Problem-Focused Subscale
The Brief-COPE is a 28-item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The problem-focused subscale is 8 items. Answers are on a 4-point scale ranging from 1 I haven't been doing this at all to 4 I have been doing this a lot. Possible scores range from 8 to 32. Higher scores on each reflect more frequent use of problem focused coping.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the Brief Coping Orientation to Problems Experienced (COPE) Scale - Problem-Focused Subscale | 0.059 score on a scale | Standard Deviation 3.665 |
Secondary
Mean Change in the Experience of Caregiving Inventory (ECI) - Negative Experiences Subscale
The ECI Scale is a 66-item scale. Answers are on a 5-point scale starting at 0 with options never, rarely, sometimes, often, and nearly always. The negative experience subscale is 52 items with possible scores range from 0 to 208. Higher scores reflect feeling less prepared to provide caregiving and more negative experiences in caregiving.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the Experience of Caregiving Inventory (ECI) - Negative Experiences Subscale | -10.824 score on a scale | Standard Deviation 18.822 |
Secondary
Mean Change in the Experience of Caregiving Inventory (ECI) - Positive Experience Subscales
The ECI Scale is a 66-item scale. Answers are on a 5-point scale starting at 0 with options never, rarely, sometimes, often, and nearly always. The positive experience subscale is 14 items with possible scores range from 0 to 56. Higher scores indicate greater feelings of preparedness and experiences with caregiving.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the Experience of Caregiving Inventory (ECI) - Positive Experience Subscales | 4.059 score on a scale | Standard Deviation 4.93 |
Secondary
Mean Change in the Modified Psychosis Attitude Survey - Total Score
The Modified Psychosis Attitudes Survey is a 19-item self-report questionnaire designed to measure an individual's beliefs and attitude towards psychosis (e.g., identifying psychosis, interacting with individuals experiencing psychosis, etc.). The survey can be divided into 4 subscales: perceived confidence, optimism, fulfillment, and stress-vulnerability orientation. Answers range from Very strongly disagree, Strongly disagree, Mildly disagree, Neutral, Mildly agree, Strongly agree, Very strongly agree. Total score is obtained with summing each question, after reverse scoring appropriate questions. Possible scores range from 19 to 133. Higher total score indicates an increased knowledge, optimism, and attitudes towards psychosis.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the Modified Psychosis Attitude Survey - Total Score | 3.353 score on a scale | Standard Error 8.817 |
Secondary
Mean Change in University of California, Los Angeles (UCLA) Loneliness Scale - Total Score
The UCLA Loneliness scale is a 20-item scale. Answers are on a 4-point scale with options I often feel this way, I sometimes feel this way, I rarely feel this way, and I never feel this way. Possible scores range from 20 to 80. Higher scores reflect worse outcomes (greater feelings of loneliness). The UCLA Loneliness Scale is a part of the PhenX Toolkit.
Time frame: [Time Frame: Baseline, up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in University of California, Los Angeles (UCLA) Loneliness Scale - Total Score | -2.588 score on a scale | Standard Deviation 3.675 |
Other Pre-specified
Mean Change in the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 (PCL-5)
The PCL-5 is a 20-item self-report measure of the 20 DSM-5 symptoms of Post Traumatic Stress Disorder (PTSD). Included in the scale are four domains consistent with the four criteria of PTSD in DSM-5: Re-experiencing (criterion B), Avoidance (criterion C), Negative alterations in cognition and mood (criterion D), and Hyper-arousal (criterion E). Answers are on a 5-point scale including Not at all, A little bit, Moderately, Quite a bit, and Extremely and with total scores ranging from 0 to 80. Higher scores on the PCL-5 reflect more severe trauma-related symptoms.
Time frame: [Time Frame: Baseline, Up to Month 6]
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Altitudes Condition | Mean Change in the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 (PCL-5) | -2.647 score on a scale | Standard Deviation 7.348 |