Mental Health, Well-being
Conditions
Brief summary
We will study the impacts of offering access to an emotional well-being phone app to Hispanic U.S. immigrants in psychological distress. Our primary outcome is participants' psychological well-being.
Interventions
Participants will have access to the well-being app for two months.
A $10 gift card are given to participants at the end of the study if they used the app sufficiently.
Participants will have access to the well-being app for four months.
Participants can participate in a draw of $150 gift cards at the end of the study if they used the app sufficiently.
Sponsors
Study design
Eligibility
Inclusion criteria
The target population will be: immigrants to the U.S. of Hispanic origin whose native language is Spanish, who have been living in the U.S. (intermittently or continuously) for less than 10 years, who are over 18 years of age, who have a PHQ4 score that is three or more, who would be interested in using a well-being phone app, who do not have a graduate degree and have access to a smartphone.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression, anxiety, and stress | Up to six months since enrollment | Measured by the Patient Health Questionnaire 8 (PHQ) |
| Locus of Control | Up to six months since enrollment | Measure using the Internal-External Locus of Control Short Scale-4 (IE-4) |
| Self-efficacy | Up to six months since enrollment | Measured using the short version of the General Self-Efficacy Scale, the GSE-6 |
| Stress | Up to six months since enrollment | Measured by PSS-4 (Perceived Stress Scale 4) |
| Anxiety | Up to six months since enrollment | Measured by GAD-7 (General Anxiety Disorder Questionnaire) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Remittances | Up to six months since enrollment | Amount and frequency of remittances to the participants' countries of origin |
| Social connectedness and Integration to the US | Up to six months since enrollment | we will measure this with a subset of questions of the Multidimensional Measure of Immigrant Integration (Harder et al. 2018), with questions about: psychological integration, linguistic integration, political and economic integration and social integration. We will report these separately and combining them through an Anderson index (Anderson, 2008). In addition, as a second outcome we will use a revealed-choice measures of their demand to invest in learning English (by giving them a choice between access to a language course or cash/item) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Uptake for the app | Up to six months since enrollment | Number of participants who download the app |
| Parental expectations and aspirations about their youngest child under 18 educational attainment | Up to six months since enrollment | For those with children |
| Perceptions and attitudes towards using mental health services | Up to six months since enrollment | Provided that there was widespread reticence at baseline. |
| Demand for the app | Up to six months since enrollment | Willingness to pay exercise to recover demand for the app |
| Use of the app | Up to six months since enrollment | Number of days and minutes participants use the app |
| Absenteeism | Up to six months since enrollment | Question about missing day at work in the last month |
Countries
United States