Mental Health
Conditions
Keywords
Adolescent
Brief summary
The goal of this clinical trial is to pilot and evaluate Enlace Familiar, a culturally responsive intervention designed to support Latino adolescents in discussing their mental health needs with caregivers or other trusted adults. The study will examine the feasibility and acceptability of the intervention and examine its potential impact on mental health communication among Latino adolescents ages 14-18 experiencing mental health concerns. Participants will be randomized into two groups, with 32 adolescents assigned to the Enlace Familiar intervention and 32 adolescents assigned to a control condition. The intervention will be implemented in partnership with community health workers (CHWs), who will serve as culturally relevant facilitators. The main questions this study aims to answer are: 1. Is Enlace Familiar feasible and acceptable for Latino adolescents when delivered by CHWs? 2. Does participation in Enlace Familiar improve adolescents' discussions of mental health needs with caregivers or other trusted adults? Participants will: * Complete baseline assessments related to mental health communication, attitudes toward mental health, mental health literacy, and engagement in mental health services. * Participate in the Enlace Familiar intervention, delivered by trained CHWs. * Complete follow-up assessments to evaluate changes in primary and secondary outcomes. * Participate in qualitative interviews or feedback activities to provide information about the acceptability and perceived usefulness of the intervention. Researchers will use a mixed methods design to evaluate intervention feasibility and acceptability and to explore preliminary changes in adolescent mental health communication following participation in the intervention.
Interventions
BEHAVIORALEnlace Familiar
Enlace Familiar will consist of two individual encounters, in person or virtual. Youth will also receive a list of mental health community resources, including school-based, online, and apps-based support.
Sponsors
University of Michigan
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
14 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
Our inclusion criteria for youth participation include: * High school-age adolescents, ages 14-18 who self-identify as Latino * Adolescents scoring between 3-12 on the Patient Health Questionnaire-4 (PHQ-4), a brief mental health screening tool for anxiety and depression * Adolescents who are not currently receiving mental health treatment or in the past 12 months * Adolescents fluent in Spanish or English Our inclusion criteria for parent participation include: * Parents of High school-age adolescents, ages 14-18 who completed the intervention (T3) * Parents fluent in Spanish or English Our inclusion criteria for Community Health Worker participation include: ● CHW who implemented our intervention Our
Exclusion criteria
for youth participation include: * youth not fluent in English or Spanish * youth currently receiving mental health treatment or who have received it in the past year Our
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of youth reported communication about mental health | Up to 6 months | Measured 3 times on a Likert type scale effect of Enlace Familiar on youth (i.e., none, 1-3 times, 3-5 times, more than 5 times). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of participants reporting moderate or greater satisfaction with the overall intervention | 6 months | moderate or greater satisfaction is ≥ 80% threshold on 4 questions of 5-point Likert scales using the Acceptability of Intervention Measure (AIM). Higher scores indicate increased acceptability. |
| Proportion of participants reporting moderate or greater satisfaction with Community Health Workers (CHWs) delivering the intervention | 6 months | moderate or greater satisfaction is ≥80% threshold) using a brief, study-specific satisfaction scale developed for this project rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). The measure includes 6-8 items evaluating participants' perceptions of the community health worker's communication, support, respect, and overall helpfulness |
| Retention as measured by the percent of enrolled participants who completed the 8-week follow up | 6 months | — |
| Adherence as measured by the percent of participant who attended both CHW-led sessions | 6 months | — |
Countries
United States
Contacts
CONTACTFernanda L. Cross, Ph.D
PRINCIPAL_INVESTIGATORFernanda Cross, Ph.D
University of Michigan
Outcome results
None listed