How can African American young adults’ willingness to seek help for depression be improved?

ISRCTN ISRCTN15674911
DOI https://doi.org/10.1186/ISRCTN15674911
Secondary identifying numbers HU3732007
Submission date
02/04/2019
Registration date
03/04/2019
Last edited
25/09/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Many factors influence whether or not someone seeks help for depression. The purpose of this study is to understand how African American students’ willingness to seek help for depression can change.

Who can participate?
People who identify as Black or African American, are between the ages of 18-25 and have never been diagnosed with or received treatment for mental illness are welcome to participate.

What does the study involve?
If you agree to participate in this study, you will be asked to complete the anonymous pre-test and post-test surveys and actively participate in a course about depression. The course will provide you with information about depression and how you feel about people who may be affected. You will be asked to work in groups to discuss various issues, view videos about depression and share your opinions with others during a discussion. This course will take about 2 hours and 30 minutes. You will also have an opportunity to voluntarily participate in an anonymous 3-month follow-up survey that will take approximately 15 minutes to complete. This study will include approximately 114 participants.

What are the possible benefits and risks of participating?
There are no foreseeable risks to participating in this study. All responses are anonymous, and we will not ask for identifiable information. Therefore, the survey cannot be linked to you. You will receive no direct benefit from participating in this study; however, your participation in this study will add to the general knowledge of depression help-seeking among African American college students.

Where is the study run from?
This study is run from the University of Texas at Austin.

When is the study starting and how long is it expected to run for?
The study is expected to run from November 2016 to April 2017.

Who is funding the study?
This study is funded by the Hogg Foundation for Mental Health.

Who is the main contact?
Benita Bamgbade
benitabam@gmail.com

Contact information

Dr Benita Bamgbade
Public

140 The Fenway, Room R218X
360 Huntington Avenue
Boston
02115
United States of America

ORCiD logoORCID ID 0000-0003-1645-5838
Phone 6173737973
Email b.bamgbade@northeastern.edu

Study information

Study designProspective one group intervention, non-randomised design with three month follow up
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)School
Study typePrevention
Participant information sheet Not available in web format, please use contact details to request a participation information sheet
Scientific titleAn intervention to improve willingness to seek help for depression among African American young adults: a non-randomised study
Study objectives1. Willingness to seek help will significantly increase from pre to immediate post-test.
1.1. Attitude toward seeking help will significantly increase (more favourable attitude) from pre to immediate post-test.
1.2. Perceived behavioural control will significantly increase from pre to immediate post-test.
1.3. Mental illness (MI) stigma will significantly decrease from pre to immediate post-test.
2. MI Stigma and Cultural variables (medical mistrust, self-reliance and religiosity) will significantly increase the predictive power of the regression model compared to a model that utilizes only the TPB constructs (attitude, subjective norm, perceived behavioural control and covariates [gender identity, depression knowledge and MI personal experience]) to predict willingness to seek help.
Ethics approval(s)Approved 11/11/2016, the University of Texas Institutional Review Board (The University of Texas at Austin, Office of Research Support and Compliance, Peter T. Flawn Academic Center, Suite 426, 2304 Whitis Ave, Austin, TX 78712; 512-471-8871), ref: 2016-10-0111.
Health condition(s) or problem(s) studiedDepression
InterventionThe intervention consisted of three sections. Section 1 was led by the primary researcher, who is also a licensed pharmacist. This section consisted of the introduction, an opening activity, an active learning activity (fact or fiction), a depression overview, and another active learning activity (peanut butter in the jar)

Section 2, led by a licensed AA psychologist (from the university health centre and also the liaison to Black & African-American students in the counselling and mental health centre), focused on stigma and the unique cultural variables that impact AA help-seeking (identified in the Information Gathering stage). This section also featured a video clip of a young AA celebrity athlete discussing his personal experience with MI and his journey to recovery, a group discussion and a psychotherapy question and answer session.

The last section, section 3, was dedicated to a young AA college student consumer educator who shared his lived experience with schizophrenia and depression. This presentation was followed by a question and answer session where students had the opportunity to interact with the consumer educator. The study intervention was designed as a 2 hour and 30 min course in efforts to maintain participant engagement and avoid participant fatigue.

The follow-up survey consisted of a survey (identical to the post-test survey) with additional questions assessing actual help-seeking behaviour.
Intervention typeBehavioural
Primary outcome measure1. Willingness to seek help for depression is measured using a self-administered anonymous survey at baseline, immediately following the intervention (post-test) and at the 3-month follow up. All survey items were created by the researchers of this study using previous focus groups and the Theory of Planned Behaviour as a guiding framework:
2. Actual behaviour is measured at the 3-month follow-up.
Secondary outcome measuresThe following variables are collected using self-administered anonymous surveys at baseline, immediately following the intervention (post-test) and at the 3-month follow up. All survey items were created by the researchers of this study using previous focus groups and the Theory of Planned Behaviour as a guiding framework:
1. Attitude
2. Perceived behavioural control
3. Stigma
Overall study start date16/04/2016
Completion date30/09/2019

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit25 Years
SexBoth
Target number of participants114
Key inclusion criteria1. Identify as Black or African American
2. 18-25 years old
3. Never been diagnosed with and/or received treatment for a mental health condition
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment20/08/2016
Date of final enrolment16/11/2016

Locations

Countries of recruitment

  • United States of America

Study participating centre

University of Texas at Austin
110 Inner Campus Drive
Austin, TX 78705
Austin
78705
United States of America

Sponsor information

The University of Texas at Austin
University/education

110 Inner Campus Drive
Austin, TX 78705
Austin
78705
United States of America

Phone 512-471-3434
Email orsc@uts.cc.utexas.edu
ROR logo "ROR" https://ror.org/00hj54h04

Funders

Funder type

Charity

Hogg Foundation for Mental Health
Government organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
Hogg Foundation, Hogg Foundation for Mental Hygiene, Hogg Foundation of Mental Hygiene, HFMH
Location
United States of America

Results and Publications

Intention to publish date31/12/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planResults from this study will be submitted to peer-review journals via 2 manuscripts in 2019.
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available due to requirements designated by the University of Texas at Austin Institutional Review Board.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 07/02/2020 25/09/2020 Yes No

Editorial Notes

25/09/2020: Publication reference added.
06/11/2019: Internal review.
05/04/2019: Internal review.
03/04/2019: Trial's existence confirmed by the University of Texas Institutional Review Board.