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Trial record 43 of 224 for:    Recruiting, Not yet recruiting, Available Studies | "Mental Health"

Delivering Church-based Interventions to Reduce Stigma and Mental Health Treatment Disparities Among Latinos

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ClinicalTrials.gov Identifier: NCT03631745
Recruitment Status : Not yet recruiting
First Posted : August 15, 2018
Last Update Posted : August 15, 2018
Sponsor:
Collaborator:
National Alliance on Mental Illness California
Information provided by (Responsible Party):
Eunice Wong, RAND

Brief Summary:
This study is a cluster randomized controlled trial of a Latino church-based intervention in Los Angeles and Riverside Counties. This study aims to leverage the collective resources of Latino religious congregations and the National Alliance on Mental Illness to test the effectiveness of a multi-component intervention directed at reducing stigma, increasing mental health literacy, and improving access to mental health services.

Condition or disease Intervention/treatment Phase
Help-Seeking Behavior Stigma, Social Behavioral: NAMI Mental Health 101 and NAMI FaithNet Not Applicable

Detailed Description:
This study is a cluster randomized controlled trial of a Latino church-based intervention in Los Angeles and Riverside Counties. This study aims to leverage the collective resources of Latino religious congregations and the National Alliance on Mental Illness to test the effectiveness of a multi-component intervention directed at reducing stigma, increasing mental health literacy, and improving access to mental health services. A total of 12 churches (6 intervention and 6 wait-list control) will be enrolled in the study. Churches within each study site, the Riverside County parishes and the Archdiocese of Los Angeles, will be matched in pairs based on size and geography. Three matched pairs from each study site will be randomly selected and then randomly assigned within each pair to intervention or control. The planned study will involve 2400 participants (1200 intervention and 1200 control) who will be part of congregations that are randomly assigned to receive the church-based intervention immediately or a wait list control condition. Participants will be assessed at baseline, 6-month follow-up, and 12-month follow-up to evaluate intervention effects on mental health service use and potential mediators (i.e., mental health literacy, stigma).

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 2400 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: The National Alliance on Mental Illness (NAMI) of California has developed Mental Health 101, a suite of contact-based education programs tailored for culturally diverse populations including Latino populations. Another NAMI program, FaithNet, provides resources and training on how churches can shape norms and overcome shame and stigma related to mental illness and treatment. NAMI FaithNet also assists with facilitating linkages to mental health services from providing referrals to partner mental health agencies to forming multi-sector collaboratives of social service organizations, clergy, and mental health providers to create a more holistic, coordinated system of care. The multi-component, church-based, intervention will build on NAMI's existing resources, with tailoring for Latino church-based settings.
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Delivering Church-based Interventions to Reduce Stigma and Mental Health Treatment Disparities Among Latinos
Estimated Study Start Date : January 2019
Estimated Primary Completion Date : March 2022
Estimated Study Completion Date : March 2023

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Arm Intervention/treatment
Experimental: NAMI Mental Health 101 and NAMI FaithNet
Mental Health 101 and FaithNet
Behavioral: NAMI Mental Health 101 and NAMI FaithNet

Congregants of Intervention Churches will receive:

  1. NAMI Mental Health 101, a 60-90 minute, contact-based educational intervention
  2. NAMI FaithNet which consists of congregational support and training to cultivate supportive environments within faith communities for those with mental health conditions and their families.

No Intervention: Wait-list Control
After the 12-month follow-up, wait-list control churches will be provided with the opportunity to receive Mental Health 101 and NAMI FaithNet interventions.



Primary Outcome Measures :
  1. Mental Health Service Use [ Time Frame: Mental Health Service Use between Baseline and 12-month Follow-up ]

    Change in mental health service use among participants in intervention churches versus those in control churches.

    Mental health service use will be measured with the following modified item from the California Health Interview Survey: "In the past 12 months have you seen a professional, such as a counselor, psychiatrist, or social worker for problems with your mental health, emotions, nerves, or your use of alcohol or drugs?"

    Response options are dichotomous (Yes/No).

    Tran LD, Ponce NA. Who Gets Needed Mental Health Care? Use of Mental Health Services among Adults with Mental Health Need in California. Calif J Health

    Promot. 2017;15(1):36-45. PubMed PMID: 28729814; PubMed Central PMCID:

    PMC5515380.



Secondary Outcome Measures :
  1. Mental Illness Stigma [ Time Frame: Mental Illness Stigma reduction between Baseline and 12-month Follow-up ]

    Change in stigma among participants in intervention churches versus those in control churches. Personal stigma will be assessed with social distance measures, one of the most widely used indicators of stigma. Social distance is assessed by asking respondents to rate their degree of willingness to interact with someone with a mental illness in various interpersonal situations (e.g., work closely on a job; live next door; spend an evening socializing; marry into the family; as a friend).

    Jorm AF, Oh E. Desire for social distance from people with mental disorders. The Australian and New Zealand journal of psychiatry. 2009;43(3):183-200.




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Congregant of selected intervention and control churches

Exclusion Criteria:

  • Does not meet criteria above

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03631745


Contacts
Contact: Eunice C Wong 3103930411 ext 6389 ewong@rand.com

Locations
United States, California
RAND Not yet recruiting
Santa Monica, California, United States, 90401
Contact: Eunice C Wong, PhD    310-393-0411 ext 6389    ewong@rand.com   
Contact: Eunice C Wong, PhD         
Sponsors and Collaborators
RAND
National Alliance on Mental Illness California
Investigators
Principal Investigator: Eunice C Wong RAND

Responsible Party: Eunice Wong, Behavioral Scientist, RAND
ClinicalTrials.gov Identifier: NCT03631745     History of Changes
Other Study ID Numbers: R01MD012638 ( U.S. NIH Grant/Contract )
First Posted: August 15, 2018    Key Record Dates
Last Update Posted: August 15, 2018
Last Verified: August 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Eunice Wong, RAND:
mental health literacy
stigma
help-seeking
Latino
faith-based
religious congregations
contact-based interventions