Mobile Phone Intervention to Reduce Youth Suicide in Rural Communities

NCT ID: NCT03145363

Last Updated: 2017-07-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 222 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-06-29
• Study Completion Date: 2017-05-26

Brief Summary

The goal of this research project is to conduct a pilot RCT of Text4Strength, an interactive automated text messaging extension of Sources of Strength (SoS), a universal school-based suicide prevention program that prepares diverse 'key opinion leaders' to conduct public health messaging and activities with peers to increase school-wide positive coping norms, communication with trusted adults, and seeking help for suicidal peers (Wyman et al., 2010). The investigators previously developed and field tested Text4Strength messages (RSRB#00047481 and 53924 closed) to demonstrate feasibility, safety, student engagement, and student-perceived relevance for a universal texting extension. The investigators will now conduct a pilot randomized controlled trial in one large school in Western New York that has implemented Sources of Strength for the past two years. The school will continue with Sources of Strength in the 2016-17 school, and add this school-wide texting component as part of this research study. Consistent with Leon's guidelines on pilot studies, the primary focus will be to identify areas of promise, success in reaching proximate targets, and the need for additional modifications (Leon, Davis, & Kraemer, 2011). Findings from this study will inform further refinement of the text messaging program and provide preliminary data for a larger efficacy trial.

Conditions

Help-Seeking Behavior; Emotions; Trusted Adults; Suicide; Positive Affect

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Intervention

receive interactive text messages

Group Type: EXPERIMENTAL

Intervention

Intervention Type: BEHAVIORAL

The intervention group will receive 2-5 interactive text message sequences per week. These messages will invite students to reply using keywords and short free text replies. Messages come from a library of strength-based peer quotations (reviewed for safety), psychoeducational interactions, and games designed to promote emotional skills and use of resources.

Control

Receive informational text messages

Group Type: ACTIVE_COMPARATOR

Control

Intervention Type: BEHAVIORAL

The control group will receive 1-2 (non-interactive) text messages per week containing general SoS concepts (e.g., "Remember: more strengths are better when times get tough").

Interventions

Intervention

The intervention group will receive 2-5 interactive text message sequences per week. These messages will invite students to reply using keywords and short free text replies. Messages come from a library of strength-based peer quotations (reviewed for safety), psychoeducational interactions, and games designed to promote emotional skills and use of resources.

Intervention Type: BEHAVIORAL

Control

The control group will receive 1-2 (non-interactive) text messages per week containing general SoS concepts (e.g., "Remember: more strengths are better when times get tough").

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 9th-12th grade students in study school
• must have own cell phone

Exclusion Criteria

• no cell phone
• not sufficiently English-speaking to complete surveys

• Minimum Eligible Age: 13 Years
• Maximum Eligible Age: 19 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Institute of Mental Health (NIMH)

NIH

Sponsor Role: collaborator

University of Rochester

OTHER

Sponsor Role: lead

Responsible Party

Anthony Pisani

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Anthony R Pisani, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Rochester Medical Center, Psychiatry Dept

References

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Reference Type: BACKGROUND

PMID: 23666604 (View on PubMed)

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 3058677 (View on PubMed)

Pisani AR, Wyman PA, Cero I, Kelberman C, Gurditta K, Judd E, Schmeelk-Cone K, Mohr D, Goldston D, Ertefaie A. Text Messaging to Extend School-Based Suicide Prevention: Pilot Randomized Controlled Trial. JMIR Ment Health. 2024 Dec 6;11:e56407. doi: 10.2196/56407.

Reference Type: DERIVED

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Other Identifiers

K23MH101449

Identifier Type: NIH

Identifier Source: org_study_id

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