Trial Outcomes & Findings for Enhancing Engagement With Digital Mental Health Care (NCT NCT04507360)

NCT ID: NCT04507360

Last Updated: 2025-08-03

Results Overview

Proportion of users disengaging (i.e., by leaving the website; in contrast to clicking to view the screening results page or clicking another Mental Health America \[MHA\] link) after stage 1 randomization.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

78390 participants

Primary outcome timeframe

Through active web session, an average of 10 minutes

Results posted on

2025-08-03

Participant Flow

Time points are not applicable to Study 1. Study 1: stage 1 conditions include 1) Demographics Survey and 2) Next Steps Survey; stage 2 conditions include 1) Generic Response + Generic Resources, 2) Generic Response + Tailored Resources by Demographics, 3) Generic Response + Tailored Resources by Desired Resources, 4) Tailored Response + Generic Resources, and 5) Tailored Response + Tailored Resources by Desired Resources.

Study 2: Started: participants we reached out to for filling out weekly survey or using Do-It-Yourself (DIY) tool. Completed: participants who completed weekly survey or finished using DIY tool at least once. Not Completed: participants who did not complete weekly survey and did not finish using DIY tool even once. Completion was not required to continue participation in the study; number "Started" at each time is always the same as the total number of participants enrolled in the study.

Participant milestones

Participant milestones
Measure
Study 1, Demographic Survey
This arm included participants who were randomized to the Demographics Survey (stage 1 randomization) and were not randomized to a stage 2 condition (i.e., did not view screening results page on which stage 2 randomization occurred).
Study 1, Next Steps Survey
This arm included participants who were randomized to the Next Steps Survey (stage 1 randomization) and were not randomized to a stage 2 condition (i.e., did not view screening results page on which stage 2 randomization occurred).
Study 1, Demographic Survey + Generic Response + Generic Resources
This arm included participants who completed the Demographics Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Demographic Survey + Generic Response + Tailored Resources by Demographics
This arm included participants who completed the Demographics Survey (stage 1 randomization). The Generic Response + Tailored Resources by Demographics condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and resources tailored to two demographics. People who endorse being Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) will receive 4 resources associated with LGBTQ issues. People who endorse being 8-17, 18-24, 25-44, or 45+ years of age will receive 4 resources used by people in those age groups. If someone enters both age and LGBTQ status, they will be provided with 2 resources tailored to age and 2 resources tailored to LGBTQ status, randomly chosen.
Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2, Control
Participants in the Do-It-Yourself (DIY) control group will receive psychoeducation materials in W0. They will view content as usual (no DIY) and will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, Control: Participants in the Do-It-Yourself (DIY) control group will receive psychoeducation materials in W0. They will view content as usual (no DIY).
Study 2, DIY Tool Without AI
Participants in the Do-It-Yourself (DIY) tool without Artificial Intelligence (AI) group will be instructed to use the DIY tool 3 times a week. They will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, DIY tool without AI: Participants in the Do-It-Yourself (DIY) tool without Artificial Intelligence (AI) group will be instructed to use the DIY tool 3 times a week.
Study 2, DIY Tool With AI
Participants in the Do-It-Yourself (DIY) tool with Artificial Intelligence (AI) group will be instructed to use the DIY tool with AI 3 times a week. They will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, DIY tool with AI: Participants in the Do-It-Yourself (DIY) tool with Artificial Intelligence (AI) group will be instructed to use the DIY tool with AI 3 times a week.
Baseline
STARTED
2490
2367
19250
19240
8743
8636
8454
8371
269
272
298
Baseline
COMPLETED
2490
2367
19250
19240
8743
8636
8454
8371
269
272
298
Baseline
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0
0
Week 1
STARTED
0
0
0
0
0
0
0
0
269
272
298
Week 1
COMPLETED
0
0
0
0
0
0
0
0
197
250
288
Week 1
NOT COMPLETED
0
0
0
0
0
0
0
0
72
22
10
Week 2
STARTED
0
0
0
0
0
0
0
0
269
272
298
Week 2
COMPLETED
0
0
0
0
0
0
0
0
148
187
216
Week 2
NOT COMPLETED
0
0
0
0
0
0
0
0
121
85
82
Week 3
STARTED
0
0
0
0
0
0
0
0
269
272
298
Week 3
COMPLETED
0
0
0
0
0
0
0
0
146
180
214
Week 3
NOT COMPLETED
0
0
0
0
0
0
0
0
123
92
84
Week 4
STARTED
0
0
0
0
0
0
0
0
269
272
298
Week 4
COMPLETED
0
0
0
0
0
0
0
0
138
157
196
Week 4
NOT COMPLETED
0
0
0
0
0
0
0
0
131
115
102
Week 5
STARTED
0
0
0
0
0
0
0
0
269
272
298
Week 5
COMPLETED
0
0
0
0
0
0
0
0
166
137
155
Week 5
NOT COMPLETED
0
0
0
0
0
0
0
0
103
135
143
Week 8
STARTED
0
0
0
0
0
0
0
0
269
272
298
Week 8
COMPLETED
0
0
0
0
0
0
0
0
130
127
146
Week 8
NOT COMPLETED
0
0
0
0
0
0
0
0
139
145
152

Reasons for withdrawal

Reasons for withdrawal
Measure
Study 1, Demographic Survey
This arm included participants who were randomized to the Demographics Survey (stage 1 randomization) and were not randomized to a stage 2 condition (i.e., did not view screening results page on which stage 2 randomization occurred).
Study 1, Next Steps Survey
This arm included participants who were randomized to the Next Steps Survey (stage 1 randomization) and were not randomized to a stage 2 condition (i.e., did not view screening results page on which stage 2 randomization occurred).
Study 1, Demographic Survey + Generic Response + Generic Resources
This arm included participants who completed the Demographics Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Demographic Survey + Generic Response + Tailored Resources by Demographics
This arm included participants who completed the Demographics Survey (stage 1 randomization). The Generic Response + Tailored Resources by Demographics condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and resources tailored to two demographics. People who endorse being Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) will receive 4 resources associated with LGBTQ issues. People who endorse being 8-17, 18-24, 25-44, or 45+ years of age will receive 4 resources used by people in those age groups. If someone enters both age and LGBTQ status, they will be provided with 2 resources tailored to age and 2 resources tailored to LGBTQ status, randomly chosen.
Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2, Control
Participants in the Do-It-Yourself (DIY) control group will receive psychoeducation materials in W0. They will view content as usual (no DIY) and will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, Control: Participants in the Do-It-Yourself (DIY) control group will receive psychoeducation materials in W0. They will view content as usual (no DIY).
Study 2, DIY Tool Without AI
Participants in the Do-It-Yourself (DIY) tool without Artificial Intelligence (AI) group will be instructed to use the DIY tool 3 times a week. They will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, DIY tool without AI: Participants in the Do-It-Yourself (DIY) tool without Artificial Intelligence (AI) group will be instructed to use the DIY tool 3 times a week.
Study 2, DIY Tool With AI
Participants in the Do-It-Yourself (DIY) tool with Artificial Intelligence (AI) group will be instructed to use the DIY tool with AI 3 times a week. They will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, DIY tool with AI: Participants in the Do-It-Yourself (DIY) tool with Artificial Intelligence (AI) group will be instructed to use the DIY tool with AI 3 times a week.
Week 1
Lost to Follow-up
0
0
0
0
0
0
0
0
72
22
10
Week 2
Lost to Follow-up
0
0
0
0
0
0
0
0
121
85
82
Week 3
Lost to Follow-up
0
0
0
0
0
0
0
0
123
92
84
Week 4
Lost to Follow-up
0
0
0
0
0
0
0
0
131
115
102
Week 5
Lost to Follow-up
0
0
0
0
0
0
0
0
103
135
143
Week 8
Lost to Follow-up
0
0
0
0
0
0
0
0
139
145
152

Baseline Characteristics

Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study 1, Demographic Survey
n=2490 Participants
This arm included participants who were randomized to the Demographics Survey (stage 1 randomization) and were not randomized to a stage 2 condition (i.e., did not view screening results page on which stage 2 randomization occurred).
: Study 1, Next Steps Survey
n=2367 Participants
This arm included participants who were randomized to the Next Steps Survey (stage 1 randomization) and were not randomized to a stage 2 condition (i.e., did not view screening results page on which stage 2 randomization occurred).
Study 1, Demographic Survey + Generic Response + Generic Resources
n=19250 Participants
This arm included participants who completed the Demographics Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Demographic Survey + Generic Response + Tailored Resources by Demographics
n=19240 Participants
This arm included participants who completed the Demographics Survey (stage 1 randomization). The Generic Response + Tailored Resources by Demographics condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and resources tailored to two demographics. People who endorse being Lesbian, Gay, Bisexual, Transgender, or Queer (LGBTQ) will receive 4 resources associated with LGBTQ issues. People who endorse being 8-17, 18-24, 25-44, or 45+ years of age will receive 4 resources used by people in those age groups. If someone enters both age and LGBTQ status, they will be provided with 2 resources tailored to age and 2 resources tailored to LGBTQ status, randomly chosen.
Study 1, Next Steps Survey + Generic Response + Generic Resources
n=8743 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
n=8636 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
n=8454 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
n=8371 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2, Control
n=269 Participants
Participants in the Do-It-Yourself (DIY) control group will receive psychoeducation materials in W0. They will view content as usual (no DIY) and will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, Control: Participants in the Do-It-Yourself (DIY) control group will receive psychoeducation materials in W0. They will view content as usual (no DIY).
Study 2, DIY Tool Without AI
n=272 Participants
Participants in the Do-It-Yourself (DIY) tool without Artificial Intelligence (AI) group will be instructed to use the DIY tool 3 times a week. They will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, DIY tool without AI: Participants in the Do-It-Yourself (DIY) tool without Artificial Intelligence (AI) group will be instructed to use the DIY tool 3 times a week.
Study 2, DIY Tool With AI
n=298 Participants
Participants in the Do-It-Yourself (DIY) tool with Artificial Intelligence (AI) group will be instructed to use the DIY tool with AI 3 times a week. They will receive surveys from W1 to W4 and follow-up surveys in W5 and at the end of W8. Study 2, DIY tool with AI: Participants in the Do-It-Yourself (DIY) tool with Artificial Intelligence (AI) group will be instructed to use the DIY tool with AI 3 times a week.
Total
n=78390 Participants
Total of all reporting groups
Age, Customized
Under 18 years old
1280 Participants
n=2490 Participants
1147 Participants
n=2367 Participants
8127 Participants
n=19250 Participants
8385 Participants
n=19240 Participants
3683 Participants
n=8743 Participants
3695 Participants
n=8636 Participants
3627 Participants
n=8454 Participants
3581 Participants
n=8371 Participants
0 Participants
n=269 Participants
0 Participants
n=272 Participants
0 Participants
n=298 Participants
33525 Participants
n=78390 Participants
Age, Customized
18-24 years old
518 Participants
n=2490 Participants
517 Participants
n=2367 Participants
4149 Participants
n=19250 Participants
4047 Participants
n=19240 Participants
1911 Participants
n=8743 Participants
1902 Participants
n=8636 Participants
1753 Participants
n=8454 Participants
1842 Participants
n=8371 Participants
50 Participants
n=269 Participants
47 Participants
n=272 Participants
51 Participants
n=298 Participants
16787 Participants
n=78390 Participants
Age, Customized
25-44 years old
428 Participants
n=2490 Participants
457 Participants
n=2367 Participants
4501 Participants
n=19250 Participants
4411 Participants
n=19240 Participants
2065 Participants
n=8743 Participants
1950 Participants
n=8636 Participants
2041 Participants
n=8454 Participants
1968 Participants
n=8371 Participants
137 Participants
n=269 Participants
153 Participants
n=272 Participants
173 Participants
n=298 Participants
18284 Participants
n=78390 Participants
Age, Customized
45 years old and older
207 Participants
n=2490 Participants
187 Participants
n=2367 Participants
2176 Participants
n=19250 Participants
2101 Participants
n=19240 Participants
931 Participants
n=8743 Participants
942 Participants
n=8636 Participants
900 Participants
n=8454 Participants
841 Participants
n=8371 Participants
82 Participants
n=269 Participants
72 Participants
n=272 Participants
74 Participants
n=298 Participants
8513 Participants
n=78390 Participants
Age, Customized
Unknown or Not Reported
57 Participants
n=2490 Participants
59 Participants
n=2367 Participants
297 Participants
n=19250 Participants
296 Participants
n=19240 Participants
153 Participants
n=8743 Participants
147 Participants
n=8636 Participants
133 Participants
n=8454 Participants
139 Participants
n=8371 Participants
0 Participants
n=269 Participants
0 Participants
n=272 Participants
0 Participants
n=298 Participants
1281 Participants
n=78390 Participants
Sex/Gender, Customized
Female
1450 Participants
n=2490 Participants
1377 Participants
n=2367 Participants
11558 Participants
n=19250 Participants
11507 Participants
n=19240 Participants
5233 Participants
n=8743 Participants
5274 Participants
n=8636 Participants
4973 Participants
n=8454 Participants
4972 Participants
n=8371 Participants
146 Participants
n=269 Participants
135 Participants
n=272 Participants
133 Participants
n=298 Participants
46758 Participants
n=78390 Participants
Sex/Gender, Customized
Male
919 Participants
n=2490 Participants
870 Participants
n=2367 Participants
6979 Participants
n=19250 Participants
6991 Participants
n=19240 Participants
3131 Participants
n=8743 Participants
3023 Participants
n=8636 Participants
3113 Participants
n=8454 Participants
3049 Participants
n=8371 Participants
33 Participants
n=269 Participants
22 Participants
n=272 Participants
27 Participants
n=298 Participants
28157 Participants
n=78390 Participants
Sex/Gender, Customized
Nonbinary
97 Participants
n=2490 Participants
96 Participants
n=2367 Participants
536 Participants
n=19250 Participants
580 Participants
n=19240 Participants
271 Participants
n=8743 Participants
250 Participants
n=8636 Participants
262 Participants
n=8454 Participants
261 Participants
n=8371 Participants
5 Participants
n=269 Participants
4 Participants
n=272 Participants
8 Participants
n=298 Participants
2370 Participants
n=78390 Participants
Sex/Gender, Customized
Unknown or not reported
24 Participants
n=2490 Participants
24 Participants
n=2367 Participants
177 Participants
n=19250 Participants
162 Participants
n=19240 Participants
108 Participants
n=8743 Participants
89 Participants
n=8636 Participants
106 Participants
n=8454 Participants
89 Participants
n=8371 Participants
85 Participants
n=269 Participants
111 Participants
n=272 Participants
130 Participants
n=298 Participants
1105 Participants
n=78390 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
366 Participants
n=2490 Participants
359 Participants
n=2367 Participants
2590 Participants
n=19250 Participants
2734 Participants
n=19240 Participants
1264 Participants
n=8743 Participants
1237 Participants
n=8636 Participants
1184 Participants
n=8454 Participants
1209 Participants
n=8371 Participants
22 Participants
n=269 Participants
19 Participants
n=272 Participants
25 Participants
n=298 Participants
11009 Participants
n=78390 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=2490 Participants
0 Participants
n=2367 Participants
0 Participants
n=19250 Participants
0 Participants
n=19240 Participants
0 Participants
n=8743 Participants
0 Participants
n=8636 Participants
0 Participants
n=8454 Participants
0 Participants
n=8371 Participants
158 Participants
n=269 Participants
139 Participants
n=272 Participants
137 Participants
n=298 Participants
434 Participants
n=78390 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2124 Participants
n=2490 Participants
2008 Participants
n=2367 Participants
16660 Participants
n=19250 Participants
16506 Participants
n=19240 Participants
7479 Participants
n=8743 Participants
7399 Participants
n=8636 Participants
7270 Participants
n=8454 Participants
7162 Participants
n=8371 Participants
89 Participants
n=269 Participants
114 Participants
n=272 Participants
136 Participants
n=298 Participants
66947 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · American Indian or Alaska Native
75 Participants
n=2490 Participants
59 Participants
n=2367 Participants
392 Participants
n=19250 Participants
397 Participants
n=19240 Participants
181 Participants
n=8743 Participants
196 Participants
n=8636 Participants
175 Participants
n=8454 Participants
196 Participants
n=8371 Participants
2 Participants
n=269 Participants
1 Participants
n=272 Participants
5 Participants
n=298 Participants
1679 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Asian
267 Participants
n=2490 Participants
237 Participants
n=2367 Participants
1777 Participants
n=19250 Participants
1755 Participants
n=19240 Participants
821 Participants
n=8743 Participants
777 Participants
n=8636 Participants
784 Participants
n=8454 Participants
733 Participants
n=8371 Participants
12 Participants
n=269 Participants
10 Participants
n=272 Participants
3 Participants
n=298 Participants
7176 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Native Hawaiian or Other Pacific Islander
15 Participants
n=2490 Participants
15 Participants
n=2367 Participants
73 Participants
n=19250 Participants
112 Participants
n=19240 Participants
43 Participants
n=8743 Participants
53 Participants
n=8636 Participants
40 Participants
n=8454 Participants
37 Participants
n=8371 Participants
1 Participants
n=269 Participants
2 Participants
n=272 Participants
0 Participants
n=298 Participants
391 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Black or African American
190 Participants
n=2490 Participants
250 Participants
n=2367 Participants
1719 Participants
n=19250 Participants
1683 Participants
n=19240 Participants
766 Participants
n=8743 Participants
825 Participants
n=8636 Participants
767 Participants
n=8454 Participants
772 Participants
n=8371 Participants
11 Participants
n=269 Participants
5 Participants
n=272 Participants
9 Participants
n=298 Participants
6997 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · White
1155 Participants
n=2490 Participants
1040 Participants
n=2367 Participants
10027 Participants
n=19250 Participants
9977 Participants
n=19240 Participants
4436 Participants
n=8743 Participants
4344 Participants
n=8636 Participants
4326 Participants
n=8454 Participants
4201 Participants
n=8371 Participants
142 Participants
n=269 Participants
138 Participants
n=272 Participants
135 Participants
n=298 Participants
39921 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Middle Eastern or North African
31 Participants
n=2490 Participants
23 Participants
n=2367 Participants
200 Participants
n=19250 Participants
182 Participants
n=19240 Participants
91 Participants
n=8743 Participants
82 Participants
n=8636 Participants
95 Participants
n=8454 Participants
86 Participants
n=8371 Participants
3 Participants
n=269 Participants
0 Participants
n=272 Participants
0 Participants
n=298 Participants
793 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · More than one race
165 Participants
n=2490 Participants
146 Participants
n=2367 Participants
991 Participants
n=19250 Participants
975 Participants
n=19240 Participants
437 Participants
n=8743 Participants
454 Participants
n=8636 Participants
411 Participants
n=8454 Participants
446 Participants
n=8371 Participants
0 Participants
n=269 Participants
0 Participants
n=272 Participants
0 Participants
n=298 Participants
4025 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Unknown or Not Reported
128 Participants
n=2490 Participants
138 Participants
n=2367 Participants
872 Participants
n=19250 Participants
791 Participants
n=19240 Participants
423 Participants
n=8743 Participants
401 Participants
n=8636 Participants
397 Participants
n=8454 Participants
425 Participants
n=8371 Participants
98 Participants
n=269 Participants
116 Participants
n=272 Participants
146 Participants
n=298 Participants
3935 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Other
98 Participants
n=2490 Participants
100 Participants
n=2367 Participants
609 Participants
n=19250 Participants
634 Participants
n=19240 Participants
281 Participants
n=8743 Participants
267 Participants
n=8636 Participants
275 Participants
n=8454 Participants
266 Participants
n=8371 Participants
0 Participants
n=269 Participants
0 Participants
n=272 Participants
0 Participants
n=298 Participants
2530 Participants
n=78390 Participants
Race/Ethnicity, Customized
Race · Hispanic or Latino
366 Participants
n=2490 Participants
359 Participants
n=2367 Participants
2590 Participants
n=19250 Participants
2734 Participants
n=19240 Participants
1264 Participants
n=8743 Participants
1237 Participants
n=8636 Participants
1184 Participants
n=8454 Participants
1209 Participants
n=8371 Participants
0 Participants
n=269 Participants
0 Participants
n=272 Participants
0 Participants
n=298 Participants
10943 Participants
n=78390 Participants
Patient Health Questionnaire-9
Study 1
16.02 units on a scale
STANDARD_DEVIATION 6.36 • n=2490 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.83 units on a scale
STANDARD_DEVIATION 6.38 • n=2367 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.83 units on a scale
STANDARD_DEVIATION 6.08 • n=19250 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.79 units on a scale
STANDARD_DEVIATION 6.09 • n=19240 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.90 units on a scale
STANDARD_DEVIATION 6.07 • n=8743 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.93 units on a scale
STANDARD_DEVIATION 6.11 • n=8636 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.85 units on a scale
STANDARD_DEVIATION 6.07 • n=8454 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.98 units on a scale
STANDARD_DEVIATION 6.10 • n=8371 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
15.86 units on a scale
STANDARD_DEVIATION 6.11 • n=77551 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
Patient Health Questionnaire-9
Study 2
17.69 units on a scale
STANDARD_DEVIATION 4.66 • n=269 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
17.66 units on a scale
STANDARD_DEVIATION 4.86 • n=272 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
17.97 units on a scale
STANDARD_DEVIATION 4.68 • n=298 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
17.78 units on a scale
STANDARD_DEVIATION 4.73 • n=839 Participants • Study 1 and Study 2 baseline Patient Health Questionnaire-9 (PHQ-9) scores are presented separately in different rows.
Generalized Anxiety Disorder-7
14.29 units on a scale
STANDARD_DEVIATION 4.62 • n=268 Participants • Data were not collected for Study 1. For Study 2, "Number Analyzed" includes participants who contributed data at baseline.
14.56 units on a scale
STANDARD_DEVIATION 4.14 • n=271 Participants • Data were not collected for Study 1. For Study 2, "Number Analyzed" includes participants who contributed data at baseline.
14.38 units on a scale
STANDARD_DEVIATION 4.65 • n=298 Participants • Data were not collected for Study 1. For Study 2, "Number Analyzed" includes participants who contributed data at baseline.
14.41 units on a scale
STANDARD_DEVIATION 4.48 • n=837 Participants • Data were not collected for Study 1. For Study 2, "Number Analyzed" includes participants who contributed data at baseline.

PRIMARY outcome

Timeframe: Through active web session, an average of 10 minutes

Population: Study 1 participants by stage 1 condition. Arms/Groups are combined by Demographics Survey and Next Steps survey because this outcome examined disengagement prior to stage 2 randomization.

Proportion of users disengaging (i.e., by leaving the website; in contrast to clicking to view the screening results page or clicking another Mental Health America \[MHA\] link) after stage 1 randomization.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=40980 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=36571 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 1: Mental Health America Disengagement (After Stage 1 Randomization)
574 Participants
566 Participants

PRIMARY outcome

Timeframe: Through active web session, an average of 10 minutes

Population: Participants randomized to a stage 2 condition

Proportion of users clicking featured resources (i.e., links to webpages on Mental Health America, featured below screening results) from the screening results page.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=19250 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=19240 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=8743 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
n=8636 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
n=8454 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
n=8371 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 1: Mental Health America Engagement, Clicks on Featured Resources (After Stage 2 Randomization)
2839 Participants
4517 Participants
1272 Participants
1457 Participants
1181 Participants
1507 Participants

PRIMARY outcome

Timeframe: Through active web session, an average of 10 minutes

Population: Participants randomized to a stage 2 condition.

Number of webpages clicked (including links to either featured and non-featured resources) after stage 2 randomization.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=19250 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=19240 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=8743 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
n=8636 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
n=8454 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
n=8371 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 1: Mental Health America Engagement, Number of Webpages Clicked (After Stage 2 Randomization)
4.32 Number of webpages
Standard Deviation 12.86
5.05 Number of webpages
Standard Deviation 15.17
4.31 Number of webpages
Standard Deviation 11.66
4.43 Number of webpages
Standard Deviation 12.69
4.39 Number of webpages
Standard Deviation 13.07
4.12 Number of webpages
Standard Deviation 11.68

PRIMARY outcome

Timeframe: Through active web session, an average of 10 minutes

Population: Participants randomized to a stage 2 condition.

Proportion of users disengaging (i.e., by leaving the website; in contrast to clicking a link to a Mental Health America \[MHA\] webpage) after stage 2 randomization.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=19250 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=19240 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=8743 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
n=8636 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
n=8454 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
n=8371 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 1: Mental Health America Disengagement (After Stage 2 Randomization)
9019 Participants
8532 Participants
4107 Participants
4100 Participants
3908 Participants
3891 Participants

PRIMARY outcome

Timeframe: Through active web session, an average of 10 minutes

Population: Participants randomized to a stage 2 condition who also accessed the Do-It-Yourself (DIY) tool by clicking on a content page.

Number of participants who completed the Do-It-Yourself (DIY) tool.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=3172 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=4204 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=1468 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
n=1489 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
n=1360 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
n=1445 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 1: DIY Completion Rate (After Stage 2 Randomization)
131 Participants
173 Participants
55 Participants
54 Participants
63 Participants
69 Participants

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4

Population: "Overall Number of Participants Analyzed" includes participants who provided data (by finishing using the Do-It-Yourself \[DIY\] tool at least once) at any time point. "Number analyzed" includes participants who contributed data (finished used the DIY tool at least once) at that time point.

Number of times using the Do-It-Yourself (DIY) tool

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=223 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=249 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Engagement (Dosage)
Overall
2.03 usages
Standard Deviation 1.66
2.26 usages
Standard Deviation 1.72
Study 2: Engagement (Dosage)
Week 1
2.72 usages
Standard Deviation 1.48
2.99 usages
Standard Deviation 1.69
Study 2: Engagement (Dosage)
Week 2
1.98 usages
Standard Deviation 1.62
2.14 usages
Standard Deviation 1.68
Study 2: Engagement (Dosage)
Week 3
1.77 usages
Standard Deviation 1.65
2.14 usages
Standard Deviation 1.67
Study 2: Engagement (Dosage)
Week 4
1.63 usages
Standard Deviation 1.67
1.79 usages
Standard Deviation 1.63

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point.

Tool Use Helpfulness is measured using one item (Using the tool has been helpful to me in dealing with my negative thoughts and emotions) on a scale of 0 (strongly disagree) to 3 (strongly agree). Higher scores indicate better outcomes (helpfulness of the tool). Scores will be assessed using mean item-level scores. Note: includes 5 qualitative questions, not included here.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=178 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=202 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Tool Use Helpfulness
Week 4
1.82 units on a scale
Standard Deviation 0.78
1.85 units on a scale
Standard Deviation 0.83
Study 2: Tool Use Helpfulness
Week 1
2.00 units on a scale
Standard Deviation 0.75
1.99 units on a scale
Standard Deviation 0.69
Study 2: Tool Use Helpfulness
Week 2
1.88 units on a scale
Standard Deviation 0.78
1.95 units on a scale
Standard Deviation 0.74
Study 2: Tool Use Helpfulness
Week 3
1.85 units on a scale
Standard Deviation 0.83
1.83 units on a scale
Standard Deviation 0.81

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4, Week 8

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point. For "Total" score rows, "Number analyzed" includes participants who contributed sufficient item-level data to compute a total score.

Emotion mechanisms are measured using a 7-item scale. Each item is scored from 1 to 7. Total scores range from 7 to 49. Higher scores indicate better emotion mechanisms. Participants are asked about their emotions (e.g., hopefulness, worry, confidence, motivation) about their ability to address negative thoughts. Scores will be assessed using mean item-level and total scores. Item 1: How hopeful do you feel about the future? Item 2: How hopeful do you feel about managing negative thoughts? Item 3: How worried do you feel about managing negative thoughts? (reverse-coded) Item 4: How motivated are you to keep working on managing negative thinking? Item 5: How confident are you in your ability to identify thinking traps? Item 6: How confident are you in your ability to reframe negative thoughts? Item 7: How likely are you to recommend it to a friend?

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=219 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=196 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=219 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Emotion Mechanisms
Week 1, Item 5
4.19 units on a scale
Standard Deviation 1.35
4.30 units on a scale
Standard Deviation 1.47
4.12 units on a scale
Standard Deviation 1.41
Study 2: Emotion Mechanisms
Week 1, Item 6
3.66 units on a scale
Standard Deviation 1.28
3.98 units on a scale
Standard Deviation 1.53
3.90 units on a scale
Standard Deviation 1.33
Study 2: Emotion Mechanisms
Week 1, Total
28.81 units on a scale
Standard Deviation 6.13
30.18 units on a scale
Standard Deviation 6.82
29.22 units on a scale
Standard Deviation 6.24
Study 2: Emotion Mechanisms
Week 2, Item 3
3.98 units on a scale
Standard Deviation 1.51
3.86 units on a scale
Standard Deviation 1.55
3.93 units on a scale
Standard Deviation 1.33
Study 2: Emotion Mechanisms
Week 3, Total
30.46 units on a scale
Standard Deviation 7.48
32.43 units on a scale
Standard Deviation 7.19
32.62 units on a scale
Standard Deviation 7.20
Study 2: Emotion Mechanisms
Week 4, Item 5
4.48 units on a scale
Standard Deviation 1.48
4.87 units on a scale
Standard Deviation 1.47
4.91 units on a scale
Standard Deviation 1.39
Study 2: Emotion Mechanisms
Week 4, Total
30.93 units on a scale
Standard Deviation 7.59
33.00 units on a scale
Standard Deviation 7.67
33.62 units on a scale
Standard Deviation 7.81
Study 2: Emotion Mechanisms
Week 1, Item 1
3.66 units on a scale
Standard Deviation 1.28
3.87 units on a scale
Standard Deviation 1.43
3.77 units on a scale
Standard Deviation 1.23
Study 2: Emotion Mechanisms
Week 1, Item 2
3.62 units on a scale
Standard Deviation 1.31
3.94 units on a scale
Standard Deviation 1.31
3.85 units on a scale
Standard Deviation 1.30
Study 2: Emotion Mechanisms
Week 1, Item 3
3.56 units on a scale
Standard Deviation 1.46
3.53 units on a scale
Standard Deviation 1.42
3.51 units on a scale
Standard Deviation 1.49
Study 2: Emotion Mechanisms
Week 8, Item 1
4.23 units on a scale
Standard Deviation 1.57
4.71 units on a scale
Standard Deviation 1.59
4.60 units on a scale
Standard Deviation 1.64
Study 2: Emotion Mechanisms
Week 1, Item 4
5.32 units on a scale
Standard Deviation 1.48
5.48 units on a scale
Standard Deviation 1.43
5.19 units on a scale
Standard Deviation 1.52
Study 2: Emotion Mechanisms
Week 1, Item 7
4.80 units on a scale
Standard Deviation 1.72
5.11 units on a scale
Standard Deviation 1.62
4.85 units on a scale
Standard Deviation 1.67
Study 2: Emotion Mechanisms
Week 2, Item 1
3.73 units on a scale
Standard Deviation 1.37
4.03 units on a scale
Standard Deviation 1.53
3.84 units on a scale
Standard Deviation 1.36
Study 2: Emotion Mechanisms
Week 2, Item 2
3.79 units on a scale
Standard Deviation 1.31
4.14 units on a scale
Standard Deviation 1.46
4.06 units on a scale
Standard Deviation 1.26
Study 2: Emotion Mechanisms
Week 2, Item 4
5.14 units on a scale
Standard Deviation 1.53
5.42 units on a scale
Standard Deviation 1.36
5.43 units on a scale
Standard Deviation 1.39
Study 2: Emotion Mechanisms
Week 2, Item 5
4.28 units on a scale
Standard Deviation 1.40
4.63 units on a scale
Standard Deviation 1.35
4.43 units on a scale
Standard Deviation 1.29
Study 2: Emotion Mechanisms
Week 2, Item 6
3.79 units on a scale
Standard Deviation 1.31
4.19 units on a scale
Standard Deviation 1.46
4.06 units on a scale
Standard Deviation 1.31
Study 2: Emotion Mechanisms
Week 2, Item 7
4.85 units on a scale
Standard Deviation 1.71
5.31 units on a scale
Standard Deviation 1.67
5.19 units on a scale
Standard Deviation 1.64
Study 2: Emotion Mechanisms
Week 2, Total
29.55 units on a scale
Standard Deviation 6.93
31.57 units on a scale
Standard Deviation 7.34
30.94 units on a scale
Standard Deviation 6.51
Study 2: Emotion Mechanisms
Week 3, Item 1
3.94 units on a scale
Standard Deviation 1.46
4.14 units on a scale
Standard Deviation 1.60
4.09 units on a scale
Standard Deviation 1.47
Study 2: Emotion Mechanisms
Week 3, Item 2
3.98 units on a scale
Standard Deviation 1.41
4.14 units on a scale
Standard Deviation 1.52
4.25 units on a scale
Standard Deviation 1.52
Study 2: Emotion Mechanisms
Week 3, Item 3
4.20 units on a scale
Standard Deviation 1.44
4.13 units on a scale
Standard Deviation 1.50
4.10 units on a scale
Standard Deviation 1.55
Study 2: Emotion Mechanisms
Week 3, Item 4
5.16 units on a scale
Standard Deviation 1.56
5.33 units on a scale
Standard Deviation 1.45
5.51 units on a scale
Standard Deviation 1.51
Study 2: Emotion Mechanisms
Week 3, Item 5
4.44 units on a scale
Standard Deviation 1.45
4.75 units on a scale
Standard Deviation 1.45
4.73 units on a scale
Standard Deviation 1.45
Study 2: Emotion Mechanisms
Week 3, Item 6
3.94 units on a scale
Standard Deviation 1.48
4.46 units on a scale
Standard Deviation 1.59
4.51 units on a scale
Standard Deviation 1.35
Study 2: Emotion Mechanisms
Week 3, Item 7
4.80 units on a scale
Standard Deviation 1.79
5.48 units on a scale
Standard Deviation 1.65
5.43 units on a scale
Standard Deviation 1.68
Study 2: Emotion Mechanisms
Week 4, Item 1
4.06 units on a scale
Standard Deviation 1.51
4.29 units on a scale
Standard Deviation 1.60
4.30 units on a scale
Standard Deviation 1.59
Study 2: Emotion Mechanisms
Week 4, Item 2
4.15 units on a scale
Standard Deviation 1.41
4.40 units on a scale
Standard Deviation 1.48
4.52 units on a scale
Standard Deviation 1.52
Study 2: Emotion Mechanisms
Week 4, Item 3
4.20 units on a scale
Standard Deviation 1.62
4.01 units on a scale
Standard Deviation 1.51
4.43 units on a scale
Standard Deviation 1.51
Study 2: Emotion Mechanisms
Week 4, Item 4
5.10 units on a scale
Standard Deviation 1.59
5.32 units on a scale
Standard Deviation 1.67
5.40 units on a scale
Standard Deviation 1.59
Study 2: Emotion Mechanisms
Week 4, Item 6
4.01 units on a scale
Standard Deviation 1.49
4.58 units on a scale
Standard Deviation 1.52
4.62 units on a scale
Standard Deviation 1.50
Study 2: Emotion Mechanisms
Week 4, Item 7
4.93 units on a scale
Standard Deviation 1.70
5.53 units on a scale
Standard Deviation 1.60
5.44 units on a scale
Standard Deviation 1.76
Study 2: Emotion Mechanisms
Week 8, Item 2
4.44 units on a scale
Standard Deviation 1.46
4.70 units on a scale
Standard Deviation 1.50
4.61 units on a scale
Standard Deviation 1.53
Study 2: Emotion Mechanisms
Week 8, Item 3
4.01 units on a scale
Standard Deviation 1.57
4.44 units on a scale
Standard Deviation 1.72
4.36 units on a scale
Standard Deviation 1.63
Study 2: Emotion Mechanisms
Week 8, Item 4
5.37 units on a scale
Standard Deviation 1.53
5.59 units on a scale
Standard Deviation 1.41
5.40 units on a scale
Standard Deviation 1.66
Study 2: Emotion Mechanisms
Week 8, Item 5
4.75 units on a scale
Standard Deviation 1.46
5.10 units on a scale
Standard Deviation 1.44
4.95 units on a scale
Standard Deviation 1.44
Study 2: Emotion Mechanisms
Week 8, Item 6
4.42 units on a scale
Standard Deviation 1.51
4.83 units on a scale
Standard Deviation 1.57
4.72 units on a scale
Standard Deviation 1.54
Study 2: Emotion Mechanisms
Week 8, Item 7
5.28 units on a scale
Standard Deviation 1.68
5.73 units on a scale
Standard Deviation 1.57
5.60 units on a scale
Standard Deviation 1.63
Study 2: Emotion Mechanisms
Week 8, Total
32.49 units on a scale
Standard Deviation 8.00
35.09 units on a scale
Standard Deviation 7.72
34.24 units on a scale
Standard Deviation 8.24

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point. For "Total" score rows, "Number analyzed" includes participants who contributed sufficient item-level data to compute a total score.

Tool Mechanisms is measured using 4 items about reframing. The items measure relatability/believability, helpfulness, memorability, and learnability on a scale of 1 (strongly disagree) to 5 (strongly agree). Total scores range from 4 to 20, with higher scores indicating better outcomes after using a Do-It-Yourself (DIY) tool. Scores will be assessed using mean item-level and total scores. Item 1: I believe in the reframe I came up with; Item 2: The reframe helped me deal with the thought I was struggling with; Item 3: I will remember this reframe the next time I experience this thought; Item 4: By doing this activity, I learned how I can deal with future negative thoughts

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=224 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=249 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Tool Mechanisms
Week 1, Item 1
4.15 units on a scale
Standard Deviation 0.99
4.06 units on a scale
Standard Deviation 1.01
Study 2: Tool Mechanisms
Week 1, Item 2
3.93 units on a scale
Standard Deviation 1.09
3.95 units on a scale
Standard Deviation 1.10
Study 2: Tool Mechanisms
Week 1, Item 3
3.59 units on a scale
Standard Deviation 1.21
3.68 units on a scale
Standard Deviation 1.17
Study 2: Tool Mechanisms
Week 1, Item 4
3.85 units on a scale
Standard Deviation 1.12
3.88 units on a scale
Standard Deviation 1.15
Study 2: Tool Mechanisms
Week 1, Total
15.51 units on a scale
Standard Deviation 3.45
15.58 units on a scale
Standard Deviation 3.63
Study 2: Tool Mechanisms
Week 2, Item 1
4.07 units on a scale
Standard Deviation 1.05
4.11 units on a scale
Standard Deviation 1.00
Study 2: Tool Mechanisms
Week 2, Item 2
3.91 units on a scale
Standard Deviation 1.09
4.04 units on a scale
Standard Deviation 1.02
Study 2: Tool Mechanisms
Week 2, Item 3
3.73 units on a scale
Standard Deviation 1.18
3.89 units on a scale
Standard Deviation 1.09
Study 2: Tool Mechanisms
Week 2, Item 4
3.86 units on a scale
Standard Deviation 1.14
3.95 units on a scale
Standard Deviation 1.08
Study 2: Tool Mechanisms
Week 2, Total
15.57 units on a scale
Standard Deviation 3.61
15.99 units on a scale
Standard Deviation 3.47
Study 2: Tool Mechanisms
Week 3, Item 1
4.28 units on a scale
Standard Deviation 0.92
4.05 units on a scale
Standard Deviation 1.04
Study 2: Tool Mechanisms
Week 3, Item 2
4.10 units on a scale
Standard Deviation 0.99
4.01 units on a scale
Standard Deviation 1.08
Study 2: Tool Mechanisms
Week 3, Item 3
3.84 units on a scale
Standard Deviation 1.17
3.82 units on a scale
Standard Deviation 1.21
Study 2: Tool Mechanisms
Week 3, Item 4
4.01 units on a scale
Standard Deviation 1.10
3.95 units on a scale
Standard Deviation 1.12
Study 2: Tool Mechanisms
Week 3, Total
16.23 units on a scale
Standard Deviation 3.43
15.83 units on a scale
Standard Deviation 3.79
Study 2: Tool Mechanisms
Week 4, Item 1
4.23 units on a scale
Standard Deviation 0.95
3.98 units on a scale
Standard Deviation 1.08
Study 2: Tool Mechanisms
Week 4, Item 2
4.07 units on a scale
Standard Deviation 1.01
3.95 units on a scale
Standard Deviation 1.11
Study 2: Tool Mechanisms
Week 4, Item 3
3.81 units on a scale
Standard Deviation 1.19
3.84 units on a scale
Standard Deviation 1.16
Study 2: Tool Mechanisms
Week 4, Item 4
3.92 units on a scale
Standard Deviation 1.17
3.93 units on a scale
Standard Deviation 1.11
Study 2: Tool Mechanisms
Week 4, Total
16.03 units on a scale
Standard Deviation 3.53
15.71 units on a scale
Standard Deviation 3.90

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point. For "Total" score rows, "Number analyzed" includes participants who contributed sufficient item-level data to compute a total score.

Tool Mechanisms (Part 2) is measured using 2 items about belief change and emotion change on a scale of -7 to 7. Total scores range from -14 to 14, with higher scores indicating stronger beliefs and emotions after completing a DIY tool. Note: this also includes 1 qualitative question; not included here. Scores will be assessed using mean item-level and total scores. Item 1: After doing this activity, how strongly do you believe in your original thought? Item 2: After doing this activity, how strong is your emotion?

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=224 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=249 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Tool Mechanisms (Part 2)
Week 1, Item 1
1.38 units on a scale
Standard Deviation 1.50
1.42 units on a scale
Standard Deviation 1.58
Study 2: Tool Mechanisms (Part 2)
Week 3, Total
2.91 units on a scale
Standard Deviation 3.09
2.90 units on a scale
Standard Deviation 2.84
Study 2: Tool Mechanisms (Part 2)
Week 4, Total
3.27 units on a scale
Standard Deviation 3.13
2.98 units on a scale
Standard Deviation 2.90
Study 2: Tool Mechanisms (Part 2)
Week 1, Item 2
1.65 units on a scale
Standard Deviation 1.47
1.62 units on a scale
Standard Deviation 1.50
Study 2: Tool Mechanisms (Part 2)
Week 1, Total
3.03 units on a scale
Standard Deviation 2.69
3.04 units on a scale
Standard Deviation 2.79
Study 2: Tool Mechanisms (Part 2)
Week 2, Item 1
1.27 units on a scale
Standard Deviation 1.47
1.46 units on a scale
Standard Deviation 1.47
Study 2: Tool Mechanisms (Part 2)
Week 2, Item 2
1.44 units on a scale
Standard Deviation 1.55
1.61 units on a scale
Standard Deviation 1.44
Study 2: Tool Mechanisms (Part 2)
Week 2, Total
2.71 units on a scale
Standard Deviation 2.79
3.08 units on a scale
Standard Deviation 2.66
Study 2: Tool Mechanisms (Part 2)
Week 3, Item 1
1.36 units on a scale
Standard Deviation 1.62
1.40 units on a scale
Standard Deviation 1.47
Study 2: Tool Mechanisms (Part 2)
Week 3, Item 2
1.56 units on a scale
Standard Deviation 1.74
1.50 units on a scale
Standard Deviation 1.59
Study 2: Tool Mechanisms (Part 2)
Week 4, Item 1
1.51 units on a scale
Standard Deviation 1.65
1.51 units on a scale
Standard Deviation 1.60
Study 2: Tool Mechanisms (Part 2)
Week 4, Item 2
1.76 units on a scale
Standard Deviation 1.75
1.47 units on a scale
Standard Deviation 1.51

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4, Week 8

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point. For "Total" score rows, "Number analyzed" includes participants who contributed sufficient item-level data to compute a total score.

The Competencies of Cognitive Therapy Scale will be used to ask participants about how much they have used specific strategies to cope with negative moods, primarily negative automatic thoughts, in the last 4 weeks. The current study will use items 20, 28, 21, 6, 24, and 11. Items are rated from 1 (not at all) to 7 (completely). Total scores range from 6 to 42. Higher scores indicate better outcomes. Scores will be assessed using mean item-level and total scores. Note: also includes 3 qualitative questions; not included here. Themes: Item 20: re-evaluating the situation; Item 28: taking time to step back and considering that negative thoughts might be inaccurate; Item 21: actively working to develop more rational views; Item 6: having a specific action plan of things they could do to cope; Item 24: taking time to consider other factors that may have been involved; Item 11: taking note of what they were thinking and working to develop a more balanced view

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=210 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=188 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=212 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Item 20
3.43 units on a scale
Standard Deviation 1.52
3.77 units on a scale
Standard Deviation 1.50
3.68 units on a scale
Standard Deviation 1.49
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Item 28
3.56 units on a scale
Standard Deviation 1.62
3.85 units on a scale
Standard Deviation 1.55
3.86 units on a scale
Standard Deviation 1.59
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Item 21
3.56 units on a scale
Standard Deviation 1.64
3.95 units on a scale
Standard Deviation 1.56
3.80 units on a scale
Standard Deviation 1.63
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Item 6
2.82 units on a scale
Standard Deviation 1.58
3.51 units on a scale
Standard Deviation 1.70
3.26 units on a scale
Standard Deviation 1.56
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Item 24
3.38 units on a scale
Standard Deviation 1.71
3.79 units on a scale
Standard Deviation 1.71
3.84 units on a scale
Standard Deviation 1.63
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Item 11
3.29 units on a scale
Standard Deviation 1.62
3.76 units on a scale
Standard Deviation 1.55
3.58 units on a scale
Standard Deviation 1.58
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 1, Total
20.04 units on a scale
Standard Deviation 7.79
22.60 units on a scale
Standard Deviation 7.61
22.02 units on a scale
Standard Deviation 7.95
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Item 20
3.94 units on a scale
Standard Deviation 1.52
4.00 units on a scale
Standard Deviation 1.56
4.05 units on a scale
Standard Deviation 1.55
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Item 28
3.94 units on a scale
Standard Deviation 1.60
4.06 units on a scale
Standard Deviation 1.57
4.10 units on a scale
Standard Deviation 1.55
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Item 21
3.90 units on a scale
Standard Deviation 1.68
4.13 units on a scale
Standard Deviation 1.55
3.98 units on a scale
Standard Deviation 1.63
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Item 6
3.39 units on a scale
Standard Deviation 1.56
3.84 units on a scale
Standard Deviation 1.72
3.80 units on a scale
Standard Deviation 1.59
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Item 24
3.74 units on a scale
Standard Deviation 1.63
4.07 units on a scale
Standard Deviation 1.60
3.99 units on a scale
Standard Deviation 1.60
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Item 11
3.70 units on a scale
Standard Deviation 1.63
3.77 units on a scale
Standard Deviation 1.61
3.86 units on a scale
Standard Deviation 1.64
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 2, Total
22.60 units on a scale
Standard Deviation 7.91
23.86 units on a scale
Standard Deviation 7.90
23.78 units on a scale
Standard Deviation 8.30
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Item 20
3.87 units on a scale
Standard Deviation 1.70
4.22 units on a scale
Standard Deviation 1.60
4.31 units on a scale
Standard Deviation 1.66
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Item 28
3.87 units on a scale
Standard Deviation 1.66
4.26 units on a scale
Standard Deviation 1.73
4.47 units on a scale
Standard Deviation 1.56
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Item 21
3.69 units on a scale
Standard Deviation 1.61
4.04 units on a scale
Standard Deviation 1.65
4.33 units on a scale
Standard Deviation 1.69
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Item 6
3.41 units on a scale
Standard Deviation 1.76
3.91 units on a scale
Standard Deviation 1.68
4.17 units on a scale
Standard Deviation 1.72
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Item 24
3.82 units on a scale
Standard Deviation 1.76
4.21 units on a scale
Standard Deviation 1.77
4.37 units on a scale
Standard Deviation 1.68
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Item 11
3.71 units on a scale
Standard Deviation 1.76
4.15 units on a scale
Standard Deviation 1.68
4.38 units on a scale
Standard Deviation 1.63
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 3, Total
22.36 units on a scale
Standard Deviation 8.67
24.79 units on a scale
Standard Deviation 8.62
26.03 units on a scale
Standard Deviation 8.63
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Item 20
3.69 units on a scale
Standard Deviation 1.72
4.26 units on a scale
Standard Deviation 1.78
4.39 units on a scale
Standard Deviation 1.77
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Item 28
3.71 units on a scale
Standard Deviation 1.82
4.24 units on a scale
Standard Deviation 1.78
4.34 units on a scale
Standard Deviation 1.75
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Item 21
3.42 units on a scale
Standard Deviation 1.72
4.30 units on a scale
Standard Deviation 1.72
4.20 units on a scale
Standard Deviation 1.72
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Item 6
3.36 units on a scale
Standard Deviation 1.89
3.92 units on a scale
Standard Deviation 1.89
4.06 units on a scale
Standard Deviation 1.81
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Item 24
3.61 units on a scale
Standard Deviation 1.86
4.32 units on a scale
Standard Deviation 1.94
4.33 units on a scale
Standard Deviation 1.88
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Item 11
3.61 units on a scale
Standard Deviation 1.82
4.18 units on a scale
Standard Deviation 1.91
4.36 units on a scale
Standard Deviation 1.86
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 4, Total
21.46 units on a scale
Standard Deviation 9.33
25.21 units on a scale
Standard Deviation 9.66
25.68 units on a scale
Standard Deviation 9.63
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Item 20
3.90 units on a scale
Standard Deviation 1.91
4.24 units on a scale
Standard Deviation 1.89
4.34 units on a scale
Standard Deviation 1.89
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Item 28
4.02 units on a scale
Standard Deviation 1.94
4.55 units on a scale
Standard Deviation 1.84
4.66 units on a scale
Standard Deviation 1.84
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Item 21
3.93 units on a scale
Standard Deviation 1.86
4.28 units on a scale
Standard Deviation 2.00
4.32 units on a scale
Standard Deviation 1.88
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Item 6
3.98 units on a scale
Standard Deviation 1.87
4.33 units on a scale
Standard Deviation 1.90
4.23 units on a scale
Standard Deviation 1.92
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Item 24
4.36 units on a scale
Standard Deviation 2.00
4.51 units on a scale
Standard Deviation 1.94
4.54 units on a scale
Standard Deviation 1.93
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Item 11
4.23 units on a scale
Standard Deviation 1.85
4.54 units on a scale
Standard Deviation 1.91
4.41 units on a scale
Standard Deviation 2.01
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report
Week 8, Total
24.42 units on a scale
Standard Deviation 9.80
26.46 units on a scale
Standard Deviation 10.12
26.49 units on a scale
Standard Deviation 10.31

PRIMARY outcome

Timeframe: Week 5

Population: Participants who completed week 5.

We measure long-term adoption of the Intervention using an 8-item scale assessing attitudes and behaviors related to engaging with and adopting a mental health intervention focused on reframing negative thoughts. Each item is scored on a scale from 1 to 10. Higher scores indicate greater comfort, likelihood, willingness, excitement, or impact, depending on the item. Specifically, the items assess comfort with attending therapy (Item 1), working with a therapist on reframing (Item 2), and discussing negative thoughts (Item 3); likelihood of seeking mental health information (Item 4); willingness to commit to practicing reframing (Item 5); excitement about learning a new mental health skill (Item 6); the impact of negative thoughts on life (Item 7); and likelihood of recommending the intervention to a friend (Item 8). Scores will be assessed using mean item-level scores. No statistical analysis conducted.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=166 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=137 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=155 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Long-term Adoption of the Intervention
Item 6
7.51 units on a scale
Standard Deviation 2.37
7.99 units on a scale
Standard Deviation 2.32
7.65 units on a scale
Standard Deviation 2.32
Long-term Adoption of the Intervention
Item 8
5.54 units on a scale
Standard Deviation 2.83
6.05 units on a scale
Standard Deviation 2.93
5.55 units on a scale
Standard Deviation 2.82
Long-term Adoption of the Intervention
Item 7
7.73 units on a scale
Standard Deviation 1.78
7.62 units on a scale
Standard Deviation 1.87
7.63 units on a scale
Standard Deviation 1.84
Long-term Adoption of the Intervention
Item 1
7.04 units on a scale
Standard Deviation 2.65
6.82 units on a scale
Standard Deviation 2.94
6.94 units on a scale
Standard Deviation 2.77
Long-term Adoption of the Intervention
Item 2
7.39 units on a scale
Standard Deviation 2.38
7.17 units on a scale
Standard Deviation 2.59
7.28 units on a scale
Standard Deviation 2.63
Long-term Adoption of the Intervention
Item 3
5.55 units on a scale
Standard Deviation 2.76
5.62 units on a scale
Standard Deviation 2.85
5.45 units on a scale
Standard Deviation 2.73
Long-term Adoption of the Intervention
Item 4
8.15 units on a scale
Standard Deviation 2.13
8.28 units on a scale
Standard Deviation 2.16
8.07 units on a scale
Standard Deviation 2.38
Long-term Adoption of the Intervention
Item 5
7.63 units on a scale
Standard Deviation 2.10
7.92 units on a scale
Standard Deviation 2.02
7.78 units on a scale
Standard Deviation 2.31

PRIMARY outcome

Timeframe: Week 1, Week 2, Week 3, Week 4, Week 8

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point.

Hopefulness is measured using a single item (How hopeful do you feel about the future?). Scores will be assessed using mean item-level scores. Scores range from 1 to 7, with higher scores indicating better outcomes (more hopefulness). No statistical analysis (this item was merged with emotion mechanisms).

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=219 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=196 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=219 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Hopefulness
Week 1
3.66 units on a scale
Standard Deviation 1.28
3.87 units on a scale
Standard Deviation 1.43
3.77 units on a scale
Standard Deviation 1.23
Hopefulness
Week 2
3.73 units on a scale
Standard Deviation 1.37
4.03 units on a scale
Standard Deviation 1.53
3.84 units on a scale
Standard Deviation 1.36
Hopefulness
Week 3
3.94 units on a scale
Standard Deviation 1.46
4.14 units on a scale
Standard Deviation 1.60
4.09 units on a scale
Standard Deviation 1.47
Hopefulness
Week 4
4.06 units on a scale
Standard Deviation 1.51
4.29 units on a scale
Standard Deviation 1.60
4.30 units on a scale
Standard Deviation 1.59
Hopefulness
Week 8
4.23 units on a scale
Standard Deviation 1.57
4.71 units on a scale
Standard Deviation 1.59
4.60 units on a scale
Standard Deviation 1.64

SECONDARY outcome

Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 8

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point.

The Patient Health Questionnaire-9 (PHQ-9) consists of 9 depression items. Each item is associated with a Diagnostic and Statistical Manual (DSM) symptom of depression. Participants rate whether or not they have experienced the symptom over the last two weeks, with severity ratings of 0 to 3. Total scores range from 0 to 27, with higher scores indicating greater severity of depression symptoms. It is one of the few measures that is brief (it takes less than one minute to give) and has been found to have excellent sensitivity to change over time.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=269 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=272 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=298 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Patient Health Questionnaire-9 (PHQ-9)
Baseline
17.69 units on a scale
Standard Deviation 4.66
17.66 units on a scale
Standard Deviation 4.86
17.97 units on a scale
Standard Deviation 4.68
Study 2: Patient Health Questionnaire-9 (PHQ-9)
Week 2
13.58 units on a scale
Standard Deviation 5.52
12.92 units on a scale
Standard Deviation 5.81
12.80 units on a scale
Standard Deviation 5.20
Study 2: Patient Health Questionnaire-9 (PHQ-9)
Week 3
12.84 units on a scale
Standard Deviation 6.22
12.79 units on a scale
Standard Deviation 6.14
12.66 units on a scale
Standard Deviation 5.97
Study 2: Patient Health Questionnaire-9 (PHQ-9)
Week 1
14.50 units on a scale
Standard Deviation 5.03
14.88 units on a scale
Standard Deviation 5.83
15.17 units on a scale
Standard Deviation 5.26
Study 2: Patient Health Questionnaire-9 (PHQ-9)
Week 4
11.51 units on a scale
Standard Deviation 6.06
12.72 units on a scale
Standard Deviation 6.79
11.04 units on a scale
Standard Deviation 6.21
Study 2: Patient Health Questionnaire-9 (PHQ-9)
Week 8
10.58 units on a scale
Standard Deviation 6.66
10.66 units on a scale
Standard Deviation 6.50
10.82 units on a scale
Standard Deviation 6.88

SECONDARY outcome

Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4, Week 8

Population: "Overall Number of Participants Analyzed" includes participants who provided data at any time point. "Number analyzed" includes participants who contributed data at that time point.

The Generalized Anxiety Disorder-7 (GAD-7) is a 7- item screener for generalized anxiety. It consists of items related to Generalized Anxiety Disorder (GAD). Participants rate how much anxiety they have experienced in the last two weeks on a scale of 0 to 3. Total scores range from 0 to 21, with higher scores indicating greater severity of anxiety symptoms. The scale is a valid screener for GAD.

Outcome measures

Outcome measures
Measure
Study 1, Demographics Survey (Stage 1 Randomization)
n=268 Participants
This arm included participants who were randomized to receive the Demographics Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Demographic Survey, 2) Study 1, Demographic Survey + Generic Response + Generic Resources, and 3) Demographic Survey + Generic Response + Tailored Resources by Demographics.
Study 1, Next Steps Survey (Stage 1 Randomization)
n=272 Participants
This arm included participants who were randomized to receive the Next Steps Survey after completing a screening tool on the Mental Health America (MHA) website. It includes 1) Study 1, Next Steps Survey, 2) Study 1, Next Steps Survey + Generic Response + Generic Resources, 3) Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources, 4) Study 1, Next Steps Survey + Tailored Response + Generic Resources, and 5) Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources.
Experimental: Study 1, Next Steps Survey + Generic Response + Generic Resources
n=298 Participants
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Generic Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and the four generic resource pages on MHA's website.
Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Generic Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature the response-as-usual on Mental Health America (MHA)'s website and 4 resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test")
Study 1, Next Steps Survey + Tailored Response + Generic Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Generic Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support (e.g., "We're so glad to hear you're open to exploring how to improve your mental health. People who score with minimum or mild depression often notice that symptoms can get worse in the weeks after taking a Depression test.") They will also receive the 4 generic resources.
Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources
This arm included participants who completed the Next Steps Survey (stage 1 randomization). The Tailored Response + Tailored Resources by Desired Resources condition (stage 2 randomization) will feature a response tailored to screening status (above or below criteria for depression) and expressed need for mental health support, and will receive resources tailored to a survey question that asks participants what they would like to do next on the website after screening is complete (e.g., "Learn more about depression", "Take another mental health test").
Study 2: Generalized Anxiety Disorder-7 (GAD-7)
Baseline
14.29 units on a scale
Standard Deviation 4.62
14.56 units on a scale
Standard Deviation 4.14
14.38 units on a scale
Standard Deviation 4.65
Study 2: Generalized Anxiety Disorder-7 (GAD-7)
Week 1
12.43 units on a scale
Standard Deviation 4.71
12.84 units on a scale
Standard Deviation 4.93
12.69 units on a scale
Standard Deviation 5.36
Study 2: Generalized Anxiety Disorder-7 (GAD-7)
Week 2
11.28 units on a scale
Standard Deviation 4.81
11.46 units on a scale
Standard Deviation 5.58
11.23 units on a scale
Standard Deviation 5.23
Study 2: Generalized Anxiety Disorder-7 (GAD-7)
Week 3
10.83 units on a scale
Standard Deviation 5.57
11.51 units on a scale
Standard Deviation 5.79
11.13 units on a scale
Standard Deviation 5.61
Study 2: Generalized Anxiety Disorder-7 (GAD-7)
Week 4
10.10 units on a scale
Standard Deviation 5.74
11.06 units on a scale
Standard Deviation 6.08
9.80 units on a scale
Standard Deviation 5.64
Study 2: Generalized Anxiety Disorder-7 (GAD-7)
Week 8
9.22 units on a scale
Standard Deviation 5.72
9.36 units on a scale
Standard Deviation 6.15
9.62 units on a scale
Standard Deviation 6.35

Adverse Events

Study 1, Demographic Survey

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Next Steps Survey

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Demographic Survey + Generic Response + Generic Resources

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Next Steps Survey + Generic Response + Tailored Resources by Desired Resources

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Next Steps Survey + Tailored Response + Generic Resources

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Demographic Survey + Generic Response + Tailored Resources by Demographics

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Next Steps Survey + Generic Response + Generic Resources

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1, Next Steps Survey + Tailored Response + Tailored Resources by Desired Resources

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 2, Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 2, DIY Tool Without AI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 2, DIY Tool With AI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Tim Althoff

University of Washington

Phone: 206-543-4243

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place