A Just-in-Time Adaptive Intervention for Child and Family Mental Health

NCT ID: NCT06443918

Last Updated: 2024-06-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

357 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-20

Study Completion Date

2025-06-30

Brief Summary

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The goal of this clinical trial is to test an app-based just-in-time-adaptive intervention (JITAI). The intervention aims to improve child and family mental health. A JITAI provides in-the-moment feedback to coach families. The questions it tests are if the app will improve mental health and family functioning. Participants will download an app on their phone and complete JITAI sessions. Researchers will compare intervention and control groups to see if the app improves mental health.

Detailed Description

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The following study tests the efficacy of an app-based program designed to improve child and family mental health and well-being. The intervention will include family-based activities for improving child and family mental health and functioning delivered as psychoeducation and activities through the smartphone app, as well as a just-in-time adaptive intervention (JITAI) component where AI analysis for family interactions will be used to provide real-time, dynamic feedback to families. Participants will be informed during consent that they will have a 50-50 chance of receiving the intervention. The study will assess caregiver and child functioning in a variety of domains, such as mental health symptoms, attachment style, and family conflict through a series of baseline and follow-up questionnaires. Caregivers may use their own smartphones, or they will be lent smartphones for the study. Caregivers and children will also be lent Fitbits/Apple Watches. The intervention will last 8 weeks. Data will include daily surveys, daily audio recordings, 15-minute surveys every 2 weeks about their experiences using the app, bi-weekly check-ins, psychoeducational modules, homework activities, JITAI sessions, and passively sensed data. The intervention will be administered through the smartphone app and will include daily 5-15-minute psychoeducation modules and practice sessions and daily JITAI sessions.

Conditions

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Mental Health and Well-being Family Functioning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Half of families will be randomly assigned to the intervention group. The intervention will include family-based activities for improving child and family mental health and functioning delivered as psychoeducation and activities through the smartphone app. The intervention also includes real-time feedback and coaching of family interactions through a just-in-time adaptive intervention (JITAI).
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Participants will be informed during consent that they will have a 50-50 chance of receiving the intervention.

Study Groups

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Intervention

The intervention aims to improve child and family mental health and functioning through psychoeducation and family-based activities delivered via a smartphone app. This intervention also includes a just-in-time adaptive intervention (JITAI) for coaching family interactions in real-time. Caregivers will wear smartwatches and carry smartphones for 8 weeks. Children will wear smartwatches. A variety of types of data will be collected from the phones and watches, such as heart rate, activity levels, and sleep. We will also collect daily surveys, daily audio recordings, a 15-minute survey every 2 weeks about their experiences using the app, and check-in calls every 2 weeks.

Group Type EXPERIMENTAL

A Just-in-Time Adaptive Intervention for Child and Family Mental Health

Intervention Type BEHAVIORAL

Families in the intervention group will download an app on their smartphones. The app will deliver psychoeducational modules and family-based homework activities. It will include a component where AI is used to assess the quality of family-based interactions and provide in-the-moment feedback and coaching to guide the family interaction.

Control group

Caregivers will wear smartwatches and carry smartphones for 8 weeks. Children will wear smartwatches. Participants will complete placebo psychoeducational modules matched in length and reading level to the intervention content. A variety of types of data will be collected from the phones and watches, such as heart rate, activity levels, and sleep. We will also collect daily surveys, daily audio recordings, a 15-minute survey every 2 weeks about their experiences using the app, and check-in calls every 2 weeks.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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A Just-in-Time Adaptive Intervention for Child and Family Mental Health

Families in the intervention group will download an app on their smartphones. The app will deliver psychoeducational modules and family-based homework activities. It will include a component where AI is used to assess the quality of family-based interactions and provide in-the-moment feedback and coaching to guide the family interaction.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* A family income less than or equal to the 33rd percentile for their county of residence OR
* At least one participating family member identifies as belonging to an ethnic/racial minoritized group AND
* Child mental health symptoms at or above the 70th percentile based on any subscale of the Strengths and Difficulties Questionnaire AND
* Participants speak English and/or Spanish AND
* Have a child 6-9 years old at the time of enrollment AND
* Families must be located in Texas or Florida

Exclusion Criteria

* Active suicidal ideation OR
* Active homicidal ideation OR
* Current child abuse OR
* Current violence in the home
Minimum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Colliga Apps Corp.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthew Ahle, B.S.

Role: PRINCIPAL_INVESTIGATOR

Colliga Apps

Adela Timmons, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

The University of Texas at Austin

Jonthan Comer, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Florida International University

Locations

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Florida International University

Miami, Florida, United States

Site Status NOT_YET_RECRUITING

The University of Texas at Austin

Austin, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Matthew Ahle, B.S.

Role: CONTACT

512-514-6037

Adela Timmons, Ph.D.

Role: CONTACT

Facility Contacts

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Jonathan Comer, Ph.D.

Role: primary

Adela Timmons, Ph.D.

Role: primary

Related Links

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http://colliga.io

Colliga Apps website

Other Identifiers

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R44MH123368

Identifier Type: NIH

Identifier Source: secondary_id

View Link

R44MH123368

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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