Image Narrative With College Students

Study Overview
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Brief Summary
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The PI developed the Image Narrative Intervention (INI) based on the research using visual images in which visual images and narratives were found to support trauma survivors in narrating their experiences and in meaning making. The proposed study is the first study to test the therapeutic effect of the INI program. The investigators propose to assess, both qualitatively and quantitatively, the feasibility and preliminary effect of the INI through a pilot randomized control trial (RCT) design with a wait list control.

Detailed Description
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AIM 1. To understand the unique experiences of emerging adult college students during the Covid-19 pandemic (especially around the themes of the self, relationships with others, and the future). AIM 2. To evaluate the feasibility of the INI for emerging adult college students during the Covid-19 pandemic, both quantitatively and qualitatively. AIM 3. To evaluate the preliminary efficacy of the INI on distress, PTG, Quality of Life and Meaning-Making.

Official Title
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Image Narrative With College Students

Conditions
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Depression, Anxiety

Intervention / Treatment
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* Behavioral: Image Narrative


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-29 in age college students at the University of Utah reporting moderate or higher levels of distress in DASS21 Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 29 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Imagenarrative treatment group<br>INI Sessions: Each participant will take part in a 5-week program of weekly 1-hour telehealth sessions with the PI or a social work PhD student facilitator trained in the INI by the PI. | Behavioral: Image Narrative<br>* Each participant will take part in a 5-week program of weekly 1-hour telehealth sessions with the PI or a social work PhD student facilitator trained in the INI by the PI.<br>|
| Experimental: Wait List Control Group<br>In weeks 6 through 10, the same program will be delivered to the wait list control group. | Behavioral: Image Narrative<br>* Each participant will take part in a 5-week program of weekly 1-hour telehealth sessions with the PI or a social work PhD student facilitator trained in the INI by the PI.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| DASS (Depression, Anxiety and Stress Scale) 21 | measuring distress, 0-63, higher is worse | change through study completion, an average of 3 months | 
| PTGI (posttraumatic growth index) | measuring posttraumatic growth, 0-105, higher is better | change through study completion, an average of 3 months | 
| WHOQOL (WHO quality of life)-bref | measuring quality of life, 0-100, higher is better | change through study completion, an average of 3 months | 
| MLQ (meaning in life) | measuring meaning making, 0-70, higher is better | change through study completion, an average of 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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depression, college students, posttraumatic growth, meaning making, quality of life