Media Project and Health Study - Spanish Version

Study Overview
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Brief Summary
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We seek to test the efficacy of the Spanish version of the Catalina web-app intervention compared to an attention control web-app in reducing symptoms of depression and/or anxiety and motivate women to take action to get help.

Official Title
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Efficacy of the Spanish Version of the Catalina Intervention Media Project and Health Study

Conditions
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Depression, Anxiety

Intervention / Treatment
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* Behavioral: Catalina Story-Based Web-App
* Behavioral: Attention Control Web-App


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: self identifies as Latina scores 10 or more on Patient Health Questionnaire-8 (PHQ-8) or General Anxiety Disorder (GAD)-7 can read, write, and speak Spanish has access to the internet Exclusion Criteria: currently getting treatment for depression or anxiety suicidal ideation identified at screening

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Story-based media<br>Participants will receive a link to our story-based media with Latina characters. | Behavioral: Catalina Story-Based Web-App<br>* Latinas in the experimental group will view a story-based web-app featuring a character named Catalina and psycho-therapeutic modules to motivate them to take action and get help for their symptoms of depression and/or anxiety.<br>|
| Active Comparator: Attention control media<br>Participants will receive a link to non-story based media that is informational and does not involve story characters. | Behavioral: Attention Control Web-App<br>* Latinas in the attention control group will view non-story based media that is informational.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in help seeking intention and action | Change from baseline in help seeking intentions will be assessed by the number of participants who expressed interest in, expressed intentions to take action, or reported actually taking help-seeking action (used a resource, called a clinic, made an appointment with a mental health professional, signed up for a support group, or actually attended a group or 1:1 mental health session). | Baseline and 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change attitudes towards seeking psychological services. | Change in individuals' attitudes with respect to seeking psychological services will be assessed with the Inventory of Attitudes toward Seeking Mental Health Services (IASMAS). It is a 24 item scale that measures psychological openness to seeking mental health services, help seeking propensity (ability and motivation to seek help), and indifference to stigma (a person's lack of concern of what others might think of their attitude toward seeking professional help). Total scores range from 0 to 96, and higher scores indicate more positive attitudes. | Baseline and 6 weeks. | 
| Change in attitudes in mental help seeking. | Change in attitudes about seeking help from a mental health professional will be assessed with the Mental Help Seeking Attitudes Scale (MHSAS) which is a 9-item instrument designed to measure respondents' overall evaluation (unfavorable vs. favorable) of their seeking help from a mental health professional if they found themselves to be dealing with a mental health concern. Total scale scores range from 0 to 63, and higher scores indicate more positive attitudes toward seeking help. | Baseline and 6 weeks. | 
| Change in Anxiety | Change in Anxiety will be assessed by the General Anxiety Disorder 7 (GAD7) which is a self-report screening and severity measure for generalized anxiety disorder. The seven items correspond to symptoms of anxiety and are summed for a range from 0-21; a score of 10-14 indicates moderate anxiety and scores at or above 15 indicate severe anxiety | Baseline and 6 weeks. | 
| Change in Depression | Change in Depression will be assessed by the Patient Health Questionnaire-8 (PHQ-8) which is a self-report assessment of depression. It has been established as a valid diagnostic and severity measure. The eight items correspond to symptom-based diagnostic criteria in Diagnostic and Statistical Manual (DSM)-IV and are summed for a range from 0-24; a score of 10-14 indicates moderate depression and scores at or above 15 indicate severe depression. | Baseline and 6 weeks. |