Clinical trial NCT03631745: Delivering Church-based Interventions to Reduce Stigma and Mental Health Treatment Disparities Among Latinos
Official title: Delivering Church-based Interventions to Reduce Stigma and Mental Health Treatment Disparities Among Latinos
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Help-Seeking Behavior
Stigma, Social
Keywords: mental health literacy
stigma
help-seeking
Latino
faith-based
religious congregations
contact-based interventions
Lead sponsor: RAND
Sponsor class: OTHER
Collaborators: name: National Alliance on Mental Illness California
First posted: 2018-08-15
Enrollment: 1713
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The National Alliance on Mental Illness (NAMI) of California has developed Mental Health 101, a suite of contact-based education programs tailored for culturally diverse populations including Latino populations. Another NAMI program, FaithNet, provides resources and training on how churches can shape norms and overcome shame and stigma related to mental illness and treatment. NAMI FaithNet also assists with facilitating linkages to mental health services from providing referrals to partner mental health agencies to forming multi-sector collaboratives of social service organizations, clergy, and mental health providers to create a more holistic, coordinated system of care. The multi-component, church-based, intervention will build on NAMI's existing resources, with tailoring for Latino church-based settings.
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study is a cluster randomized controlled trial of a Latino church-based intervention in Los Angeles and Riverside Counties. This study aims to leverage the collective resources of Latino religious congregations and the National Alliance on Mental Illness to test the effectiveness of a multi-component intervention directed at reducing stigma, increasing mental health literacy, and improving access to mental health services.

Detailed description: This study is a cluster randomized controlled trial of a Latino church-based intervention in Los Angeles and Riverside Counties. This study aims to leverage the collective resources of Latino religious congregations and the National Alliance on Mental Illness to test the effectiveness of a multi-component intervention directed at reducing stigma, increasing mental health literacy, and improving access to mental health services. A total of 12 churches (6 intervention and 6 wait-list control) will be enrolled in the study. Churches within each study site, the Riverside County parishes and the Archdiocese of Los Angeles, will be matched in pairs based on size and geography. Three matched pairs from each study site will be randomly selected and then randomly assigned within each pair to intervention or control. The planned study will involve 2400 participants (1200 intervention and 1200 control) who will be part of congregations that are randomly assigned to receive the church-based intervention immediately or a wait list control condition. Participants will be assessed at baseline, 6-month follow-up, and 12-month follow-up to evaluate intervention effects on mental health service use and potential mediators (i.e., mental health literacy, stigma).

Eligibility criteria: Inclusion Criteria:

* Congregant of selected intervention and control churches

Exclusion Criteria:

* Does not meet criteria above

Primary outcomes:
measure: Mental Health Service Use
timeFrame: Mental Health Service Use between Baseline and 12-month Follow-up
Secondary outcomes:
measure: Mental Illness Stigma
timeFrame: Mental Illness Stigma reduction between Baseline and 12-month Follow-up
Other outcomes:
Locations:
city: Santa Monica
country: United States
facility: RAND
state: California
Study officials:
affiliation: RAND
name: Eunice C Wong
role: PRINCIPAL_INVESTIGATOR
References: