Clinical trial NCT05372705: Reducing Eco-anxiety Using Selfies
Official title: Reducing Eco-anxiety and Increasing Eco-action in Adolescents Using Selfie Videos: a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Ecology
Anxiety
Lead sponsor: Yale University
Sponsor class: OTHER
First posted: 2022-05-13
Enrollment: 1200
Sex: ALL
Minimum age (years): 14
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The purposes of this study are to test among adolescent viewers the utility of selfie (TikTok) short video-based interventions to:

1. Reduce ecological anxiety,
2. Increase ecological agency,
3. Compare two different types of messaging, and
4. Examine the role of viewer's gender and race as independent factors on the outcomes of interest.

Detailed description: Intervention videos will each be TikTok self-recorded videos (of 58-second duration) featuring the same underage professional (ages 16) acting as simulated participant. Video 1 ("Negative") will focus on impending ecological catastrophic outcomes; Video 2 ("Positive") will focus on the actions that youth will be able to take in preventing such outcomes; and Video 3 ("Neutral") will include content unrelated to ecological concerns.

We intend to assign \~1,000 individuals aged 14-18 in a randomized way, in equal proportions, and stratified by sex and race, to view one of the three TikTok videos: Positive, Negative, or Neutral.

Assessments will occur at baseline and post-intervention, and will include:

1. Demographics (baseline only),
2. Primary outcome:

   a. Climate Change Anxiety scale (13 items)
3. Secondary outcome:

   1. Climate Hope scale (11 items)
   2. Behavioral intentions (6 items; adapted from)29,
   3. Hopefulness and agency sliders (2 items), and
   4. Three words

Eligibility criteria: Inclusion Criteria:

* English-speaking
* Living in the US
* Ages 14 - 18

Exclusion Criteria:

* None

Primary outcomes:
measure: Change in Climate Change Anxiety Scale (CCAS)
timeFrame: Within 10 minutes
Secondary outcomes:
measure: Change in Climate Change Hope Scale (CCHS)
timeFrame: Within 10 minutes
measure: Change in Environmental Action Scale-Behavioral Intentions (EAS-BI)
timeFrame: Within 10 minutes
measure: Change in Hopefulness "slider"
timeFrame: Within 10 minutes
measure: Change in Agency "slider"
timeFrame: Within 10 minutes
Other outcomes:
Locations:
city: New Haven
country: United States
facility: Yale Child Center
state: Connecticut
city: New Haven
country: United States
facility: Yale Child Study Center
state: Connecticut
Study officials:
References:
citation: Martin A, Calhoun A, Paez J, Amsalem D. Destigmatizing perceptions about Black adolescent depression: randomized controlled trial of brief social contact-based video interventions. J Child Psychol Psychiatry. 2022 Nov;63(11):1270-1278. doi: 10.1111/jcpp.13570. Epub 2022 Jan 23.
citation: Amsalem D, Martin A. Reducing depression-related stigma and increasing treatment seeking among adolescents: randomized controlled trial of a brief video intervention. J Child Psychol Psychiatry. 2022 Feb;63(2):210-217. doi: 10.1111/jcpp.13427. Epub 2021 Apr 6.
citation: Amsalem D, Halloran J, Penque B, Celentano J, Martin A. Effect of a Brief Social Contact Video on Transphobia and Depression-Related Stigma Among Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e220376. doi: 10.1001/jamanetworkopen.2022.0376.
citation: Benoit L, Thomas I, Martin A. Review: Ecological awareness, anxiety, and actions among youth and their parents - a qualitative study of newspaper narratives. Child Adolesc Ment Health. 2022 Feb;27(1):47-58. doi: 10.1111/camh.12514. Epub 2021 Oct 22.