N/A
N=39,450
Brief Online Help-seeking Barrier Reduction Intervention
Crisis Intervention · Suicide and Depression
Bottom Line
View on ClinicalTrials.gov: NCT03633825 ↗Enrolled (actual)
39,450
Serious AEs
0.0%
Results posted
Apr 2019
Primary outcome: Primary: Number of Participants Reporting Use of Crisis-referrals — 130; 159 Participants — p==.02
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Brief help-seeking barrier reduction intervention (Behavioral)
- Age
- Pediatric, Adult, Older Adult
- Sex
- All
- Sponsor
- Harvard University
- Primary completion
- Sep 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Reporting Use of Crisis-referrals |
130; 159 | =.02 sig |
| SECONDARY Number of Participants in the Treatment Versus Control Conditions Reporting Their Experience Using Koko Was "Good" |
250; 234 | =.19 |
Summary
Objective: Mental illness is a leading cause of disease burden; however, many barriers prevent people from seeking mental health services. Technological innovations may improve the ability to reach under-served populations by overcoming many existing barriers. The investigators evaluated a brief, automated risk assessment and intervention platform designed to increase the use of crisis resources provided to individuals who were online and in crisis. Hypothesis: The investigators hypothesized that individuals assigned to the intervention condition would report using crisis resources at higher rates than individuals in the control condition. Method: Participants, users of the digital mental health app Koko, were randomly assigned to treatment or control conditions upon accessing the app and were included in the study after their posts were identified by machine learning classifiers as signaling a current mental health crisis. Participants in the treatment condition received a brief Barrier Reduction Intervention (BRI) designed to increase the use of crisis service referrals provided on the app. Participants were followed-up several hours later to assess the use of crisis services.
Eligibility Criteria
Inclusion Criteria
- Participants identified as experiencing a mental health crisis by a hybrid human-machine computation system evaluating semantic content of posts made on digital platforms.
Exclusion Criteria
- Participants who were not identified as experiencing a mental health crisis.
Data sourced from ClinicalTrials.gov (NCT03633825). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.