HAPA Engagement Strategies for Patient Engagement
(QT-DIMES Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores new methods to help LGBTQ+ individuals engage with digital mental health resources. It aims to identify effective strategies that encourage this community to use and benefit from resources provided by Mental Health America. Participants will be randomly assigned to either receive targeted engagement strategies (HAPA Engagement Strategies) or continue with the usual resource pages. Ideal candidates for this trial are those who identify as LGBTQ+ and have completed a depression screening on the Mental Health America website in English. As an unphased trial, this study offers a unique opportunity to contribute to innovative mental health solutions tailored for the LGBTQ+ community.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It focuses on digital mental health services for LGBTQ+ individuals.
What prior data suggests that these engagement strategies are safe for SGM populations?
Research has shown that the HAPA Engagement Strategies are generally safe. The HAPA model aids in behavior change and has been applied in various contexts, such as promoting physical activity. Studies indicate that strategies like goal-setting and progress tracking are well-received by participants. No major reports of harmful effects have emerged from using these strategies in digital mental health services. This suggests these engagement strategies are likely safe for participants in this trial.12345
Why are researchers excited about this trial?
Researchers are excited about the HAPA Engagement Strategies trial because it aims to revolutionize how we motivate patients to engage with mental health resources. Unlike traditional methods that might simply present information, this approach tailors strategies based on psychological constructs like outcome expectancy, self-efficacy, perceived risk, and understanding of barriers. By targeting these specific areas, the strategies have the potential to significantly boost patient involvement and adherence to mental health programs. This personalized approach could lead to more effective outcomes by meeting patients where they are psychologically and helping them overcome personal hurdles.
What evidence suggests that HAPA Engagement Strategies could be effective for increasing engagement with digital mental health services for SGM populations?
This trial will compare HAPA Engagement Strategies with standard approaches to assess their impact on the use of digital mental health tools. Research has shown that HAPA Engagement Strategies, based on the Health Action Process Approach (HAPA), help predict tool usage. In past studies, this model improved engagement by focusing on key factors such as belief in positive outcomes, confidence in one's ability to act, understanding risks, and recognizing barriers and resources. These elements address psychological factors that enhance the use of digital mental health services. Previous findings demonstrated that these strategies lead to more active and consistent engagement with online mental health resources. This suggests that HAPA-based strategies could effectively increase engagement for sexual and gender minority groups, who often face challenges accessing traditional mental health services.678910
Who Is on the Research Team?
Meghan Romanelli, PhD
Principal Investigator
University of Washington
Are You a Good Fit for This Trial?
This study is for sexual and gender minority individuals who are interested in digital mental health services. It aims to understand how they engage with these online resources. There's no specific exclusion criteria provided, but participants likely need internet access and must be willing to use the Mental Health America platform.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Engagement Strategy Testing
Participants are randomized to receive or not receive HAPA-based engagement strategies at two decision points within the MHA Screening Program
Follow-up
Participants' engagement with DMH resources is monitored through click-through rates and time spent on resources
What Are the Treatments Tested in This Trial?
Interventions
- HAPA Engagement Strategies
Trial Overview
The trial is testing engagement strategies tailored for SGM populations using digital mental health services. It employs a micro-randomized trial design to see which strategies improve initial and ongoing interaction with Mental Health America's free resources.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
At each decision point in the MHA Screening Program flow, each eligible participant will be randomized to either receive a HAPA-based engagement strategy or not. Participants will be randomized with equal probability (0.2) to either receive: 1) no engagement strategy (i.e., the standard Next Steps resource page as usual; control), or; 2) one of four types of HAPA-based engagement strategies. Participants randomized to receive an engagement strategy will be randomized with equal probability to an engagement strategy targeting a HAPA construct: 1) outcome expectancy; 2) self-efficacy; 3) perceived risk, and; 4) barriers and resources. The first decision point will be the screening Results page which is displayed immediately after completing the PHQ-9 and optional demographic questions. The second decision point will be the targeted Next Steps resource page that participants click on from the Results page.
Users see the usual MHA Results Page without engagement strategies.
Users see the usual MHA Next Steps resource pages without engagement strategies.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Washington
Lead Sponsor
Mental Health America
Collaborator
National Institute of Mental Health (NIMH)
Collaborator
Citations
Application of an Adapted Health Action Process Approach ...
This study examined whether an adapted HAPA model predicted engagement with DMH via a self-guided website.
NCT07278765 | QT-Digital Mental Health Engagement Study
The engagement strategies are grounded in the Health Action Process Approach (HAPA), including immediate behavioral determinants: outcome ...
Application of an Adapted Health Action Process Approach ...
This study examined whether an adapted HAPA model predicted engagement with DMH via a self-guided website.
Application of an Adapted Health Action Process Approach ...
This study examined whether an adapted HAPA model predicted engagement with DMH via a self-guided website.
Engagement With a Trauma Recovery Internet Intervention ...
We collected baseline demographic, social cognitive predictors, and distress symptoms and measured engagement subjectively and objectively ...
Application of an Adapted Health Action Process Approach ...
This study examined whether an adapted HAPA model predicted engagement with DMH via a self-guided website.
A Combined HAPA and mHealth Intervention to Increase ...
Increasing the length and frequency of breaks from sitting and increasing the time spent standing and engaged in light physical activity are ways to decrease SB ...
Applying the Health Action Process Approach (HAPA) in ...
The 2019 UNAIDS data showed that in China, 83% of PLH who know their status have received the treatment, and 94% have suppressed viral loads (Joint. United ...
7 - Changing Behavior Using the Health Action Process ...
This chapter outlines the utility of the health action process approach (HAPA), a hybrid social cognition model that aims to describe, explain, and modify ...
Physical Activity Interventions Framed by the Health Action ...
Interventions that use the Health Action Process Approach (HAPA) model show promise for increasing PA frequency, duration, and intensity.
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