Digital Strategies to Advance Help-Seeking - Aim 3

Part of paid clinical trials in New York, New York.

Sponsor
Columbia University
Study ID
NCT06774417
Status
Recruiting
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Conditions

  • Clinical High Risk
  • Early Psychosis
  • First Episode Psychosis

Eligibility Criteria

Sex
ALL
Age
12 Years - 29 Years
Healthy Volunteers
Not accepted

Interventions

  • Digital nudge — OTHER
    Digital help seeking advancement strategies over text and online.

Study Details

This proposal aims to establish a Digital Laboratory focused on advancing help-seeking and expediting treatment initiation in youth ages 12-29 who are at Clinical High-Risk (CHR) for developing psychosis. Leveraging the Health Action Process Approach (HAPA) model, this study will identify help-seeking subtypes in 25,000 youth who screen positive for psychosis-risk on Mental Health America's national online screening platform, iteratively develop and test theory and data-driven, personalized strategies to advance help-seeking using Micro-Randomized Trials and a Sequential Multiple Assignment Randomized Trial, identify the most accurate CHR screening threshold in an online environment, and link youth, when indicated, to local clinical care via AMP-SCZ, a NIH funded national network of CHR programs throughout the US. This academic-industry partnership aims to curate one of the largest datasets of youth with CHR, and to develop effective strategies to enhance early help-seeking, in a population where help-seeking is critical and a significant barrier to care.

Key Dates

Start date
Feb 2, 2026
Status verified
May 2025
Primary completion
May 31, 2028
Completion
May 31, 2028

Study Design

Enrollment
25,000 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SCREENING

Arms

  • Active Comparator: Self-Efficacy Nudge
    Participants will be randomized with equal probability into a unique HAPA construct category at baseline and this randomization process will continue as participants advance towards care
  • Active Comparator: Needs/Risks Nudge
    Participants will be randomized with equal probability into a unique HAPA construct category at baseline and this randomization process will continue as participants advance towards care
  • Active Comparator: Outcome expectations
    Participants will be randomized with equal probability into a unique HAPA construct category at baseline and this randomization process will continue as participants advance towards care
  • No Intervention: Neutral nudge
    Participants will be randomized with equal probability into a unique HAPA construct category at baseline and this randomization process will continue as participants advance towards care

Primary Outcome Measure

Proportion of youth who initiate a text or schedule an assessment after scoring PQ-B (Prodromal-Questionnaire) positive [ Time Frame: 2 weeks ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Columbia University Irving Medical CenterNew YorkNew York10032
Michael Birnbaum, MD
[email protected]
212-523-2154

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By research site
Columbia University Irving Medical Center· New York, NY

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