The impact of video-based microinterventions on attitudes toward mental health and help seeking in youth

• Verfasst von: Lemmer, Diana [VerfasserIn]
• Verfasst von: Moessner, Markus [VerfasserIn]
• Verfasst von: Arnaud, Nicolas [VerfasserIn]
• Verfasst von: Baumeister, Harald [VerfasserIn]
• Verfasst von: Mutter, Agnes [VerfasserIn]
• Verfasst von: Klemm, Sarah-Lena [VerfasserIn]
• Verfasst von: König, Elisa [VerfasserIn]
• Verfasst von: Plener, Paul [VerfasserIn]
• Verfasst von: Rummel-Kluge, Christine [VerfasserIn]
• Verfasst von: Thomasius, Rainer [VerfasserIn]
• Verfasst von: Kaess, Michael [VerfasserIn]
• Verfasst von: Bauer, Stephanie [VerfasserIn]
• Titel: The impact of video-based microinterventions on attitudes toward mental health and help seeking in youth
• Titelzusatz: web-based randomized controlled trial
• Verf.angabe: Diana Lemmer, MSc; Markus Moessner, PD, PhD; Nicolas Arnaud, PhD; Harald Baumeister, Prof Dr; Agnes Mutter, MSc; Sarah-Lena Klemm, BSc; Elisa König, Dipl-Psych; Paul Plener, Prof Dr Med; Christine Rummel-Kluge, Prof Dr Med; Rainer Thomasius, Prof Dr Med; Michael Kaess, Prof Dr Med; Stephanie Bauer, Prof Dr
• E-Jahr: 2024
• Jahr: 24.04.24
• Umfang: 21 S.
• Fussnoten: Gesehen am 20.11.2024
• Titel Quelle: Enthalten in: Journal of medical internet research
• Ort Quelle: Richmond, Va. : Healthcare World, 1999
• Jahr Quelle: 2024
• Band/Heft Quelle: 26(2024), 1, Artikel-ID e54478, Seite 1-21
• ISSN Quelle: 1438-8871
• DOI: doi:10.2196/54478
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1909082104

Abstract

Background: Mental health (MH) problems in youth are prevalent, burdening, and frequently persistent. Despite the existence of effective treatment, the uptake of professional help is low, particularly due to attitudinal barriers. - Objective: This study evaluated the effectiveness and acceptability of 2 video-based microinterventions aimed at reducing barriers to MH treatment and increasing the likelihood of seeking professional help in young people. - Methods: This study was entirely web based and open access. The interventions addressed 5 MH problems: generalized anxiety disorder, depression, bulimia, nonsuicidal self-injury, and problematic alcohol use. Intervention 1 aimed to destigmatize and improve MH literacy, whereas intervention 2 aimed to induce positive outcome expectancies regarding professional help seeking. Of the 2435 participants who commenced the study, a final sample of 1394 (57.25%) participants aged 14 to 29 years with complete data and sufficient durations of stay on the video pages were randomized in a fully automated manner to 1 of the 5 MH problems and 1 of 3 conditions (control, intervention 1, and intervention 2) in a permuted block design. After the presentation of a video vignette, no further videos were shown to the control group, whereas a second, short intervention video was presented to the intervention 1 and 2 groups. Intervention effects on self-reported potential professional help seeking (primary outcome), stigma, and attitudes toward help seeking were examined using analyses of covariance across and within the 5 MH problems. Furthermore, we assessed video acceptability. - Results: No significant group effects on potential professional help seeking were found in the total sample (F2,1385=0.99; P=.37). However, the groups differed significantly with regard to stigma outcomes and the likelihood of seeking informal help (F2,1385=3.75; P=.02). Furthermore, separate analyses indicated substantial differences in intervention effects among the 5 MH problems. - Conclusions: Interventions to promote help seeking for MH problems may require disorder-specific approaches. The study results can inform future research and public health campaigns addressing adolescents and young adults. - Trial Registration: German Clinical Trials Register DRKS00023110; https://drks.de/search/de/trial/DRKS00023110