Reducing Eco-anxiety Using Selfies

Anxiety Clinical Trial

Official title:

Reducing Eco-anxiety and Increasing Eco-action in Adolescents Using Selfie Videos: a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05372705
• Other study ID #: 2000028980_d
• Status: Completed
• Phase: N/A
• Start date: June 15, 2022
• Est. completion date: July 30, 2022

Study information

• Verified date: August 2022
• Source: Yale University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1200
• Est. completion date: July 30, 2022
• Est. primary completion date: July 20, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 14 Years to 18 Years

Eligibility

Inclusion Criteria:

• English-speaking

• Living in the US

• Ages 14 - 18

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Anxiety
• Anxiety Disorders

Intervention

Behavioral:
• Short videos
Intervention videos will each be of 90-second duration and feature four underage professionals (ages 16) acting as simulated patients. All videos will focus on an empowered presenter with depression sharing their personal story regarding depression and describe how social supports from family, friends, and community, as well as professional help assisted them in overcoming symptoms of their illness. The actors will include a transgender male, a cis-gender male, a transgender female, and a cis-gender female.

Locations

Country	Name	City	State
United States	Yale Child Center	New Haven	Connecticut
United States	Yale Child Study Center	New Haven	Connecticut

Sponsors (1)

Lead Sponsor	Collaborator
Yale University

Country where clinical trial is conducted

United States, 

References & Publications (4)

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. — View 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. — View 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. Review. — View Citation

Martin A, Calhoun A, Páez J, Amsalem D. Destigmatizing perceptions about Black adolescent depression: randomized controlled trial of brief social contact-based video interventions. J Child Psychol Psychiatry. 2022 Jan 23. doi: 10.1111/jcpp.13570. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Climate Change Anxiety Scale (CCAS)	The CCAS is the sum of 13 items (Clayton and Karazsia; Journal of Environmental Psychology, 2020). Each of the items is a statement on which participants are asked to rate their agreement on a 5-point Likert-type scale: from 1 ("Never") to 5 ("Almost always".); The range of the scale is from 13 to 65; higher scores indicate greater eco-axiety.	Within 10 minutes
Secondary	Change in Climate Change Hope Scale (CCHS)	The CCHS is the sum of 11 items (Li and Moore; Environ Behav, 2018). Each of the items is a statement on which participants are asked to rate their agreement on a 5-point Likert-type scale: from 1 ("Not at all") to 5 ("A great deal".); The range of the scale is from 11 to 55; higher scores indicate greater hope regarding environmental action.	Within 10 minutes
Secondary	Change in Environmental Action Scale-Behavioral Intentions (EAS-BI)	We will use the Behavioral Intentions component of the Environmental Action Scale (Alisat and Riemer; J Environ Psychol, 2015.) The BI component is the sum of 6 items. Each of the items is a statement on which participants are asked to rate their agreement on a 5-point Likert-type scale: from 1 ("Not at all") to 5 ("A great deal".); The range of the scale is from 6 to 30; higher scores indicate greater environmental action behavioral intentions.	Within 10 minutes
Secondary	Change in Hopefulness "slider"	Participants will be asked to rate how hopeful they are about global warming. They will move a continuous slider ranging from 0 ("Not hopeful at all; we are doomed regarding global warming and its consequences") to 100 ("Very hopeful; our actions can revert and prevent global warming and its consequences".)	Within 10 minutes
Secondary	Change in Agency "slider"	Participants will be asked to rate how much agency they consider having around global warming. They will move a continuous slider ranging from 0 ("There is nothing that I can do about it") to 100 ("There is a lot that I can do about it".)	Within 10 minutes