Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial

BackgroundTransitional-aged youth have a high burden of mental health difficulties in Canada, with Indigenous youth, in particular, experiencing additional circumstances that challenge their well-being. Mobile health (mHealth) approaches hold promise for supporting individual...

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Main Authors: Angela MacIsaac, Teagan Neufeld, Ishaq Malik, Elaine Toombs, Janine V Olthuis, Fred Schmidt, Crystal Dunning, Kristine Stasiuk, Tina Bobinski, Arto Ohinmaa, Sherry H Stewart, Amanda S Newton, Aislin R Mushquash
Format: Article
Language:English
Published: JMIR Publications 2025-01-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2025/1/e64745
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author Angela MacIsaac
Teagan Neufeld
Ishaq Malik
Elaine Toombs
Janine V Olthuis
Fred Schmidt
Crystal Dunning
Kristine Stasiuk
Tina Bobinski
Arto Ohinmaa
Sherry H Stewart
Amanda S Newton
Aislin R Mushquash
author_facet Angela MacIsaac
Teagan Neufeld
Ishaq Malik
Elaine Toombs
Janine V Olthuis
Fred Schmidt
Crystal Dunning
Kristine Stasiuk
Tina Bobinski
Arto Ohinmaa
Sherry H Stewart
Amanda S Newton
Aislin R Mushquash
author_sort Angela MacIsaac
collection DOAJ
description BackgroundTransitional-aged youth have a high burden of mental health difficulties in Canada, with Indigenous youth, in particular, experiencing additional circumstances that challenge their well-being. Mobile health (mHealth) approaches hold promise for supporting individuals in areas with less access to services such as Northern Ontario. ObjectiveThe primary objective of this study is to evaluate the effectiveness of the JoyPop app in increasing emotion regulation skills for Indigenous transitional-aged youth (aged 18-25 years) on a waitlist for mental health services when compared with usual practice (UP). The secondary objectives are to (1) evaluate the impact of the app on general mental health symptoms and treatment readiness and (2) evaluate whether using the app is associated with a reduction in the use (and therefore cost) of other services while one is waiting for mental health services. MethodsThe study is a pragmatic, parallel-arm randomized controlled superiority trial design spanning a 4-week period. All participants will receive UP, which involves waitlist monitoring practices at the study site, which includes regular check-in phone calls to obtain any updates regarding functioning. Participants will be allocated to the intervention (JoyPop+UP) or control (UP) condition in a 1:1 ratio using stratified block randomization. Participants will complete self-report measures of emotion regulation (primary outcome), mental health, treatment readiness, and service use during 3 assessments (baseline, second [after 2 weeks], and third [after 4 weeks]). Descriptive statistics pertaining to baseline variables and app usage will be reported. Linear mixed modeling will be used to analyze change in outcomes over time as a function of condition assignment, while a cost-consequence analysis will be used to evaluate the association between app use and service use. ResultsRecruitment began September 1, 2023, and is ongoing. In total, 2 participants have completed the study. ConclusionsThis study will assess whether the JoyPop app is effective for Indigenous transitional-aged youth on a waitlist for mental health services. Positive findings may support the integration of the app into mental health services as a waitlist management tool. Trial RegistrationClinicalTrials.gov NCT05991154; https://clinicaltrials.gov/study/NCT05991154 International Registered Report Identifier (IRRID)DERR1-10.2196/64745
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spelling doaj-art-48151bfca2e54250b8c01a27ba7fc8a82025-01-30T20:31:23ZengJMIR PublicationsJMIR Research Protocols1929-07482025-01-0114e6474510.2196/64745Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled TrialAngela MacIsaachttps://orcid.org/0000-0002-8152-8258Teagan Neufeldhttps://orcid.org/0009-0002-2875-0471Ishaq Malikhttps://orcid.org/0000-0002-1228-208XElaine Toombshttps://orcid.org/0000-0002-9863-2713Janine V Olthuishttps://orcid.org/0000-0003-3538-7682Fred Schmidthttps://orcid.org/0000-0001-9860-2437Crystal Dunninghttps://orcid.org/0009-0004-2251-1095Kristine Stasiukhttps://orcid.org/0009-0004-7489-9757Tina Bobinskihttps://orcid.org/0009-0000-3153-4628Arto Ohinmaahttps://orcid.org/0000-0002-7094-1573Sherry H Stewarthttps://orcid.org/0000-0003-3350-2712Amanda S Newtonhttps://orcid.org/0000-0003-3020-674XAislin R Mushquashhttps://orcid.org/0000-0002-4494-1326 BackgroundTransitional-aged youth have a high burden of mental health difficulties in Canada, with Indigenous youth, in particular, experiencing additional circumstances that challenge their well-being. Mobile health (mHealth) approaches hold promise for supporting individuals in areas with less access to services such as Northern Ontario. ObjectiveThe primary objective of this study is to evaluate the effectiveness of the JoyPop app in increasing emotion regulation skills for Indigenous transitional-aged youth (aged 18-25 years) on a waitlist for mental health services when compared with usual practice (UP). The secondary objectives are to (1) evaluate the impact of the app on general mental health symptoms and treatment readiness and (2) evaluate whether using the app is associated with a reduction in the use (and therefore cost) of other services while one is waiting for mental health services. MethodsThe study is a pragmatic, parallel-arm randomized controlled superiority trial design spanning a 4-week period. All participants will receive UP, which involves waitlist monitoring practices at the study site, which includes regular check-in phone calls to obtain any updates regarding functioning. Participants will be allocated to the intervention (JoyPop+UP) or control (UP) condition in a 1:1 ratio using stratified block randomization. Participants will complete self-report measures of emotion regulation (primary outcome), mental health, treatment readiness, and service use during 3 assessments (baseline, second [after 2 weeks], and third [after 4 weeks]). Descriptive statistics pertaining to baseline variables and app usage will be reported. Linear mixed modeling will be used to analyze change in outcomes over time as a function of condition assignment, while a cost-consequence analysis will be used to evaluate the association between app use and service use. ResultsRecruitment began September 1, 2023, and is ongoing. In total, 2 participants have completed the study. ConclusionsThis study will assess whether the JoyPop app is effective for Indigenous transitional-aged youth on a waitlist for mental health services. Positive findings may support the integration of the app into mental health services as a waitlist management tool. Trial RegistrationClinicalTrials.gov NCT05991154; https://clinicaltrials.gov/study/NCT05991154 International Registered Report Identifier (IRRID)DERR1-10.2196/64745https://www.researchprotocols.org/2025/1/e64745
spellingShingle Angela MacIsaac
Teagan Neufeld
Ishaq Malik
Elaine Toombs
Janine V Olthuis
Fred Schmidt
Crystal Dunning
Kristine Stasiuk
Tina Bobinski
Arto Ohinmaa
Sherry H Stewart
Amanda S Newton
Aislin R Mushquash
Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial
JMIR Research Protocols
title Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial
title_full Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial
title_fullStr Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial
title_full_unstemmed Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial
title_short Increasing Access to Mental Health Supports for 18- to 25-Year-Old Indigenous Youth With the JoyPop Mobile Mental Health App: Study Protocol for a Randomized Controlled Trial
title_sort increasing access to mental health supports for 18 to 25 year old indigenous youth with the joypop mobile mental health app study protocol for a randomized controlled trial
url https://www.researchprotocols.org/2025/1/e64745
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