Clinical trial Recruiting at 2 sites Interventional Ages 14 and up

Digital mental health engagement for LGBTQ+ users

Official title: Optimizing Engagement With Digital Mental Health Services Among Sexual And Gender Minority Consumers

Run by University of Washington · NCT07278765 · Data updated 2026-11-12

This project will test brief, theory-based messages to see if they help LGBTQ+ people who complete an online depression screener use Mental Health America’s digital mental health resources.

Quick facts

Study typeInterventional
Ages14 Years and up
SexAll
Enrollment2300 (estimated)
SponsorUniversity of Washington
Academic / other
Locations2 sites (Alexandria, Virginia and 1 other locations)
StatusRecruiting
StartedMarch 12, 2026
Main results expectedJuly 2026
Study endsMay 2027
Registry record updatedMay 8, 2026
Trial IDNCT07278765 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are U.S.-based users aged 14 or older who identify as LGBTQ+ and complete the MHA PHQ-9 depression screener in English and the standard demographic items.

Probably not a fit

People outside the United States, those younger than 14, those who do not identify as LGBTQ+, or those who do not complete the screener or demographic questions are not eligible and unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study embeds a micro-randomized trial within Mental Health America's online PHQ-9 depression screening to deliver brief, theory-driven engagement messages to sexual and gender minority (SGM) users. Eligible U.S.-based users aged 14 and older who identify as LGBTQ+ and complete the screener and demographic items will be randomized at two decision points to receive or not receive HAPA-based prompts targeting outcome expectancy, self-efficacy, perceived risk, and barriers/resources. The primary outcomes are initial and sustained engagement with MHA's digital mental health resources and the feasibility of integrating these strategies into MHA's existing web infrastructure. Interaction data will be collected passively from site behavior linked to the screener and demographic responses in a naturalistic online setting.

Why it matters

Potential benefit: If effective, the approach could increase both initial and ongoing use of free online mental health tools among LGBTQ+ people, helping reduce unmet mental health needs.

How similar studies have gone: Digital mental health programs have broadly shown feasibility and effectiveness, but randomized trials testing HAPA-based engagement strategies specifically for SGM populations in real-world web settings are limited, making this approach relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Users of the Mental Health America (MHA) website engaging from Internet Protocol (IP) addresses in the United States
* Completed the PHQ-9 depression screener in English
* Answered MHA's standard demographic questions that identify users as age 14 and older
* Answered MHA's standard demographic questions that identify users as LGBTQ+.

Exclusion Criteria:

* IP addresses outside of the United States
* Do not answer MHA's standard demographic questions
* Answered MHA's standard demographic questions that identify users as age 13 and younger
* Answered MHA's standard demographic questions that identify users as not LGBTQ+.

Where it's running

  • Mental Health America
    Alexandria, Virginia, United States
    Recruiting
  • University of Washington
    Seattle, Washington, United States
    Recruiting

Study contacts

  • Principal investigator: Meghan Romanelli, PhD — University of Washington
  • Study coordinator: Meghan Romanelli, PhD
  • Email: mbromane@uw.edu
  • Phone: 206-685-6948

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.