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 type | Interventional |
|---|---|
| Ages | 14 Years and up |
| Sex | All |
| Enrollment | 2300 (estimated) |
| Sponsor | University of Washington Academic / other |
| Locations | 2 sites (Alexandria, Virginia and 1 other locations) |
| Status | Recruiting |
| Started | March 12, 2026 |
| Main results expected | July 2026 |
| Study ends | May 2027 |
| Registry record updated | May 8, 2026 |
| Trial ID | NCT07278765 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
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Chair yoga to improve thinking and engagement in older adults with heart failure
This project will try 12 weeks of online chair yoga to see if it helps thinking and engagement for people aged 55 and older with heart failure.
-
Voice app to help NICU mothers connect with their babies (NURTURE)
This trial will test whether the VoiceLove mobile app helps mothers with infants in the NICU have less postpartum depression compared with usual care.
-
Parents Helping Parents for Youth Vaping Cessation
This project tests whether a parent-supported program can help teens quit vaping by pairing trained parent coaches with families.
-
OTAGO Exercise Program with Motivational Support for Older Adults
This study tests whether older adults at high risk of falls can stick to an exercise program better with the help of supportive instructors who motivate them over six months.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.