Evidence map›Paper›PMID 34099390›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021

Outcomes of a Metaintervention to Improve Treatment Engagement Among Young Adults With Serious Mental Illnesses: Application of a Pilot Randomized Explanatory Design.

Michelle R Munson, James Jaccard, Lionel D Scott, Kiara L Moore, Sarah C Narendorf, Andrea R Cole, Rei Shimizu, Aaron H Rodwin, Nadia Jenefsky, Maryann Davis and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 26 citations in OpenAlex.

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  10. Choice Matters: The Moderating Effect of Choice on the Relationship Between Mental Health Personal Recovery and Symptomatology.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Michelle R MunsonNew York University, Silver School of Social Work, New York, New York. Electronic address: michelle.munson@nyu.edu.
James JaccardNew York University, Silver School of Social Work, New York, New York.
Lionel D ScottGeorgia State University, School of Social Work, Atlanta, Georgia.
Kiara L MooreNew York University, Silver School of Social Work, New York, New York.
Sarah C NarendorfUniversity of Houston, Graduate College of Social Work, Houston, Texas.
Andrea R ColeNew York University, Silver School of Social Work, New York, New York; Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, New York.
Rei ShimizuNew York University, Silver School of Social Work, New York, New York.
Aaron H RodwinNew York University, Silver School of Social Work, New York, New York.
Nadia JenefskyNew York University, Silver School of Social Work, New York, New York.
Maryann DavisUniversity of Massachusetts, Medical School, Psychiatry, Worcester Massachusetts.
Todd GilmerUniversity of California San Diego, Herbert Wertheim School of Public Health, La Jolla, California.
New York University · USGeorgia State University · USNew York Psychoanalytic Society and Institute · USUniversity of California San Diego · USUniversity of Houston · USUniversity of Massachusetts Chan Medical School · US

Funding

Kiara Moore Diversity Supplement to Engaging Young Adults in Their Mental Health Care Through a Brief Empirically- Based Meta-InterventionR34MH111861 · NIMH · NEW YORK UNIVERSITY · PI MUNSON, MICHELLE R. · 2017 to 2019
$905k
NIMH NIH HHS R34 MH111861
6 · The paper itself

Abstract

purposeThe objective of this study was to conduct a preliminary evaluation of a new young adult-centered metaintervention to improve treatment engagement among those with serious mental illness.

methodsYoung adults, clinic staff, and policy makers provided feedback on the intervention, which is a two-module engagement program provided by a clinician and person with lived experience (peer) during intake. A two-group pilot randomized explanatory trial design was conducted, comparing treatment as usual with treatment as usual plus the engagement program, Just Do You. The primary outcomes were treatment engagement and presumed mediators of program effects measured at 3 months after baseline.

resultsThe randomized explanatory trial indicated that young adults in Just Do You were more engaged in treatment than treatment as usual and that changes in several mediators of engagement occurred. Mechanisms that demonstrated between-group differences were stigma, perceived expertise of providers, trust in providers, and beliefs about the benefits of treatment. Results also provide diagnostic information on mediators that the program failed to change, such as hope, self-efficacy, and emotional reactions to treatment. These results inform next steps in the development of this promising intervention.

conclusionsJust Do You illustrated feasibility, acceptability and preliminary impact. It represents an innovative metaintervention that has promise for improving treatment engagement in mental health services among young adults who have a history of poor engagement.

Indexed as

Mental DisordersSelf EfficacyHumansPilot ProjectsYoung AdultAttendanceBuy-inEngagementMeta-interventionRandomized explanatory designSerious mental illnessTreatment engagementYoung adults

Identifiers

PMID34099390
PMCPMC8545849
OpenAlexW3172929550

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.