[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100552048":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":23,"centralContacts":27,"locations":18,"responsibleParty":32,"collaborators":18,"id":34,"slug":35,"hasResults":36,"nctId":37,"briefTitle":38,"officialTitle":39,"acronym":18,"eligibilityCriteria":40,"healthyVolunteers":41,"sex":42,"minAge":43,"maxAge":44,"enrollmentInfo":45,"targetDuration":18,"studyType":48,"phases":49,"briefSummary":51,"conditions":52,"keywords":54,"overallStatus":60,"whyStopped":18,"lastUpdateSubmitDate":61,"lastUpdatePostDateStruct":62,"startDateStruct":65,"completionDateStruct":67,"leadSponsor":69,"locationsCount":18},{"fullName":5,"class":6},"National Taiwan University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"The Gather.town gaming intervention","EXPERIMENTAL","The Gather.town intervention, based on Rational Emotive Behavior Therapy (REBT), was delivered over four weeks with two 40-50-minute sessions per week, totaling eight sessions. Conducted via laptops or desktops at antenatal care clinics, the program began with baseline assessments and distribution of a booklet. Participants were introduced to the Gather.town platform. Each session included a homework review (except Sessions 1 and 8), a brief educational video (excluding Session 2), and an interactive game guided by the avatar \"Sati.\" Session 2 focused on scenario analysis to link thoughts, emotions, and behaviors. All sessions ended with debriefing, homework, and written reflection. Sessions 5 and 6 featured virtual relaxation practices. The final session included post-assessments and a closing activity. Participants also received routine antenatal care throughout.",[13],"Other: The Gather.town gaming intervention",{"label":15,"type":16,"description":17,"interventionNames":18},"Control group","NO_INTERVENTION","Participants in the control group will receive a booklet and routine care that is regularly available in the health system for both adult and adolescent pregnant women. Antenatal care is provided by nurses in the antenatal care unit and includes health assessments and educational classes covering topics such as nutrition, exercise, sexual intercourse, fetal movement monitoring, childbirth preparation, and breastfeeding. Participants are expected to attend at least five antenatal visits throughout their pregnancy: the first visit should occur before 12 weeks of gestation, with subsequent visits at 18, 26, 32, and 38 weeks.",null,[20],{"type":6,"name":9,"description":21,"armGroupLabels":22,"otherNames":18},"The online game-based learning intervention (oGBL): The investigator will develop the oGBL intervention based on Rational Emotive Behavior Therapy (REBT), which consists of 8 sessions and plays a game through the Gather.Town platform.",[9],[24],{"name":25,"affiliation":5,"role":26},"Chotip Phonkusol","PRINCIPAL_INVESTIGATOR",[28],{"name":25,"role":29,"phone":30,"phoneExt":18,"email":31},"CONTACT","0905085846","d10426011@ntu.edu.tw",{"type":26,"investigatorFullName":25,"investigatorTitle":33,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Principal Investigator","100552048","gathertown-gaming-for-pregnant-adolescents-with-depression-literacy-100552048",false,"NCT06468020","Gather.Town Gaming for Pregnant Adolescents With Depression Literacy","The Effect of the Gather.Town Gaming Intervention for Promoting Depression Literacy Among Pregnant Adolescents in Thailand","Inclusion Criteria:\n\n1. First-time pregnant adolescents aged 15-19 years with gestational ages not exceeding 21 weeks.\n2. Being able to read Thai and use a computer or laptop to operate the intervention materials.\n\nExclusion Criteria:\n\n1. Being unwilling to participate in this study.\n2. Being unable to adhere to the entire intervention process or follow-up.\n3. Self-reported psychiatric diagnosis of any severe mental illnesses, i.e., major depression, schizophrenia, or bipolar disorder.",true,"FEMALE","15 Years","19 Years",{"count":46,"type":47},64,"ESTIMATED","INTERVENTIONAL",[50],"NA","Aim\n\nThe study seeks to:\n\n1. To assess the effect of the Gather.town gaming intervention on promoting depression literacy among pregnant adolescents in Thailand.\n2. To compare the depression literacy before and after receiving the Gather.town gaming intervention in the experimental group.\n\nMethods This quasi-experimental study employed a two-group, pretest-posttest design to assess the effect of a Gather.town gaming intervention on promoting depression literacy among pregnant adolescents in Thailand. 64 first-time pregnant adolescents aged 15-19 years with gestational age under 21 weeks were recruited from three hospitals using stratified random sampling. Participants were randomly assigned to the experimental group (n = 32) or control group (n = 32).\n\nThe experimental group participated in eight sessions of REBT-based interactive gaming on the Gather.town platform over four weeks (two sessions per week), while the control group received routine antenatal care and a depression literacy booklet. Quantitative data were collected at four time points (baseline, immediate post-intervention, 1-month, and 3-month follow-ups) using validated tools, including the Depression Literacy Questionnaire (D-Lit), depressive symptoms (EPDS), mental distress (BSRS-5), and platform usability (SUS). Qualitative data were gathered through focus group interviews after the intervention. Statistical analyses were performed using SPSS version 22. Descriptive statistics summarized participant characteristics. Chi-square tests examined group differences. Generalized Estimating Equations (GEE) were used to compare depression literacy scores across time points while accounting for clustering by hospital and adjusting for covariates. The significance level was set at p \\\u003C 0.05.",[53],"Gamification",[55,56,57,58,59],"Pregnant adolescents","Depression literacy","Game-based learning","Gather.town","Digital mental health intervention","NOT_YET_RECRUITING","2025-05-13",{"date":63,"type":64},"2025-05-16","ACTUAL",{"date":66,"type":47},"2025-06",{"date":68,"type":47},"2026-06",{"name":5,"class":6}]