Table 3 Measures utilized in the young adult engagement trial

Primary Outcome

Engagement (S and V)

S

Attendance at Engagement Intervention Modules

Attendance (Provider Report)

Tracked weekly

S

Intention to Use: “I intend to go to my appointment … at ____?”

5 point Agree/Disagree Scale (Self-Report) [65]

Baseline, 2-wks, 4-wks, 3-mos

S

Adherence to Appointments: “How often have you taken your medication as prescribed?

4 point scale from All of the time to Never (Self-Report)

Baseline, 2-wks, 4-wks, 3-mos

V

The Yatchmenoff Client Engagement Scale [66]

Engagement: “I’m not just going through the motions. I’m really involved in working with staff.”

Engagement Indicators from Electronic Records

8-items, 5-point agree/disagree scale (Self-Report) [66]

Baseline, 2-wks, 4-wks, 3-mos

S

Number of weeks involved at ____

Number of distinct days present at ____

Number of doctor appointments attended

Number of no shows

Number of services received

Protocol with Electronic Health Records at Partnering Clinics (Medical Records); Corroborated with self-report data on attendance at ___

Following Data Collection at each Clinic Site

Mediating Outcomes

Behavioral Beliefs

V

Fishbein & Ajzen Items

Advantages/Disadvantages of Services: “Continuing my treatment will provide me with non-judgmental support”

Adapted from Fishbein & Ajzen, 2010 [65]

Baseline, 2-wks, 4-wks, 3-mos

S

Mental Health Trust/Mistrust: “I trust that the mental health care staff here are sincerely working to improve my mental health”

4 items, Likert scale, 1 (Definitely False) to 8 (Definitely True)

Baseline, 2-wks, 4-wks, 3-mos

Image Impressions

V

Fishbein & Ajzen Items

Image Management: “If others who are important to me found out that I follow up with my treatment, I would be seen by them as brave.”

5-point A/D scale [65]

Baseline, 2-wks, 4-wks, 3-mos

S

Attitudes Toward Seeking Mental Health Services [67]

4-item Likert scale; Disagree/Agree

Baseline, 2-wks, 4-wks, 3-mos

Emotions

V

Fishbein & Ajzen Items

Emotional Reactions: “When I think about the idea of continuing my medication it makes me anxious.”

5-point A/D scale [65]

Baseline, 2-wks, 4-wks, 3-mos

V

Snyder’s Hope Scale

Hope: “I energetically pursue my goals.” [68]

12 items, 8 point Likert scale, Definitely False/Definitely True

Baseline, 2-wks, 4-wks, 3-mos

S

Mental Health Hope: “I am more hopeful about my future because I have found ways to manage my mental health condition”

4 items, Likert scale, 1 (Definitely False) to 8 (Definitely True)

Baseline, 2-wks, 4-wks, 3-mos

Social Norms

V

Fishbein & Ajzen Items

Social Norms: “How would your mother feel about you continuing your treatment for your difficulties (‘issues’) at this time in your life?”

8-items, 6 point approval/ disapproval scale [65]

Baseline, 2-wks, 4-wks, 3-mos

Self-Efficacy

V

Fishbein & Ajzen Items

Perceived Behavioral Control (4-items from autonomy factor and 4-items from capacity factor)

7-items, 5 point Likert scale [65]

Baseline, 2-wks, 4-wks, 3-mos

Secondary Outcomes

Recovery

V

Recovery Assessment Scale [69]

20-items, 5 point Likert Scale

Baseline, 2-wks, 4-wks, 3-mos

Symptoms

V

Colorado Symptom Inventory [70]

10-items, 5-point Likert Scale

Baseline, 2-wks, 4-wks, 3-mos

Fidelity Outcomes

S

Clinician Checklists: Session Content Checklists

6-items per session, piloted, Likert scale 1 (Not at all) to 4 (Completely) executed

After every Module

S

Researcher Observations: Checklists and notes on observations of the modules

6-items per session, piloted, Likert scale 1 (Not at all) to 4 (Completely( executed

Selected Sessions