Technology Assisted Programs That Promote Mental Health for Teenagers

NCT01912729 | Completed Results

• 2 other identifiers: P20MH090318 STU00056069-FTPTP20MH090318
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The mission of this project is to develop novel systems of care that can provide efficacious, scalable, cost-effective, participant friendly behavioral intervention technologies (BITs) for the prevention of depression in adolescents. The investigators define BITs as interventions that use information and telecommunications technologies such as the internet, mobile or traditional phones, computers and/or other technologies to support and deliver psychological and behavioral interventions. Through usability testing, focus interviews, and field trials, investigators may modify the technologies and intervention based on immediate usage data.

Conditions

Depression

Keywords

Depression prevention; Technology Assisted; Adolescents; Peer networked

Outcome Measures

Primary Outcomes (3)

• Program Logins Per Participant by Week.

  Program usage data were examined by number of logins per participant by week. Participants in the study tended to access the program multiple times and explored the program tools.

  Weeks 1-8

• USE (Usefulness, Satisfaction and Ease of Use) Questionnaire

  A modified version of the Usefulness, Satisfaction and Ease of use questionnaire (USE; Lund, 2001) was used, particularly regarding the participants' relationships with the peer network. The USE questionnaire is a 19 item measure of usability with 4 subscales: Usefulness, Ease of Learning, Ease of Use, and Satisfaction. The items are rated on 7 point Likert rating scales, with 1 = Strongly disagree to 7 = Strongly agree. Lund, A.M., 2001. Measuring Usability with the USE Questionnaire.

  Week 4 and Week 8

• SUS (System Usability Scale) Questionnaire

  The SUS questionnaire is a 10 item measure that assesses usability, acceptability and satisfaction; each item has five response options for respondents, from 1 = Strongly disagree to 5 = Strongly agree. The participant's scores for each question are converted to a new number, added together and then multiplied by 2.5 to convert the original scores of 0-40 to 0-100. Specifically, for odd items: subtract one from the user response. For even-numbered items: subtract the user responses from 5. This scales all values from 0 to 4 (with four being the most positive response). Add up the converted responses for each user and multiply that total by 2.5. This converts the range of possible values from 0 to 100 instead of from 0 to 40. A SUS score above a 68 would be considered above average and anything below 68 is below average.

  Week 4 and Week 8

Study Arms (3)

Networked Peer Support with Peer Guide

EXPERIMENTAL

Participants will have access to tools and lessons based on Cognitive Behavior Therapy through a mobile phone application. Additionally, participants will have access to a private social network that connects them with other participants in the study. The social network will be moderated by a trained peer coach.

Behavioral: Networked Peer Support with Peer Guide

Networked Peer Support with Clinician Coach

EXPERIMENTAL

Participants will have access to tools and lessons based on Cognitive Behavior Therapy through a mobile phone application. Additionally, participants will have access to a private social network that connects them with other participants in the study. The social network will be moderated by a clinician coach.

Behavioral: Networked Peer Support with Clinician Coach

Wait List Control

NO INTERVENTION

Participants may be asked to wait for up to 8 weeks until minimum group size is met. After 4 weeks from baseline, if a group has not yet started, we will conduct another assessment. These participants will serve as the Wait List Control group.

Interventions

Networked Peer Support with Peer Guide BEHAVIORAL

Participants will have access to tools and lessons based on Cognitive Behavior Therapy through a web application that can be accessed on a smartphone or computer. Additionally, participants will have access to a private social network that connects them with other participants in the study. Participants will be supported by a peer guide. The peer guide will be another high school student around the same age as participants.

Networked Peer Support with Peer Guide

Networked Peer Support with Clinician Coach BEHAVIORAL

Participants will have access to tools and lessons based on Cognitive Behavior Therapy through a web application that can be accessed on a smartphone or computer. Additionally, participants will have access to a private social network that connects them with other participants in the study. Participants will be supported by a clinical psychologist.

Networked Peer Support with Clinician Coach

Eligibility Criteria

• Age: 14 Years - 19 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Has a score of 12-39 (males) / 15-39 (females) on the Center for Epidemiologic Studies Depression Scale (CES-D) OR reported past month use of marijuana, cigarettes, alcohol or other substances on the Center for Disease Control Youth Risk Behavior Survey (YRBS).
• Is familiar with the use of computers and the Internet, as well as mobile phones
• Is able to speak and read English
• Is between 14-19 years of age

You may not qualify if:

• Is currently taking an antidepressant medication or has taken one in the previous 3 months
• Has visual, hearing, voice, or motor impairment that would prevent completion of study procedures or use of the Internet or mobile phone
• Is severely suicidal (has ideation, plan, and intent in the past 12 months) .

Sponsors & Collaborators

• Northwestern University: lead

Study Sites (1)

Northwestern University

Chicago, Illinois, 60611, United States

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Results Point of Contact

• Title: David C. Mohr, PhD
• Organization: Northwestern University

d-mohr@northwestern.edu

312-503-1403

Study Officials

• David C Mohr, Ph.D

  Northwestern University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Center for Behavioral Intervention Technologies; Professor, Department of Preventive Medicine

Study Record Dates

• First Submitted: July 29, 2013
• First Posted: July 31, 2013
• Study Start: January 1, 2016
• Primary Completion: June 1, 2016
• Study Completion: July 1, 2016
• Last Updated: December 13, 2018
• Results First Posted: November 21, 2018

Record last verified: 2018-11

Locations

US (1)