Internet Program for Workers With Subthreshold Depression

NCT02335554 | Completed

• 1 other identifier: 81RR-2R
• Study Type: interventional
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

Depression is one of the most prevalent mental disorders to afflict adults. It seriously impacts role functioning and often takes a recurrent or chronic course. Because most adults who suffer from depression never receive treatment, there is a critical need to develop interventions that can be easily implemented and widely disseminated. Interventions that reduce the performance-impairing symptoms of subclinical depression and prevent the onset of major depression can improve employee well-being, while reducing healthcare costs and improving productivity. This project produced a mobile-web program to activate cognitive behavioral skills in workers with subthreshold depression, reduce depression symptoms, improve functioning in the workplace, and potentially reduce the risk for escalation to full-syndrome depression.

Conditions

Depression

Keywords

Subthreshold; Employees; Internet; Mobile; cognitive-behavioral

Outcome Measures

Primary Outcomes (1)

• Depression symptoms as assessed by the Patient Health Questionnaire-9 (PHQ-9)

  Depressive symptomatology was assessed at each assessment point using the self-reported Patient Health Questionnaire-9 scale to assess the nine DSM-IV major depression symptoms. The PHQ-9 is a self-report version of the Primary Care Evaluation of Mental Disorders (PRIME-MD) and has been shown to be a reliable and valid brief depression assessment tool.

  10 week follow-up

Secondary Outcomes (6)

• Activation of positive self-care and life-choice behaviors

  6-week posttest and 10-week follow-up

• Change in negative thinking

  6-week posttest and 10-week follow-up

• Knowledge about depression

  6-week posttest and 10-week follow-up

• Worker productivity as assessed by the Work Limitations Questionnaire

  6-week posttest and 10-week follow-up

• Worksite outcomes as assessed by the Workplace Outcomes Suite

  6-week posttest and 10-week follow-up

Study Arms (2)

MoodHacker

EXPERIMENTAL

Participants in the treatment condition were emailed a link to the MoodHacker mobile-web app and instructed to use the program for the next six weeks. Participants were asked to complete 2 follow-up assessments, 6 weeks and 10 weeks after baseline.

Behavioral: MoodHacker

Alternative Care

ACTIVE COMPARATOR

Alternative care participants were emailed and encouraged to browse links to vetted online information about depression. Participants were asked to complete 2 follow-up assessments, 6 weeks and 10 weeks after baseline and were given access to the MoodHacker program after the 10-week assessment

Behavioral: Alternative Care

Interventions

MoodHacker BEHAVIORAL

Mobile-web app to educate users about depression and promote daily mood and positive activity monitoring.

Also known as: Internet program for workers with subthreshold depression

MoodHacker

Alternative Care BEHAVIORAL

Online information about depression from government and other trusted sources to educate users about depression.

Alternative Care

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years or older
• mild-to-moderate depressive symptoms as measured by the PHQ-9 (score of 10-19)
• not currently suicidal or meeting criteria for bipolar or schizo-affective disorder
• employed at least part-time
• English speaking
• access to a high-speed internet connection

You may not qualify if:

• younger than 18 years old
• severe depressive symptoms as measured by the PHQ-9 (score of 20+)
• currently suicidal or meeting criteria for bipolar or schizo-affective disorder
• employed less than part-time or unemployed
• not English speaking
• no access to a high-speed internet connection

Sponsors & Collaborators

• Oregon Center for Applied Science, Inc.: lead

Related Publications (1)

• Birney AJ, Gunn R, Russell JK, Ary DV. MoodHacker Mobile Web App With Email for Adults to Self-Manage Mild-to-Moderate Depression: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2016 Jan 26;4(1):e8. doi: 10.2196/mhealth.4231.

  PMID: 26813737 DERIVED

MeSH Terms

Conditions

Depression

Interventions

Workforce

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Organization and Administration; Health Services Administration

Study Officials

• Amy J Birney, MPH, MCHES

  Oregon Center for Applied Science

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 7, 2015
• First Posted: January 9, 2015
• Study Start: August 1, 2012
• Primary Completion: June 1, 2013
• Study Completion: June 1, 2013
• Last Updated: January 12, 2015

Record last verified: 2015-01