NCT02801877

Brief Summary

This study will evaluate and compare a smartphone intervention for depression and anxiety that uses machine learning to tailor treatment for participants with the same intervention without the machine learning component. The intervention, referred to as IntelliCare, delivers participant-specific treatment material and motivational messaging via a mobile phone to help individuals with depression and/or anxiety. Information and data received from the participant will inform the tailored treatment approach through machine learning. The purpose of this study is to compare different versions of the main IntelliCare Hub App (the centralized program delivery system) and participant user experience whether with the support of a coach or used independently. The randomized clinical trial (RCT) aims to obtain information on the feasibility and effectiveness of IntelliCare in improving symptoms of depression and anxiety.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
301

participants targeted

Target at P75+ for not_applicable depression

Timeline
Completed

Started Jul 2016

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 8, 2016

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 16, 2016

Completed
15 days until next milestone

Study Start

First participant enrolled

July 1, 2016

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2018

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

May 31, 2019

Completed
Last Updated

April 4, 2023

Status Verified

March 1, 2023

Enrollment Period

1.5 years

First QC Date

June 8, 2016

Results QC Date

February 28, 2019

Last Update Submit

March 31, 2023

Conditions

Keywords

DepressionAnxietyBehavior TherapyTechnology AssistedMobile PhoneCellular PhoneSmartphoneAppCoach

Outcome Measures

Primary Outcomes (3)

  • Adherence to the Mobile Application Intervention

    Defined as the median time to last engagement with the mobile application suite within 8 weeks of trial

    Participants will be followed for the duration of the 8 week trial

  • Patient Health Questionnaire - 9 (PHQ-9) - Depression Severity

    The PHQ-9 measures degree of depression severity. Possible range of scores for the PHQ-9 is 0-27. Higher values represent a worse outcome. Specifically, scores of 0-4 indicate minimal or no depression; 5-9 is mild; 10-14 is moderate; 15-19 is moderately severe; and 20-27 is severe.

    Measured at start of treatment (baseline), week 4, week 8, month 3, and month 6.

  • GAD-7 (Generalized Anxiety Disorder Scale-7) - Anxiety Severity

    The GAD-7 is a self-administered 7 item instrument that uses some of the DSM-V criteria for GAD (General Anxiety Disorder) to identify probable cases of GAD along with measuring anxiety symptom severity. GAD-7 total score for the seven items ranges from 0 to 21. Higher values represent a worse outcome. Specifically, scores of 1-4 indicate minimal anxiety symptoms; 5-9 is mild anxiety symptoms; 10-14 is moderate anxiety symptoms; and 15-21 is severe anxiety symptoms.

    Measured at start of treatment (baseline), week 4, week 8, month 3, and month 6.

Study Arms (4)

IntelliCare Hub recommender, coach

EXPERIMENTAL

Participant is randomly assigned to receive the IntelliCare Hub App with the recommender system, and receive coaching for the 8 week IntelliCare program.

Behavioral: IntelliCareBehavioral: Hub App with the Recommender SystemBehavioral: Coaching

IntelliCare Hub recommender, no coach

EXPERIMENTAL

Participant is randomly assigned to receive the IntelliCare Hub App with the recommender system, and independently use the IntelliCare program for 8 weeks.

Behavioral: IntelliCareBehavioral: Hub App with the Recommender System

IntelliCare Hub no recommender, coach

EXPERIMENTAL

Participant is randomly assigned to receive the IntelliCare Hub App without the recommender system, and receive coaching for the 8 week IntelliCare program.

Behavioral: IntelliCareBehavioral: Coaching

IntelliCare Hub no recommender, no coach

EXPERIMENTAL

Participant is randomly assigned to receive the IntelliCare Hub App without the recommender system, and independently use the IntelliCare program for 8 weeks.

Behavioral: IntelliCare

Interventions

IntelliCareBEHAVIORAL
Also known as: Behavioral intervention for depression & anxiety via app
IntelliCare Hub no recommender, coachIntelliCare Hub no recommender, no coachIntelliCare Hub recommender, coachIntelliCare Hub recommender, no coach
Also known as: Recommender via IntelliCare Hub app.
IntelliCare Hub recommender, coachIntelliCare Hub recommender, no coach
CoachingBEHAVIORAL
Also known as: Support from coach via phone calls and messaging
IntelliCare Hub no recommender, coachIntelliCare Hub recommender, coach

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Meets criteria for clinically significant symptoms of depression and/or anxiety using self-report measures used in screening for depression
  • Is familiar with the use of mobile phones
  • Owns an Android smartphone and is willing download the IntelliCare apps on their own device
  • Is able to speak and read English
  • Is at least 18 years of age (\* Note: Depending on which state individual resides in, the age to consent to research may be 19 years of age.)
  • Is able to give informed consent

You may not qualify if:

  • Participants were excluded if they had visual, voice, motor or hearing impairments that would prevent participation; met diagnostic criteria for a severe psychiatric disorders for which study treatments would be inappropriate; severe suicidality that included both a plan and intent; had initiated or modified antidepressant pharmacotherapy in the previous 14 days; or had used any IntelliCare app more than one time in the three months prior to study screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Northwestern University

Chicago, Illinois, 60611, United States

Location

Related Publications (1)

  • Mohr DC, Schueller SM, Tomasino KN, Kaiser SM, Alam N, Karr C, Vergara JL, Gray EL, Kwasny MJ, Lattie EG. Comparison of the Effects of Coaching and Receipt of App Recommendations on Depression, Anxiety, and Engagement in the IntelliCare Platform: Factorial Randomized Controlled Trial. J Med Internet Res. 2019 Aug 28;21(8):e13609. doi: 10.2196/13609.

MeSH Terms

Conditions

DepressionAnxiety DisordersAlzheimer Disease

Interventions

Behavior Therapy

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorMental DisordersDementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive Disorders

Intervention Hierarchy (Ancestors)

PsychotherapyBehavioral Disciplines and Activities

Results Point of Contact

Title
Mary Kwasny
Organization
Northwestern University

Study Officials

  • David C Mohr, PhD

    Northwestern University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
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

June 8, 2016

First Posted

June 16, 2016

Study Start

July 1, 2016

Primary Completion

January 1, 2018

Study Completion

January 1, 2018

Last Updated

April 4, 2023

Results First Posted

May 31, 2019

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Interested parties may contact the PI. Data sharing may be considered if the proposed use is consistent with the protocol approved by the IRB and a Data Use Agreement is in place.

Locations