Developing E-health Services (DES): The Feasibility and Acceptability of Video-conferencing for Adults With Depression

NCT03288506 | Completed Results

• 1 other identifier: R4773SES(DES)
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Depression impacts 1 in 5 people in the United Kingdom and is a significant risk factor for self-harming behaviours and suicide. Research has shown that those experiencing depression may feel embarrassed about seeking help from a health professional and ultimately decide not to seek support at all. This project seeks to give those people an alternative option to face-to-face support by developing a new online service using video conferencing technology. In previous studies, this technology has shown to be beneficial in treating a number of mental health problems. It may also be less expensive to run. However, as no widely available services of this type exist in the UK the full extent of potential benefits is unknown. The project seeks to answer the following questions:

• What is the likely interest in video conferencing services for depression?
• Which groups of people are likely to use the service?
• How much will this service cost?
• How much change is likely to occur when receiving therapy via video conferencing? In order to answer these questions, Queens University Belfast are collaborating with AWARE NI, the national depression charity for Northern Ireland. Recruitment of participants who are interested in the service and delivery of the video conferencing support groups will be through AWARE NI. Results will be compared from groups that receive the video-conferencing service and those who are on a waiting list. Participants in both groups will be asked to complete surveys and take part in interviews before and after the therapy takes place. The study will have two main phases: Phase 1: The development and in-house testing of an intervention protocol tailored towards Video Conferencing (VC) based delivery of current face-to-face peer support services. This will include interviews with facilitators, staff and current AWARE NI service users and observations of face to face groups. Phase 2: Delivery of an 8-week group based VC support service for adults with depression. A between groups design comparing the intervention group and a waiting list control group will be used. Outcome measures will be recorded at baseline, week eight and six months using validated measures. Qualitative data in the form of interviews and fieldwork observations will also be gathered during this 8-week period. Results will be used to inform development of a larger trial to test the effectiveness of group based video conferencing for adults with depression.

Conditions

Depression

Outcome Measures

Primary Outcomes (1)

• Patient Health Questionnaire - PHQ-9

  Depression Measure PHQ-9 scores \> 10 had a sensitivity of 88% and a specificity of 88% for Major Depressive Disorder. Depression Severity: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe (range of 0-27) Internal consistency of the PHQ-9 has been shown to be high with Cronbach alphas of .86 and .89.

  Six months (not collected)

Study Arms (2)

Google Hangout (VC) group

EXPERIMENTAL

This group receive peer led support for depression via Google Hangouts for 8-weeks

Behavioral: Google Hangout (VC) group

Waiting list control group

NO INTERVENTION

Waiting list

Interventions

Google Hangout (VC) group BEHAVIORAL

Feasibility and acceptability of online peer support groups for adults with depression. Groups will be delivered using video-conferencing technology (Google Hangouts).

Google Hangout (VC) group

Eligibility Criteria

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

You may qualify if:

• years or older, adults with depression (not required to have a formal diagnosis to participate), not currently an AWARE NI service user or accessed AWARE NI services in the past 12 months, a resident of Northern Ireland and not actively suicidal.

You may not qualify if:

• Actively suicidal, live outside Northern Ireland, currently accessing AWARE NI services or have accessed within the previous 12 months

Sponsors & Collaborators

• Queen's University, Belfast: lead
• Aware, Northern Ireland: collaborator
• Northern Ireland Public Health Research Network: collaborator

Study Sites (1)

AWARE NI

Belfast, Antrim, BT15 2GG, United Kingdom

Location

Related Publications (16)

• Armfield NR, Gray LC, Smith AC. Clinical use of Skype: a review of the evidence base. J Telemed Telecare. 2012 Apr;18(3):125-7. doi: 10.1258/jtt.2012.SFT101. Epub 2012 Feb 23.

  PMID: 22362829 BACKGROUND

• Best, P., Foye, U., Taylor, B., Hazlett, D., & Manktelow, R. (2013). Online interactive suicide support services: Quality and accessibility. Mental Health Review Journal, 18(4), 226-239.

  BACKGROUND

• Best, P., Manktelow, R., & Taylor, BJ. (2014). Social Work and Social Media: Online Help-Seeking and the Mental Well-Being of Adolescent Males. British Journal of Social Work. (advanced access) http://doi.org/10.1093/bjsw/bcu130

  BACKGROUND

• Chong J, Moreno F. Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. Telemed J E Health. 2012 May;18(4):297-304. doi: 10.1089/tmj.2011.0126. Epub 2012 Mar 16.

  PMID: 22424078 BACKGROUND

• Centre for Mental Health (2010). The economic and social costs of mental health problems in 2009/10. Accessed 4th December 2015 from http://www.centreformentalhealth.org.uk/economic-and-social-costs

  BACKGROUND

• De Las Cuevas C, Arredondo MT, Cabrera MF, Sulzenbacher H, Meise U. Randomized clinical trial of telepsychiatry through videoconference versus face-to-face conventional psychiatric treatment. Telemed J E Health. 2006 Jun;12(3):341-50. doi: 10.1089/tmj.2006.12.341.

  PMID: 16796502 BACKGROUND

• Department Of Health. (2014). Five Year Forward View, Retrieved July, 8, 2015 from https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf

  BACKGROUND

• Department of Health, Social Services and Public Safety. (2011a). Transforming your care: Review of health and social care in Northern Ireland. Retrieved July, 10, 2015 from http://www.dhsspsni.gov.uk/transforming-your-care-review-of-hsc-ni-final-report.pdf

  BACKGROUND

• Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015 Sep 7;2015(9):CD002098. doi: 10.1002/14651858.CD002098.pub2.

  PMID: 26343551 BACKGROUND

• Hollis C, Morriss R, Martin J, Amani S, Cotton R, Denis M, Lewis S. Technological innovations in mental healthcare: harnessing the digital revolution. Br J Psychiatry. 2015 Apr;206(4):263-5. doi: 10.1192/bjp.bp.113.142612.

  PMID: 25833865 BACKGROUND

• Morahan-Martin JM. How internet users find, evaluate, and use online health information: a cross-cultural review. Cyberpsychol Behav. 2004 Oct;7(5):497-510. doi: 10.1089/cpb.2004.7.497.

  PMID: 15667044 BACKGROUND

• Simpson, S., Bell, L., Britton, P., Mitchell, D., Morrow, E., Johnston, L. A.,. . . Brebner, J. (2006). Does video therapy work? A single case series of bulimic disorders. European Eating Disorders Review, 14, 226-241.doi:10.1002/erv.686

  BACKGROUND

• The Google Corporation. (2015). A remedy for your health-related questions: health info in the Knowledge Graph. Accessed December 14th 2015 at http://googleblog.blogspot.co.uk/2015/02/health-info-knowledge-graph.html.

  BACKGROUND

• Wade VA, Karnon J, Elshaug AG, Hiller JE. A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Serv Res. 2010 Aug 10;10:233. doi: 10.1186/1472-6963-10-233.

  PMID: 20696073 BACKGROUND

• Yuen EK, Herbert JD, Forman EM, Goetter EM, Juarascio AS, Rabin S, Goodwin C, Bouchard S. Acceptance based behavior therapy for social anxiety disorder through videoconferencing. J Anxiety Disord. 2013 May;27(4):389-97. doi: 10.1016/j.janxdis.2013.03.002. Epub 2013 Apr 6.

  PMID: 23764124 BACKGROUND

• Best P, McConnell T, Davidson G, Badham J, Neill RD. Group based video-conferencing for adults with depression: findings from a user-led qualitative data analysis using participatory theme elicitation. Res Involv Engagem. 2019 Dec 5;5:40. doi: 10.1186/s40900-019-0173-z. eCollection 2019.

  PMID: 31844555 DERIVED

MeSH Terms

Conditions

Depression

Interventions

Population Groups

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Demography; Population Characteristics

Results Point of Contact

• Title: Dr Paul Best
• Organization: Queen's University Belfast

p.best@qub.ac.uk

0289097

Study Officials

• Paul Best, PhD

  Queen's University, Belfast

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: August 16, 2017
• First Posted: September 20, 2017
• Study Start: October 13, 2016
• Primary Completion: November 30, 2017
• Study Completion: June 30, 2018
• Last Updated: August 25, 2023
• Results First Posted: August 25, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)