To Improve Depressive Symptoms Using a Web-App
A Web-App Based Lifestyle Physical Activity Promotion Program to Improve Depressive Symptom Experience: Midlife Korean American Women
2 other identifiers
interventional
300
1 country
1
Brief Summary
This study is being done to answer a question on whether a Web App-based Lifestyle Physical Activity Promotion Program is effective in improving depressive symptom experience of midlife Korean American women (WPAPP-K).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable depression
Started Dec 2022
Longer than P75 for not_applicable depression
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 1, 2022
CompletedFirst Posted
Study publicly available on registry
June 6, 2022
CompletedStudy Start
First participant enrolled
December 12, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2026
September 12, 2025
September 1, 2025
3.8 years
June 1, 2022
September 7, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Change in Center for Epidemiologic Studies Depression Scale-Korean (CESD-K)
The Center for Epidemiologic Studies Depression Scale-Korean (CESD-K) measures the frequency of depressive symptoms in the past week. It includes 20 items on the level of depression (range=0\~60). 21 as a cutoff score, indicating presence of depressive symptoms, because Koreans give negative responses for positive effects. High scores indicating greater depressive symptoms. A lower score correlates with better outcome.
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention (T2)
Change in Acculturation Stress Scale (ASS)
12 questions to assess the magnitude of stress associated with acculturation process (e.g., language difficulties, economic and social conflicts). Each with 4-point Likert scale (0=not stressful to 3=very stressful). Total possible score 0-36 with higher score correlating with worse outcome.
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Change in Social Readjustment Rating Scale (SRRS)
57 items on life events (e.g., death, marriage, empty nest, etc.), giving different weighting depending on the severity of the stressor (possible total score 0 to 100). Higher score correlates with higher stress.
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Change in Personal Resource Questionnaire (PRQ-2000)
15 7-point Likert scale items measuring perceived level of social support. 5 dimensions: (a) provision for attachment/intimacy; (b) social integration; (c) opportunity for nurturing behavior; (d) reassurance of worth; and (e) the availability of informational, emotional, and material helps. Total possible score range: 15 to 105. Higher scores indicating more support; higher scores are better outcomes.
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Secondary Outcomes (7)
Change in Kaiser Physical Activity Survey (KPAS)
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Change in total number of steps using Fitbit
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Change in time of exercise using Fitbit
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Change in exercise intensity during using Fitbit
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
Change in resting heart rate using Fitbit
Baseline(T0), 6-months post-intervention (T1), and post 12-months post-intervention
- +2 more secondary outcomes
Study Arms (2)
Intervention Group
EXPERIMENTALParticipants will be asked to visit WPAPP-K at least two times a week for 12 months.
Control group
ACTIVE COMPARATORParticipants will have access to a link of the CDC website from baseline and during the duration of the study (12 months).
Interventions
WPAPP-K includes group and individual coaching/support by health care providers, peer coaching/support, and information to change the women's attitudes, self-efficacy, perceived barriers, and social influences. The program includes 3 components in 2 languages (English and Korean): 1. Social media sites: allow participants to share their experiences and to receive individual and group coaching/ support from culturally matched peers and healthcare providers. 2. Interactive online educational sessions: information on 15 topics related to depressive symptoms and lifestyle physical activity. 3. Online Resources: include 20 links in English or Korean (only from scientific authorities including NIH, CDC,etc.). Weekly group coaching and support will start after the first 10 participants are enrolled, but individual coaching/support will start as soon as a participant enrolls.
A link to the CDC website will be provided through the project website, and participants will be asked to use it during the study period (12 months). Their use of the CDC website will be automatically measured through the project website.
Eligibility Criteria
You may qualify if:
- self-reported midlife Korean-American women
- aged 40 to 60 years
- whose parents and grandparents are of Korean descent;
- who can read and write English or Korean;
- who currently reside in the United States;
- who are sedentary (without any disabilities preventing physical activity);
- who are online through computers or mobile devices;
- have experienced depressive symptoms during the past two weeks (1 to 10 on the Patient Health Questionnaire \[PHQ-9\],which is equivalent to the cut-point of minimal to moderate depression.
You may not qualify if:
- major signs or symptoms suggestive of pulmonary or CVD
- history of a myocardial infarction, stroke, or Type I diabetes mellitus
- blood pressure higher than 160/100 mm Hg
- Use of beta-blockers, diltiazem, or verapamil
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The University of Texas at Austin
Austin, Texas, 78712, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eun-Ok Im, PhD, MPH
The University of Texas at Austin
Central Study Contacts
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
- Professor
Study Record Dates
First Submitted
June 1, 2022
First Posted
June 6, 2022
Study Start
December 12, 2022
Primary Completion (Estimated)
October 1, 2026
Study Completion (Estimated)
October 1, 2026
Last Updated
September 12, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will share
- Time Frame
- After publishing the major paper from the complete data to 10 years from the completion of the study
- Access Criteria
- The researcher must request permission to conduct secondary analyses of the data from the PIs of the proposed study by e-mail or regular mail and provide the PIs with a 1-page long abstract (single-spaced) of the proposed analysis and her/his CV. When the research team decides to share the data with the researcher, the data in SPSS format, abstract, and original findings of the proposed study will be provided to the researcher. The researcher will be requested to: (a) agree that she/he will provide the findings from her/his analyses to the PIs at the completion of the analyses, (b) acknowledge the original study and the NIH in her/his future publications, and (c) not use the findings from the data for any commercial purposes. This agreement will be made in written form. The data will be provided to the researcher as a password-protected zipped file that needs to be downloaded through the Emory Box cloud service.
When the research team decides to share the data with the researcher, the data in SPSS format, abstract, and original findings of the proposed study will be provided to the researcher. The data will have no identifying information to link a subject to her/his data.