Ignite Creation Date:
2024-05-06 @ 7:56 PM
Last Modification Date:
2024-10-26 @ 3:16 PM
Study NCT ID:
NCT06181825
Status:
COMPLETED
Last Update Posted:
2024-05-17
First Post:
2023-12-13
Brief Title:
Behavioral Activation in Depressed Online Workers
Sponsor:
Indiana University
Organization:
Indiana University
Study Overview
Official Title:
Investigating the Efficacy of a Behavioral Activation Low Intensity Intervention in Online Research Participants
Status:
COMPLETED
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
BA-Prol
Brief Summary:
In this study the investigators will test the effectiveness of a digital low intensity mental health intervention in depressed individuals There will be two conditions the Common Elements Toolbox- Behavioral Activation COMET-BA intervention and a waiting list control group COMET-BA will include 4 weekly modules which will focus on elements of behavioral activation including positive activity scheduling avoidance values and change plans A similar intervention was previously tested in an online worker sample and participant feedback was integrated into the current version of the intervention
Detailed Description:
Participants who follow the study link in Prolific will immediately be taken to the Informed Consent Statement ICS which will include a description of the study risks and benefits payment eligibility and confidentiality After reading the ICS participants will confirm their consent by clicking I consent to participate in this study They will then be taken to the welcome page for the study and confirm that they will provide their best answers see Attachments Screener Once participants have confirmed their consent they will be asked screener and demographic questions ie age sex assigned at birth gender raceethnicity sexual orientation relationship status education level annual income employment status if they have ever taken psychiatric medicationengagement in mental health services how many people they can rely on for social support physical health how often they drink alcohol and how old they were when they first struggled with depression anxiety or stress In order to participate in the study they must indicate yes that they are interested in learning coping skills for their mental health at this time This is meant to address potential bias for online workers to participate in order to receive compensation without interest in adhering to the intervention if randomized to the treatment arm Additionally they will be administered the Patient Health Questionnaire 9-item PHQ-9 and must reach the threshold for elevated depression symptoms total score 9 Information about the screener eg types of questions is provided to participants in the Informed Consent Form Total time to complete the screener is about 3 minutes
Participants who are ineligible will be automatically sent to a page that notifies them they do not qualify for the study At this point their participation will be terminated
Participants who are eligible for the study will then be prompted to complete the Week 1 Questionnaire see Attachments Week 1 via the Prolific platform Study team will send out a Bulk Message to eligible participants to complete the weekly modules on a week-by-week basis The message to participants can be found in the Attachments Message In this questionnaire they will fill out a series of measures including the Generalized Anxiety Disorder 7-item GAD-7 WHO-5 Well-being Index WHO-5 3 questions from the Insomnia Severity Index ISI Emotion Regulation Questionnaire ERQ Ten-Item Personality Inventory TIPI Adverse Childhood Experiences Scale ACES Work and Social Adjustment Scale WSAS and the Behavioral Activation for Depression Scale Activation Subscale BADS-AC After completing these questionnaires participants will be randomized to either the COMET-BA intervention condition or the control condition which will receive access to the intervention after 8 weeks This randomization will be completed via the Qualtrics randomizer function - which randomly and evenly assigns participants to the two conditions
Participants who are assigned to the COMET-BA condition will then be taken to the first intervention module see Attachments Week 1 They will then receive the first module Positive Activity Scheduling where participants will learn about the theory underlying behavioral activation and impact of scheduling positive activities They will be asked to brainstorm and plan a positive activity they can do in the next week In total the time estimate for week 1 is about 10 minutes Participants in the control condition will be notified of the condition assignment and reminded about upcoming weekly questionnaires but will not receive the module for week 1 until the study is over The time to complete Week 1 for the control condition is about 5 minutes
In the next week participants will have access to the Week 2 modules through the Prolific platform and sent a message through the Prolific platform see attachments Message All participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC For those in the COMET-BA condition they will receive the Avoidance module see Attachments Week 2 First participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC Participants in the COMET-BA condition will then be asked about their adherence to last weeks plan receive psychoeducation around the nature of avoidance in depression and complete an exercise to practice identifying avoidance strategies before they complete the another positive activity scheduling exercise for the upcoming week In total the time estimate for week 2 is about 10 minutes Participants in the control condition will be administered the questionnaires alone and not the COMET-BA module The time to complete the questionnaires for Week 2 is about 5 minutes
In the third week participants will have access to the Week 3 modules through the Prolific platform and sent a message through the Prolific platform see attachments Message Participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC and then have access to the Week 3 modules through the Prolific platform For those in the COMET-BA condition they will receive the Values module see Attachments Week 3 First participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC Participants in this module will again be asked about their adherence to last weeks plan receive psychoeducation around the nature of and benefit to acting on ones values and complete an exercise to practice identifying their values and a plan to act on them in the upcoming week In total the time estimate for Week 3 is about 10 minutes Participants in the control condition will be administered the questionnaires alone and not the COMET-BA module The time to complete the questionnaires for Week 3 is about 5 minutes
In the fourth week participants will have access to the Week 4 modules through the Prolific platform and sent a message through the Prolific platform see attachments Message Participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC and then have access to have access to the Week 4 modules through the Prolific platform For those in the COMET-BA condition they will receive the Change Plan module see Attachments Week 4 First participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC Participants in this module will again be asked about their adherence to last weeks plan then receive psychoeducation around the nature of change plans and complete a change plan exercise for the future In total the time estimate for Week 4 is about 10 minutes Participants in the control condition will be administered the questionnaires alone and not the COMET-BA module The time to complete the questionnaires for Week 4 is about 5 minutes
Participants who are assigned to the control condition will receive weekly links through Prolific similar to the COMET-BA condition but rather than receiving a module they will be directed to a series of questionnaires identical to the weekly questionnaires outlined in the COMET-BA condition GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC This is all the control condition will be completing Provided the intervention condition will entail completing an online survey-style intervention the control condition will similarly be completing weekly surveys as a waitlist condition until the end of the study when the intervention materials will be made available freely for all participants All surveys and intervention materials will end with a mental wellbeing resource list see Attachments Resource List for both the Control and COMET-BA groups
After completing the COMET-BA intervention all participants from both conditions will receive a 1-week follow-up after the completion of the Week 4 module see Attachments Follow-Up 1 This will include the PHQ-9 GAD-7 WHO-5 ERQ ISI WSAS and the BADS-AC The same questionnaire will be sent out 3 weeks later to establish a 4-week follow-up see Attachments Follow-Up 2 Thus the total time for the study from start to end is about 8 weeks In the informed consent statement participants will be informed that there are follow-up assessments that they can receive additional compensation for The study team will also put a message at the end of each module reminding them to watch for the follow ups They will not be notified of these follow-up assessments but will be able to see the follow-up assessments posted on Prolific Participants who do not complete the follow up assessments within 1 day will be sent a reminder within Prolifics system see Attachments COMET-BA Prolific Follow Up Reminder During these follow-ups all participants eg those in both the intervention and control conditions will complete the following questionnaires GAD-7 PHQ-9 WHO-5 ISI ERQ WSAS and BADS-AC
After completing the follow-up measure at 8 weeks enrollment in the study will end At this point participants in the control condition will receive the intervention modules via a link through the Prolific platform see Final Message Prolific Whether they complete the intervention or not is entirely up to them and it will not be tracked by the research team Their use of the COMET intervention is entirely optional and will not be recorded by the research team They will not fill out any follow up measures after completing or not completing the COMET intervention The materials are made available so they may also access the materials available to those in the intervention condition as they may desire
Participants who are ineligible will be automatically sent to a page that notifies them they do not qualify for the study At this point their participation will be terminated
Participants who are eligible for the study will then be prompted to complete the Week 1 Questionnaire see Attachments Week 1 via the Prolific platform Study team will send out a Bulk Message to eligible participants to complete the weekly modules on a week-by-week basis The message to participants can be found in the Attachments Message In this questionnaire they will fill out a series of measures including the Generalized Anxiety Disorder 7-item GAD-7 WHO-5 Well-being Index WHO-5 3 questions from the Insomnia Severity Index ISI Emotion Regulation Questionnaire ERQ Ten-Item Personality Inventory TIPI Adverse Childhood Experiences Scale ACES Work and Social Adjustment Scale WSAS and the Behavioral Activation for Depression Scale Activation Subscale BADS-AC After completing these questionnaires participants will be randomized to either the COMET-BA intervention condition or the control condition which will receive access to the intervention after 8 weeks This randomization will be completed via the Qualtrics randomizer function - which randomly and evenly assigns participants to the two conditions
Participants who are assigned to the COMET-BA condition will then be taken to the first intervention module see Attachments Week 1 They will then receive the first module Positive Activity Scheduling where participants will learn about the theory underlying behavioral activation and impact of scheduling positive activities They will be asked to brainstorm and plan a positive activity they can do in the next week In total the time estimate for week 1 is about 10 minutes Participants in the control condition will be notified of the condition assignment and reminded about upcoming weekly questionnaires but will not receive the module for week 1 until the study is over The time to complete Week 1 for the control condition is about 5 minutes
In the next week participants will have access to the Week 2 modules through the Prolific platform and sent a message through the Prolific platform see attachments Message All participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC For those in the COMET-BA condition they will receive the Avoidance module see Attachments Week 2 First participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC Participants in the COMET-BA condition will then be asked about their adherence to last weeks plan receive psychoeducation around the nature of avoidance in depression and complete an exercise to practice identifying avoidance strategies before they complete the another positive activity scheduling exercise for the upcoming week In total the time estimate for week 2 is about 10 minutes Participants in the control condition will be administered the questionnaires alone and not the COMET-BA module The time to complete the questionnaires for Week 2 is about 5 minutes
In the third week participants will have access to the Week 3 modules through the Prolific platform and sent a message through the Prolific platform see attachments Message Participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC and then have access to the Week 3 modules through the Prolific platform For those in the COMET-BA condition they will receive the Values module see Attachments Week 3 First participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC Participants in this module will again be asked about their adherence to last weeks plan receive psychoeducation around the nature of and benefit to acting on ones values and complete an exercise to practice identifying their values and a plan to act on them in the upcoming week In total the time estimate for Week 3 is about 10 minutes Participants in the control condition will be administered the questionnaires alone and not the COMET-BA module The time to complete the questionnaires for Week 3 is about 5 minutes
In the fourth week participants will have access to the Week 4 modules through the Prolific platform and sent a message through the Prolific platform see attachments Message Participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC and then have access to have access to the Week 4 modules through the Prolific platform For those in the COMET-BA condition they will receive the Change Plan module see Attachments Week 4 First participants will complete the weekly outcome measures including the GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC Participants in this module will again be asked about their adherence to last weeks plan then receive psychoeducation around the nature of change plans and complete a change plan exercise for the future In total the time estimate for Week 4 is about 10 minutes Participants in the control condition will be administered the questionnaires alone and not the COMET-BA module The time to complete the questionnaires for Week 4 is about 5 minutes
Participants who are assigned to the control condition will receive weekly links through Prolific similar to the COMET-BA condition but rather than receiving a module they will be directed to a series of questionnaires identical to the weekly questionnaires outlined in the COMET-BA condition GAD-7 PHQ-9 WHO-5 ERQ WSAS and BADS-AC This is all the control condition will be completing Provided the intervention condition will entail completing an online survey-style intervention the control condition will similarly be completing weekly surveys as a waitlist condition until the end of the study when the intervention materials will be made available freely for all participants All surveys and intervention materials will end with a mental wellbeing resource list see Attachments Resource List for both the Control and COMET-BA groups
After completing the COMET-BA intervention all participants from both conditions will receive a 1-week follow-up after the completion of the Week 4 module see Attachments Follow-Up 1 This will include the PHQ-9 GAD-7 WHO-5 ERQ ISI WSAS and the BADS-AC The same questionnaire will be sent out 3 weeks later to establish a 4-week follow-up see Attachments Follow-Up 2 Thus the total time for the study from start to end is about 8 weeks In the informed consent statement participants will be informed that there are follow-up assessments that they can receive additional compensation for The study team will also put a message at the end of each module reminding them to watch for the follow ups They will not be notified of these follow-up assessments but will be able to see the follow-up assessments posted on Prolific Participants who do not complete the follow up assessments within 1 day will be sent a reminder within Prolifics system see Attachments COMET-BA Prolific Follow Up Reminder During these follow-ups all participants eg those in both the intervention and control conditions will complete the following questionnaires GAD-7 PHQ-9 WHO-5 ISI ERQ WSAS and BADS-AC
After completing the follow-up measure at 8 weeks enrollment in the study will end At this point participants in the control condition will receive the intervention modules via a link through the Prolific platform see Final Message Prolific Whether they complete the intervention or not is entirely up to them and it will not be tracked by the research team Their use of the COMET intervention is entirely optional and will not be recorded by the research team They will not fill out any follow up measures after completing or not completing the COMET intervention The materials are made available so they may also access the materials available to those in the intervention condition as they may desire
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None