Ignite Creation Date:
2025-12-25 @ 4:03 AM
Ignite Modification Date:
2025-12-26 @ 2:57 AM
Study NCT ID:
NCT04329702
Status:
COMPLETED
Last Update Posted:
2023-02-03
First Post:
2020-03-30
Is NOT Gene Therapy:
False
Has Adverse Events:
True
Brief Title:
Mobile Coping Skills Training to Improve Cardiorespiratory Failure Survivors' Psychological Distress
Sponsor:
Organization:
Raw JSON
{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D016638', 'term': 'Critical Illness'}, {'id': 'D003863', 'term': 'Depression'}, {'id': 'D013313', 'term': 'Stress Disorders, Post-Traumatic'}, {'id': 'D001008', 'term': 'Anxiety Disorders'}], 'ancestors': [{'id': 'D020969', 'term': 'Disease Attributes'}, {'id': 'D010335', 'term': 'Pathologic Processes'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}, {'id': 'D001526', 'term': 'Behavioral Symptoms'}, {'id': 'D001519', 'term': 'Behavior'}, {'id': 'D040921', 'term': 'Stress Disorders, Traumatic'}, {'id': 'D000068099', 'term': 'Trauma and Stressor Related Disorders'}, {'id': 'D001523', 'term': 'Mental Disorders'}]}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'christopher.cox@duke.edu', 'phone': '9196817232', 'title': 'Christopher Cox', 'organization': 'Duke University'}, 'certainAgreement': {'piSponsorEmployee': False, 'restrictiveAgreement': False}}, 'adverseEventsModule': {'timeFrame': '16 months', 'eventGroups': [{'id': 'EG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.', 'otherNumAtRisk': 16, 'deathsNumAtRisk': 16, 'otherNumAffected': 0, 'seriousNumAtRisk': 16, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.', 'otherNumAtRisk': 14, 'deathsNumAtRisk': 14, 'otherNumAffected': 0, 'seriousNumAtRisk': 14, 'deathsNumAffected': 2, 'seriousNumAffected': 0}, {'id': 'EG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.', 'otherNumAtRisk': 15, 'deathsNumAtRisk': 15, 'otherNumAffected': 0, 'seriousNumAtRisk': 15, 'deathsNumAffected': 0, 'seriousNumAffected': 0}], 'frequencyThreshold': '0'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'Change in Hospital Anxiety and Depression Scale (HADS) Questionnaire', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '11.7', 'groupId': 'OG000', 'lowerLimit': '8.5', 'upperLimit': '14.8'}, {'value': '11.3', 'groupId': 'OG001', 'lowerLimit': '7.7', 'upperLimit': '14.8'}, {'value': '12.1', 'groupId': 'OG002', 'lowerLimit': '8.7', 'upperLimit': '15.6'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)', 'unitOfMeasure': 'units on a scale', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Change in Hospital Anxiety and Depression Scale (HADS) Questionnaire', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '11.0', 'groupId': 'OG000', 'lowerLimit': '7.2', 'upperLimit': '14.8'}, {'value': '11.4', 'groupId': 'OG001', 'lowerLimit': '6.8', 'upperLimit': '16.1'}, {'value': '13.5', 'groupId': 'OG002', 'lowerLimit': '9.5', 'upperLimit': '17.5'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)', 'unitOfMeasure': 'units on a scale', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Change in Post-Traumatic Stress Symptom Inventory (PTSS)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '28.8', 'groupId': 'OG000', 'lowerLimit': '23.7', 'upperLimit': '33.9'}, {'value': '26.4', 'groupId': 'OG001', 'lowerLimit': '20.6', 'upperLimit': '32.1'}, {'value': '30.5', 'groupId': 'OG002', 'lowerLimit': '25.0', 'upperLimit': '36.1'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'Post-traumatic stress disorder symptoms. Scores can range from 10 (best) to 70 (worst).', 'unitOfMeasure': 'units on a scale', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Change in Post-Traumatic Stress Symptom Inventory (PTSS)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '28.9', 'groupId': 'OG000', 'lowerLimit': '22.0', 'upperLimit': '35.9'}, {'value': '29.4', 'groupId': 'OG001', 'lowerLimit': '21.0', 'upperLimit': '37.8'}, {'value': '31.3', 'groupId': 'OG002', 'lowerLimit': '24.2', 'upperLimit': '38.4'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'Post-traumatic stress disorder symptoms. Scores can range from 10 (best) to 70 (worst).', 'unitOfMeasure': 'units on a scale', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Client Satisfaction Questionnaire (CSQ)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '29', 'groupId': 'OG000', 'lowerLimit': '27', 'upperLimit': '30'}, {'value': '29.5', 'groupId': 'OG001', 'lowerLimit': '24', 'upperLimit': '32.5'}, {'value': '25', 'groupId': 'OG002', 'lowerLimit': '23', 'upperLimit': '30'}]}]}], 'paramType': 'MEDIAN', 'timeFrame': '1 month post-randomization', 'description': 'A measure of acceptability. Scores can range from 5 (worst) to 35 (best)', 'unitOfMeasure': 'units on a scale', 'dispersionType': 'Inter-Quartile Range', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Intervention Adherence', 'denoms': [{'units': 'Participants', 'counts': [{'value': '14', 'groupId': 'OG000'}, {'value': '13', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '36.5', 'spread': '11.8', 'groupId': 'OG000'}, {'value': '34.1', 'spread': '10.9', 'groupId': 'OG001'}]}]}], 'paramType': 'MEAN', 'timeFrame': '1 month post-randomization', 'description': 'Measured by how many total tasks of the 33 possible that participants completed within the app during the intervention. Note that a value \\>33 indicates that participants completed more tasks than required.', 'unitOfMeasure': 'tasks', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED', 'populationDescription': 'Participants who received intervention.'}, {'type': 'SECONDARY', 'title': 'Change in Quality of Life Visual Analog Scale', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '54.0', 'groupId': 'OG000', 'lowerLimit': '44.6', 'upperLimit': '63.4'}, {'value': '66.7', 'groupId': 'OG001', 'lowerLimit': '56.0', 'upperLimit': '77.4'}, {'value': '61.8', 'groupId': 'OG002', 'lowerLimit': '51.5', 'upperLimit': '72.1'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'A measure of quality of life. Scores can range from 0 (worst) to 100 (best)', 'unitOfMeasure': 'units on a scale', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Change in Quality of Life Visual Analog Scale', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '61.4', 'groupId': 'OG000', 'lowerLimit': '50.6', 'upperLimit': '72.3'}, {'value': '72.5', 'groupId': 'OG001', 'lowerLimit': '58.3', 'upperLimit': '86.7'}, {'value': '67.1', 'groupId': 'OG002', 'lowerLimit': '55.9', 'upperLimit': '78.3'}]}]}], 'paramType': 'MEAN', 'timeFrame': 'Between baseline and 3 month post-randomization', 'description': 'A measure of quality of life. Scores can range from 0 (worst) to 100 (best)', 'unitOfMeasure': 'units on a scale', 'dispersionType': '95% Confidence Interval', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Patient Health Questionnaire 10-item Scale (PHQ-10)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'OG000'}, {'value': '14', 'groupId': 'OG001'}, {'value': '15', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '11.3', 'spread': '2.7', 'groupId': 'OG000'}, {'value': '10.1', 'spread': '2.7', 'groupId': 'OG001'}, {'value': '8.3', 'spread': '2.9', 'groupId': 'OG002'}]}]}], 'paramType': 'MEAN', 'timeFrame': '1 month post-randomization', 'description': 'An adapted version of the PHQ-15; a measure of physical symptoms. Scores can range from 0 (best) to 30 (worst).', 'unitOfMeasure': 'units on a scale', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED'}, {'type': 'SECONDARY', 'title': 'Patient Health Questionnaire 10-item Scale (PHQ-10)', 'denoms': [{'units': 'Participants', 'counts': [{'value': '13', 'groupId': 'OG000'}, {'value': '8', 'groupId': 'OG001'}, {'value': '13', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'classes': [{'categories': [{'measurements': [{'value': '7.9', 'spread': '2.8', 'groupId': 'OG000'}, {'value': '6.5', 'spread': '3.8', 'groupId': 'OG001'}, {'value': '5.7', 'spread': '4.0', 'groupId': 'OG002'}]}]}], 'paramType': 'MEAN', 'timeFrame': '3 months post-randomization', 'description': 'An adapted version of the PHQ-15; a measure of physical symptoms. Scores can range from 0 (best) to 30 (worst).', 'unitOfMeasure': 'units on a scale', 'dispersionType': 'Standard Deviation', 'reportingStatus': 'POSTED', 'populationDescription': 'Participants with a PHQ-10 score available at 3 months.'}, {'type': 'SECONDARY', 'title': 'Distress Associated With Depression and Anxiety Symptom Frequency', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'A visual analog scale appended to the HADS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the HADS. Scores range from 0 (best) to 100 (worst)', 'reportingStatus': 'POSTED', 'populationDescription': 'Data not collected.'}, {'type': 'SECONDARY', 'title': 'Distress Associated With Depression and Anxiety Symptom Frequency', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'A visual analog scale appended to the HADS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the HADS. Scores range from 0 (best) to 100 (worst)', 'reportingStatus': 'POSTED', 'populationDescription': 'Data not collected.'}, {'type': 'SECONDARY', 'title': 'Distress Associated With PTSD Symptom Frequency', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'A visual analog scale appended to the PTSS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the PTSS. Scores range from 0 (best) to 100 (worst)', 'reportingStatus': 'POSTED', 'populationDescription': 'Data not collected.'}, {'type': 'SECONDARY', 'title': 'Distress Associated With PTSD Symptom Frequency', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'OG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'OG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'A visual analog scale appended to the PTSS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the PTSS. Scores range from 0 (best) to 100 (worst)', 'reportingStatus': 'POSTED', 'populationDescription': 'Data not collected.'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'FG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'FG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'periods': [{'title': 'Overall Study', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '16'}, {'groupId': 'FG001', 'numSubjects': '14'}, {'groupId': 'FG002', 'numSubjects': '15'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '13'}, {'groupId': 'FG001', 'numSubjects': '8'}, {'groupId': 'FG002', 'numSubjects': '13'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '3'}, {'groupId': 'FG001', 'numSubjects': '6'}, {'groupId': 'FG002', 'numSubjects': '2'}]}], 'dropWithdraws': [{'type': 'illness', 'reasons': [{'groupId': 'FG000', 'numSubjects': '3'}, {'groupId': 'FG001', 'numSubjects': '4'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'Lost to Follow-up', 'reasons': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '2'}]}, {'type': 'Death', 'reasons': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '2'}, {'groupId': 'FG002', 'numSubjects': '0'}]}]}]}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'BG000'}, {'value': '14', 'groupId': 'BG001'}, {'value': '15', 'groupId': 'BG002'}, {'value': '45', 'groupId': 'BG003'}]}], 'groups': [{'id': 'BG000', 'title': 'Coping Skills Training Plus Therapist Input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.\n\nCoping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.'}, {'id': 'BG001', 'title': 'Coping Skills Training Without Therapist Input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.\n\nCoping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.'}, {'id': 'BG002', 'title': 'Usual Care Control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}, {'id': 'BG003', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Continuous', 'classes': [{'categories': [{'measurements': [{'value': '50.7', 'spread': '12.5', 'groupId': 'BG000'}, {'value': '52.7', 'spread': '15.0', 'groupId': 'BG001'}, {'value': '46.5', 'spread': '14.1', 'groupId': 'BG002'}, {'value': '49.4', 'spread': '12.7', 'groupId': 'BG003'}]}]}], 'paramType': 'MEAN', 'unitOfMeasure': 'years', 'dispersionType': 'STANDARD_DEVIATION'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '11', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG001'}, {'value': '5', 'groupId': 'BG002'}, {'value': '27', 'groupId': 'BG003'}]}, {'title': 'Male', 'measurements': [{'value': '5', 'groupId': 'BG000'}, {'value': '3', 'groupId': 'BG001'}, {'value': '10', 'groupId': 'BG002'}, {'value': '18', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Ethnicity (NIH/OMB)', 'classes': [{'categories': [{'title': 'Hispanic or Latino', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '2', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '2', 'groupId': 'BG003'}]}, {'title': 'Not Hispanic or Latino', 'measurements': [{'value': '16', 'groupId': 'BG000'}, {'value': '12', 'groupId': 'BG001'}, {'value': '15', 'groupId': 'BG002'}, {'value': '43', 'groupId': 'BG003'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '0', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Race (NIH/OMB)', 'classes': [{'categories': [{'title': 'American Indian or Alaska Native', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '0', 'groupId': 'BG003'}]}, {'title': 'Asian', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '1', 'groupId': 'BG003'}]}, {'title': 'Native Hawaiian or Other Pacific Islander', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '1', 'groupId': 'BG003'}]}, {'title': 'Black or African American', 'measurements': [{'value': '7', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '4', 'groupId': 'BG002'}, {'value': '11', 'groupId': 'BG003'}]}, {'title': 'White', 'measurements': [{'value': '9', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG001'}, {'value': '11', 'groupId': 'BG002'}, {'value': '31', 'groupId': 'BG003'}]}, {'title': 'More than one race', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '1', 'groupId': 'BG003'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '0', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Region of Enrollment', 'classes': [{'title': 'United States', 'categories': [{'measurements': [{'value': '16', 'groupId': 'BG000'}, {'value': '14', 'groupId': 'BG001'}, {'value': '15', 'groupId': 'BG002'}, {'value': '45', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Financial distress', 'classes': [{'categories': [{'measurements': [{'value': '6', 'groupId': 'BG000'}, {'value': '6', 'groupId': 'BG001'}, {'value': '6', 'groupId': 'BG002'}, {'value': '18', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}]}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2020-07-22', 'size': 1002649, 'label': 'Study Protocol', 'hasIcf': False, 'hasSap': False, 'filename': 'Prot_001.pdf', 'typeAbbrev': 'Prot', 'uploadDate': '2022-08-04T08:58', 'hasProtocol': True}, {'date': '2021-10-22', 'size': 289096, 'label': 'Statistical Analysis Plan', 'hasIcf': False, 'hasSap': True, 'filename': 'SAP_002.pdf', 'typeAbbrev': 'SAP', 'uploadDate': '2022-08-04T08:59', 'hasProtocol': False}, {'date': '2021-01-29', 'size': 246012, 'label': 'Informed Consent Form', 'hasIcf': True, 'hasSap': False, 'filename': 'ICF_000.pdf', 'typeAbbrev': 'ICF', 'uploadDate': '2021-10-13T15:34', 'hasProtocol': False}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['INVESTIGATOR', 'OUTCOMES_ASSESSOR'], 'maskingDescription': 'PI and analysts blinded to allocation. Outcomes completed by participants via a mobile app and as such, outcomes assessors are blinded.'}, 'primaryPurpose': 'SUPPORTIVE_CARE', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'randomized control clinical trial'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 45}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2020-12-03', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2022-12', 'completionDateStruct': {'date': '2022-03-31', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2023-01-24', 'studyFirstSubmitDate': '2020-03-30', 'resultsFirstSubmitDate': '2022-10-11', 'studyFirstSubmitQcDate': '2020-03-30', 'lastUpdatePostDateStruct': {'date': '2023-02-03', 'type': 'ACTUAL'}, 'resultsFirstSubmitQcDate': '2023-01-24', 'studyFirstPostDateStruct': {'date': '2020-04-01', 'type': 'ACTUAL'}, 'resultsFirstPostDateStruct': {'date': '2023-02-03', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2021-12-31', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Change in Hospital Anxiety and Depression Scale (HADS) Questionnaire', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)'}], 'secondaryOutcomes': [{'measure': 'Change in Hospital Anxiety and Depression Scale (HADS) Questionnaire', 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)'}, {'measure': 'Change in Post-Traumatic Stress Symptom Inventory (PTSS)', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'Post-traumatic stress disorder symptoms. Scores can range from 10 (best) to 70 (worst).'}, {'measure': 'Change in Post-Traumatic Stress Symptom Inventory (PTSS)', 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'Post-traumatic stress disorder symptoms. Scores can range from 10 (best) to 70 (worst).'}, {'measure': 'Client Satisfaction Questionnaire (CSQ)', 'timeFrame': '1 month post-randomization', 'description': 'A measure of acceptability. Scores can range from 5 (worst) to 35 (best)'}, {'measure': 'Intervention Adherence', 'timeFrame': '1 month post-randomization', 'description': 'Measured by how many total tasks of the 33 possible that participants completed within the app during the intervention. Note that a value \\>33 indicates that participants completed more tasks than required.'}, {'measure': 'Change in Quality of Life Visual Analog Scale', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'A measure of quality of life. Scores can range from 0 (worst) to 100 (best)'}, {'measure': 'Change in Quality of Life Visual Analog Scale', 'timeFrame': 'Between baseline and 3 month post-randomization', 'description': 'A measure of quality of life. Scores can range from 0 (worst) to 100 (best)'}, {'measure': 'Patient Health Questionnaire 10-item Scale (PHQ-10)', 'timeFrame': '1 month post-randomization', 'description': 'An adapted version of the PHQ-15; a measure of physical symptoms. Scores can range from 0 (best) to 30 (worst).'}, {'measure': 'Patient Health Questionnaire 10-item Scale (PHQ-10)', 'timeFrame': '3 months post-randomization', 'description': 'An adapted version of the PHQ-15; a measure of physical symptoms. Scores can range from 0 (best) to 30 (worst).'}, {'measure': 'Distress Associated With Depression and Anxiety Symptom Frequency', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'A visual analog scale appended to the HADS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the HADS. Scores range from 0 (best) to 100 (worst)'}, {'measure': 'Distress Associated With Depression and Anxiety Symptom Frequency', 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'A visual analog scale appended to the HADS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the HADS. Scores range from 0 (best) to 100 (worst)'}, {'measure': 'Distress Associated With PTSD Symptom Frequency', 'timeFrame': 'Between baseline and 1 month post-randomization', 'description': 'A visual analog scale appended to the PTSS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the PTSS. Scores range from 0 (best) to 100 (worst)'}, {'measure': 'Distress Associated With PTSD Symptom Frequency', 'timeFrame': 'Between baseline and 3 months post-randomization', 'description': 'A visual analog scale appended to the PTSS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the PTSS. Scores range from 0 (best) to 100 (worst)'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['cardiorespiratory failure', 'critical illness', 'psychological distress', 'depression', 'intensive care units', 'adults', 'mechanical ventilation', 'post-traumatic stress disorder', 'anxiety'], 'conditions': ['Cardiorespiratory Failure']}, 'referencesModule': {'references': [{'pmid': '28872898', 'type': 'BACKGROUND', 'citation': 'Cox CE, Hough CL, Carson SS, White DB, Kahn JM, Olsen MK, Jones DM, Somers TJ, Kelleher SA, Porter LS. Effects of a Telephone- and Web-based Coping Skills Training Program Compared with an Education Program for Survivors of Critical Illness and Their Family Members. A Randomized Clinical Trial. Am J Respir Crit Care Med. 2018 Jan 1;197(1):66-78. doi: 10.1164/rccm.201704-0720OC.'}, {'pmid': '22527082', 'type': 'BACKGROUND', 'citation': 'Cox CE, Porter LS, Hough CL, White DB, Kahn JM, Carson SS, Tulsky JA, Keefe FJ. Development and preliminary evaluation of a telephone-based coping skills training intervention for survivors of acute lung injury and their informal caregivers. Intensive Care Med. 2012 Aug;38(8):1289-97. doi: 10.1007/s00134-012-2567-3. Epub 2012 Apr 18.'}, {'pmid': '36603136', 'type': 'DERIVED', 'citation': 'Cox CE, Kelleher SA, Parish A, Olsen MK, Bermejo S, Dempsey K, Jaggers J, Hough CL, Moss M, Porter LS. Feasibility of Mobile App-based Coping Skills Training for Cardiorespiratory Failure Survivors: The Blueprint Pilot Randomized Controlled Trial. Ann Am Thorac Soc. 2023 Jun;20(6):861-871. doi: 10.1513/AnnalsATS.202210-890OC.'}]}, 'descriptionModule': {'briefSummary': 'This is a pilot randomized clinical trial involving adult survivors of cardiorespiratory failure treated in intensive care units (ICUs) that is designed to test the acceptability, feasibility, and clinical impact of a coping skills training intervention (Blueprint) delivered via a mobile app. This trial will allow us to determine if new changes to intervention delivery, inclusion criteria, and other factors are successful. It will also inform the development of a next-step efficacy focused trial.', 'detailedDescription': "As survival has improved for the 2 million people with cardiorespiratory failure managed annually in US intensive care units (ICUs), research has clarified how these survivors suffer from severe and persistent symptoms of psychological distress-depression, anxiety, and post-traumatic stress disorder (PTSD)-after discharge. However, few interventions exist that are relevant to patients' experiences and that also accommodate their many physical, social, and financial barriers to personalized care. To fill this gap, we developed a telephone- and web-based coping skills training (CST) program.\n\nCST is an empirically-supported psychosocial intervention that targets the use of the adaptive coping skills to decrease psychological distress and improve quality of life. We conducted a multicenter randomized clinical trial (RCT) called CSTEP that compared CST to an education program (EP) among a general sample of ICU survivors who received mechanical ventilation for cardiorespiratory failure. CST reduced depression symptoms and improved quality of life at 6 months in a pre-specified subgroup with elevated baseline distress. This RCT also identified key questions regarding best practices for identifying patients who are highly distressed yet whose physical illness is manageable, as well as delivering the intervention in a more convenient, and scalable manner. In a recent RCT testing a mindfulness intervention (LIFT), we found that a self-directed mobile app approach increased dose, adherence, and retention. However, many patients reported low enthusiasm for a meditation-based intervention.\n\nWhat is needed before a second multicenter RCT is to apply the promising CST content to a LIFT-inspired mobile app-based delivery system, and then to test it within a targeted patient population with a high likelihood of response (i.e., high baseline psychological distress). Therefore, we propose a 2-year R34 mixed-methods project that includes a pilot RCT in which we will randomize 45 cardiorespiratory failure / insufficiency survivors to one of three arms in equal ratios: intervention plus therapist for non-responders (n \\~15), intervention without a therapist (n \\~15), and usual care control (n \\~15). Randomization will be stratified by ICU service (medical vs. surgical), baseline HADS score (\\<14 vs. ≥14), and age (\\<50 vs. ≥50). Our specific aims will: (1) Optimize the usability of a self-directed mobile app (Blueprint) and an automated post-discharge distress screening system; (2) Test two promising iterations of Blueprint vs. usual care in a pilot 3-arm RCT with 3-month follow up, and (3) Explore facilitators and barriers to Blueprint implementation, using these data to inform any necessary final revisions to the Blueprint app."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'INCLUSION CRITERIA\n\n1. Adult (age ≥18)\n2. Managed in a hospital setting for ≥24 hours during the time inclusion criterion #3 is met.\n3. Acute cardiorespiratory failure / insufficiency, defined as ≥1 of the following:\n\n * mechanical ventilation via endotracheal tube for ≥4 hours\n * non-invasive ventilation (CPAP, BiPAP) for ≥4 hours in a 24-hour period provided for acute respiratory failure\n * new use of supplemental oxygen ≥2 liters per minute (or increase in baseline continuous oxygen)\n * use of vasopressors for shock of any etiology\n * use of inotropes for shock of any etiology\n * use of pulmonary vasodilators\n * use of aortic balloon pump or cardiac assist device for cardiogenic shock\n * use of diuretic intravenous drip\n4. Cognitive status intact\n\n * No history of pre-existing significant cognitive impairment (e.g., dementia) as per medical chart\n * Absence of current significant cognitive impairment (impairment defined as ≥3 errors on the Callahan cognitive status screen)\n * Decisional capacity present\n5. Absence of severe and/or persistent mental illness\n\n * Treatment for severe and/or persistent mental illness (e.g., psychosis, bipolar affective disorder, schizoaffective disorder, schizoid personality disorder, schizophrenia \\[as per medical record\\], hospitalization for any psychiatric disorder) within the 6 months preceding the current hospital admission\n * No endorsement of active suicidality at time of admission or informed consent\n * No active substance abuse at a severity that impairs ability to participate\n6. Functional English fluency\n\nEXCLUSION CRITERIA (in hospital):\n\n1. Complex medical care expected soon after discharge (e.g., planned surgeries, transplantation evaluation, extensive travel needs for follow up care, disruptive chemotherapy/radiation regimen)\n2. Unable to complete study procedures as determined by staff\n3. Lack of access to either reliable smartphone with cellular data plan or wifi\n\nINCLUSION CRITERIA (post-discharge)\n\n1\\. Elevated baseline (T1) psychological distress symptoms, defined as HADS total score of ≥8\n\nEXCLUSION CRITERIA (post-discharge)\n\n1. Failure to randomize within 2 months post-discharge.\n2. Failure to access app within 1 month after randomization in the absence of other explanation (e.g., hospitalization).'}, 'identificationModule': {'nctId': 'NCT04329702', 'acronym': 'Blueprint', 'briefTitle': "Mobile Coping Skills Training to Improve Cardiorespiratory Failure Survivors' Psychological Distress", 'organization': {'class': 'OTHER', 'fullName': 'Duke University'}, 'officialTitle': "Optimizing a Self-directed Mobile Coping Skills Training Intervention to Improve Cardiorespiratory Failure Survivors' Psychological Distress", 'orgStudyIdInfo': {'id': 'Pro00101848'}, 'secondaryIdInfos': [{'id': '1R34HL145387', 'link': 'https://reporter.nih.gov/quickSearch/1R34HL145387', 'type': 'NIH'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'coping skills training plus therapist input', 'description': 'Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month.', 'interventionNames': ['Behavioral: Coping skills training mobile app with call from CST therapist']}, {'type': 'EXPERIMENTAL', 'label': 'coping skills training without therapist input', 'description': 'Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided.', 'interventionNames': ['Behavioral: Coping skills training mobile app only']}, {'type': 'NO_INTERVENTION', 'label': 'usual care control', 'description': 'Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.'}], 'interventions': [{'name': 'Coping skills training mobile app with call from CST therapist', 'type': 'BEHAVIORAL', 'otherNames': ['Blueprint; mobile coping skills training (mCST) plus therapist'], 'description': 'The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.', 'armGroupLabels': ['coping skills training plus therapist input']}, {'name': 'Coping skills training mobile app only', 'type': 'BEHAVIORAL', 'otherNames': ['Blueprint; mobile coping skills training (mCST)'], 'description': 'The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.', 'armGroupLabels': ['coping skills training without therapist input']}]}, 'contactsLocationsModule': {'locations': [{'zip': '27710', 'city': 'Durham', 'state': 'North Carolina', 'country': 'United States', 'facility': 'Duke University Medical Center', 'geoPoint': {'lat': 35.99403, 'lon': -78.89862}}], 'overallOfficials': [{'name': 'Christopher E Cox, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Duke University'}]}, 'ipdSharingStatementModule': {'infoTypes': ['STUDY_PROTOCOL', 'SAP', 'ICF', 'CSR', 'ANALYTIC_CODE'], 'timeFrame': 'We will follow NIH and institutional guidelines.', 'ipdSharing': 'YES', 'description': 'We will follow all NIH guidelines and regulations.', 'accessCriteria': 'We will follow NIH and institutional guidelines.'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Duke University', 'class': 'OTHER'}, 'collaborators': [{'name': 'National Institutes of Health (NIH)', 'class': 'NIH'}, {'name': 'National Heart, Lung, and Blood Institute (NHLBI)', 'class': 'NIH'}], 'responsibleParty': {'type': 'SPONSOR'}}}}