Brief Digital CBT for Mood and Anxiety Symptoms in Acute Psychiatric Inpatients: a Randomized Feasibility Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- Retention rates
研究概览
简要总结
A randomized control trial examining the feasibility, acceptability, and preliminary efficacy of providing access to the MindShift CBT mobile app via tablet for acute psychiatric inpatients.
详细描述
Psychiatric inpatients expect more psychosocial intervention during their inpatient stay than they receive. During the COVID-19 pandemic, existing interventions have been further reduced. Mood and anxiety symptoms are common for all inpatients across diagnostic categories. Studies have shown that cognitive behavioural therapy (CBT) can be effective for treating these symptoms among inpatients. The purpose of this study is to determine whether the Mindshift CBT app (an app based on principles of cognitive behavioural therapy) is an acceptable, feasible, and useable intervention for inpatients.
The Mindshift CBT app is a tool designed and maintained by Anxiety Canada. It includes tools for daily mood check-ins, healthy thinking, calming intense emotions, and taking actions to change behaviours associated with anxiety and low mood. It also includes information about the common types of anxiety.
The proposed trial includes 12 patients per arm. All participants in control and intervention groups will have access to assigned tablet devices throughout the study period, though only those in the intervention group will have the MindShift CBT app on their device. All participants will undergo assessments at baseline and at the end of the intervention period (1 week).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Admitted to the acute inpatient unit
- •Fluent in English
- •Dynamic Appraisal for Situational Aggression (DASA) score <=3
- •Capable to consent to participation as assessed by the treating physician
排除标准
- •Diagnosis of moderate-severe learning disability
- •Diagnosis of moderate-severe neurocognitive disorder
结局指标
主要结局
Retention rates
时间窗: 1 week
Feasibility - whether the intervention is possible in the acute inpatient setting
Client Satisfaction Questionnaire 8 (CSQ-8)
时间窗: 1 week
Acceptability - whether the intervention is appropriate for the acute inpatient setting. The CSQ-8 scores range from 8 to 32, with higher values indicating higher satisfaction with the intervention.
Recruitment rates
时间窗: 1 week
Feasibility - whether the intervention is possible in the acute inpatient setting
User Experience Questionnaire (UXQ)
时间窗: 1 week
Usability - whether the intervention is serviceable for its intended purpose. The UXQ has 11 items exploring characteristics informing usability of mobile apps, each scored from 0-10, for a total score ranging from 10-110 (with larger scores indicating increased usability).
Qualitative Data Analysis
时间窗: 1 week
From focus groups, to inform feasibility, usability, and acceptability
次要结局
- General Anxiety Disorder 7 Scale (GAD-7)(1 week)
- Patient Health Questionnaire 9 (PHQ-9)(1 week)
- Kessler Psychological Distress Scale (K10)(1 week)
研究者
Gaurav Sharma
Resident Physician
Centre for Addiction and Mental Health