Implementing Computerized Cognitive Behavioral Therapies for Suicide Prevention and Depression Among At-Risk Rural and Urban Veterans
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 入组人数
- 472
- 试验地点
- 1
- 主要终点
- Client Satisfaction Questionnaire
研究概览
简要总结
This study plans to learn more about the use of one of two self-guided online cognitive behavioral therapy courses. One is focused on symptoms of depression and one is focused on history of suicidal thoughts and behaviors.
详细描述
Based on previous work with other computerized CBT (cCBT) interventions (e.g., cCBT-D), which has found that cCBT has similar effectiveness to traditional CBT, members of the team along with Veterans Health Administration (VHA) leaders have developed computerized cCBT-SP and cCBT-D courses that will be ready for safety, feasibility, and acceptability testing. If proven to be feasible, safe, and effective, these courses could be made available to all Veterans, at no cost to users.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non 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
- 是
入选标准
- •Cohort A - cCBT-SP Program
- •Inclusion Criteria:
- •Veterans between the ages of 18 and 65
- •Currently living in Colorado, New York, Montana, Texas, or Utah who have accessed VA Care
- •Recent suicidal ideation (past month; C-SSRS Screener -Yes to Item 2) and history of lifetime suicidal behavior (lifetime, C-SSRS Screener - Yes to Item 6)
- •Reliable access to a computer/tablet and the internet
- •Ability to provide informed consent
排除标准
- •Active alcohol or substance use disorder, excluding Cannabis dependence, as determined by screening or electronic medical record
- •Identification of active psychosis or bipolar disorder, as determined via screening or electronic medical record
- •Severe cognitive impairment, as determined by screening or electronic medical record
- •Currently enrolled in/participating in another mental health-related intervention research study
- •Cohort B - cCBT-D Program
- •Inclusion Criteria:
- •Veterans between the ages of 18 and 65
- •Currently living in Colorado, New York, Montana, Texas, or Utah who have accessed VA care
- •Mild to moderate depressive symptoms, as determined by the PHQ-9, (score of 5-14)
- •Reliable access to a computer/tablet and the internet
- •Ability to provide informed consent
- •Exclusion Criteria:
- •PHQ-9 score below 4 or 15 and above
- •Active alcohol or substance use disorder, excluding Cannabis dependence, as determined by screening or electronic medical record
- •Identification of active psychosis or bipolar disorder, as determined via screening or electronic medical record
- •Severe cognitive impairment, as determined by screening or electronic medical record
- •Currently enrolled in/participating in other intervention research study
研究组 & 干预措施
c-CBT for Suicide Prevention
CBT for Suicide Prevention
干预措施: c-CBT for Suicide Prevention (Behavioral)
c-CBT for Depression
Computerized CBT for Depression
干预措施: c-CBT or Depression (Behavioral)
结局指标
主要结局
Client Satisfaction Questionnaire
时间窗: 12 weeks
Acceptability
Narrative Evaluation of Intervention Interview
时间窗: 12 weeks
Acceptability
Internet Evaluation and Utility Questionnaire
时间窗: 12 weeks
Acceptability
Internet Impact and Effectiveness Questionnaire
时间窗: 12 weeks
Acceptability
Recruitment Rate
时间窗: 12 weeks
Number of individuals who consented to participate
Completion of intervention
时间窗: 12 weeks
Number of participants who completed most or all of the sessions
次要结局
- Patient Health Questionnaire-9(12 weeks)
- Generalized Anxiety Disorder-7(12 weeks)
- Computerized Adaptive Testing - Suicide Scale(12 weeks)
- Posttraumatic Stress Disorder Checklist-5(12 weeks)
- Beck Scale for Suicide Ideation(12 weeks)