Acceptability and Effectiveness of an mHealth Intervention to Provide Cognitive Behavioral Therapy (CBT) for Adolescents With Depression/Anxiety
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adolescent Depression
- Sponsor
- Washington University School of Medicine
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Patient Health Questionnaire-9 (PHQ-9)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Washington University will evaluate the acceptability and effectiveness of a mobile health (mHealth) intervention to provide cognitive behavioral therapy for adolescents with depression.
Detailed Description
In this pilot project, Washington University will start to evaluate CBot-A, a promising mHealth therapeutic intervention designed to deliver cognitive behavioral therapy (CBT) through an app on a phone or other mobile device. The evaluation will include a randomized trial among 40 adolescents diagnosed with depression and/or anxiety and will assess if CBot-A is usable by teens and likely to provide benefit, and acceptable to adolescents. The primary outcome of depression and anxiety symptoms in adolescents will be assessed at 1 month and 3 months to check for any changes.
Investigators
Jane Garbutt, MD
Professor of Medicine and Pediatrics
Washington University School of Medicine
Eligibility Criteria
Inclusion Criteria
- •Adolescents 12-17 years of age and diagnosed with a major depressive disorder (MDD) and/or generalized anxiety disorder by their primary care provider within the past 3 months.
Exclusion Criteria
- •Adolescents with the following conditions (identified by parental report) will be excluded:
- •Participated in formal CBT within the past 12-months
- •Diagnosed with severe depression
- •Diagnosed with the following anxiety disorders - obsessive-compulsive disorders, post-traumatic stress disorder, panic disorder, or specific phobias
- •A psychiatric hospitalization in the previous month
- •With significant comorbidities such that the PCP would refer to a mental health professional for treatment, including those with a substance use disorder or a psychotic illness.
- •Are not accompanied by a guardian to the diagnostic visit
- •Without access to a mobile device (cell phone or tablet) for regular use
- •Unable to read and write English
- •Participants may also be excluded at the discretion of the PI.
Outcomes
Primary Outcomes
Patient Health Questionnaire-9 (PHQ-9)
Time Frame: 1 month
The PHQ-9 Adolescent Version will be used.This 9-item instrument scores from 0 to 27, with higher scores indicating more depressive symptoms
Secondary Outcomes
- General Anxiety Disorder-7 (GAD-7)(1 month)