Smartphone-enabled Health Coaching Intervention for Youth Diagnosed With Major Depressive Disorders
- Conditions
- Disorder, Major Depressive
- Interventions
- Behavioral: Smartphone-Assisted MB-CBT
- Registration Number
- NCT03406052
- Lead Sponsor
- York University
- Brief Summary
Randomized controlled trial (RCT) comparing youth diagnosed with major depressive disorder treated with online mindfulness-based cognitive behavioural therapy vs. standard psychiatric care (as wait-list controls). Eligible subjects will be recruited from the wait-lists of the Centre for Addiction and Mental Health. N = 168 subjects will consist of youth from First Nations background (18-30 yrs) and youth from all other ethnic backgrounds stratified to two intervention groups and two wait-list control groups consisting of 50% First Nations youth and 50% youth of all other ethnic backgrounds.
- Detailed Description
A high proportion (70%) of mental health problems appear before 25 yrs. and can become become long-standing, significant disorders that impair all life domains. Early signs of disorder left untreated is an acute problem for Canadian youth as 15-25 yrs is the most likely age-strata for diagnosable psychiatric disorders, substance dependencies and suicide. Progress in youth treatments that engage the tendencies of youth to respond to online internet contact are likely to be especially strategic.
In this randomized controlled trial (RCT) diagnosed depressed youth are treated with online mindfulness-based cognitive behavioural therapy (MB-CBT) and standard psychiatric care or just standard psychiatric care (as wait-list controls). Eligible subjects will be recruited from the wait-lists of the Centre for Addiction and Mental Health (CAMH), and from community-based practices and clinics proximal to CAMH. The consented 168 subjects will be from First Nations background (18-30 yrs) and from all other ethnic backgrounds, stratified into two intervention groups and two wait-list control groups.
Primary outcome is self reported depression using the Beck Depression Inventory II while secondary outcomes include self reported anxiety (Beck Anxiety Inventory), depression (Quick Inventory of Depressive Symptomatology, 24-item Hamilton Rating Scale for Depression (HRSD-24)), pain (Brief Pain Inventory) mindfulness (Five-Facet Mindfulness Questionnaire) and intervention costs.
If hypotheses are confirmed that youth can be effectively treated with online MB-CBT at reduced costs, effective treatment can be delivered to greater numbers with less geographic restriction.
Recruitment & Eligibility
- Status
- SUSPENDED
- Sex
- All
- Target Recruitment
- 168
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Smartphone-Assisted MB-CBT Smartphone-Assisted MB-CBT Online intervention accessed through smartphone or online accessed computer comprised of Mindfulness-Based Cognitive Behaviour content
- Primary Outcome Measures
Name Time Method Beck Depression Inventory II Baseline, 3 months, 6 months Change from baseline self report of symptoms of depression
- Secondary Outcome Measures
Name Time Method Beck Anxiety Scale Baseline, 3 months, 6 months Change from baseline self report of anxiety symptoms
Five-Facet Mindfulness Questionnaire Baseline, 3 months, 6 months Change from baseline self report of mindfulness experience
Hamilton Depression Rating Scale (HRDS-24) Baseline, 3 months, 6 months Change from baseline interview and interviewer rating of symptoms of depression
Brief Pain Inventory Baseline, 3 months, 6 months Change from baseline self report of pain intensity
Quick Inventory of Depressive Symptomatology Baseline, 3 months, 6 months Change from baseline self report of symptoms of depression
Trial Locations
- Locations (1)
Centre for Addiction and Mental Health
🇨🇦Toronto, Ontario, Canada