A Computerized Intervention for Depression
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Symptoms of Depression will be assessed by using the Beck Depression Inventory II
研究概览
简要总结
The primary purpose of this study is to examine how much change in depressive symptoms will be observed in persons who use an electronic Problem Solving Treatment (imbPST) compared to a control group at pre-, mid-point, and post-test assessments.
详细描述
An interactive multimedia computer-based treatment program was developed to provide an electronic version of problem solving therapy for depression (imbPST). The program was entirely automated and did not require the involvement of a live clinician, even though it was designed to provide a "virtual therapy" experience that feels more like interacting with a person than with a computer. The imbPST program was built to help individuals who did not have access to traditional therapy due the living conditions or individual preferences (e.g. rural, poor and persons desiring privacy or with significant time constraints). This computer-based treatment of depression offered several advantages. It can be used anywhere without a therapist present, and offered a standardized and consistent therapeutic approach.
The aim of this study is to reduce symptoms of depression in subjects through the use of a new, electronic Problem Solving Treatment (imbPST). Adult participants with moderate to severe depression symptoms are randomly assigned to either treatment or a wait-list condition. The Beck Depression Inventory-II was used as the primary outcome measure
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Be 18 years of age or older.
- •Present symptoms from the following criteria based on the Diagnostic & Statistical Manual of Mental Disorders-IV-Text Revision (DSM-IV-TR): Major Depressive Episode, Mood Disorder Due to a General Medical Condition and/or Adjustment Disorder with Depressed Mood.
- •Depression must be the primary diagnosis and not occur secondary to any another diagnosis such as Post-Traumatic Stress Disorder (PTSD), social phobia, or complicated bereavement, though comorbid diagnoses (e.g., anxiety disorders and PTSD) will not be exclusionary unless they are primary, except as specified below.
- •Not receiving psychological treatment (e.g., face to face) at the time of the study.
- •Not currently be receiving Problem Solving Treatment in any other context.
- •Not reporting/reported suicidal attempts in the year prior to their participation in the study.
- •Be able to write and speak English according to Rapid Estimate of Adult Literacy in Medicine (REALM test scores)
排除标准
- •Current suicidal ideation, history of suicidal attempts or self-injurious behavior at any point during the protocol.
- •Have been diagnosed with schizophrenia, bipolar I disorder, with psychosis, other disorder with psychotic symptoms, and/or brain injuries that includes loss of consciousness > 15 minutes and / post-traumatic amnesia of any duration.
- •Any history of treatment with anti-psychotic medication.
- •A felony conviction.
- •Any current or recent (i.e. within the previous 6 months) substance abuse/dependence diagnosis (other than nicotine or caffeine).
- •Current psychological treatment (e.g., face to face).
结局指标
主要结局
Symptoms of Depression will be assessed by using the Beck Depression Inventory II
时间窗: Within the first 9 weeks after initiating treatment.
Self-report measure for symptoms of depression
次要结局
- Symptoms of Depression will be assessed by using the Hopkins Symptom Checklist 20-item Depression Scale ( Self-report)(Within the first 9 weeks after initiating treatment.)
- Software usability will be measured by the System Usability Scale(at baseline (week 0),and post-treatment ( week 9))
研究者
William Stone
Assistant Professor
Beth Israel Deaconess Medical Center