Online Intervention for Depression: MOOD
- Conditions
- Depressive Symptoms
- Interventions
- Behavioral: MOOD
- Registration Number
- NCT03795480
- Lead Sponsor
- Universitätsklinikum Hamburg-Eppendorf
- Brief Summary
The study aims to examine the efficacy and acceptance of a self-help internet intervention "MOOD" in a sample of individuals with depressive symptoms. It is tested whether depressive symptomatology decreases in the intervention group compared to a wait-list control group. Further aims are to ascertain changes in self-worth and quality of life, to assess subjective evaluation of the program and to examine whether expectations of the program's helpfulness would predict symptom reduction.
- Detailed Description
The study aims to examine the efficacy and acceptance of a self-help internet intervention "MOOD" in a sample of individuals with depressive symptoms. It is tested whether depressive symptomatology decreases in the intervention group compared to a wait-list control group. Secondary aims are to ascertain changes in self-worth and quality of life, to assess subjective evaluation of the program and to examine whether expectations of the program's helpfulness would predict symptom reduction. During the intervention period of six weeks, participants of the intervention group have access to the online program MOOD. Prior and following this period both groups complete a pre- and post-assessment. Participants of the wait-list control group receive access to MOOD following the post-assessment.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 128
- presence of psychological strain and desire for treatment for depressive symptoms
- internet access
- sufficient command of the German language
- acute suicidality (as assessed with one item of the BDI)
- lifetime diagnoses of bipolar disorder and psychosis
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description MOOD MOOD The online program "MOOD" is based on methods of cognitive behavior therapy (KVT) and contains elements of mindfulness and metacognition. Participants can contact a moderator (trained psychologists) if they have any questions. However, this function is optional. The program consists of nine interactive modules, one of which is an introductory module. The other modules are called: ABC-Scheme, Positive Activities, Self-Worth, Social Competence, Mindfulness, Modifying Thoughts, Sleep, and Relapse Prevention.
- Primary Outcome Measures
Name Time Method Beck Depression Inventory (BDI) Change in BDI from baseline to post (intervention period is 6 weeks) This questionnaire assesses symptoms of depression and their severity (Beck, Steer, \& Brown, 1996). It contains 21 items and the participant is asked to rate how severe he or she experiences each symptom on a 4-point Likert scale ranging from 0 (not at all severe) to 3 (extreme form of each symptom).
- Secondary Outcome Measures
Name Time Method Subjective appraisal Only at post-assessment (6 weeks) In the post-assessment, individuals of the intervention group also answered questions on subjective evaluation and appraisal of the program. Items were for example "I think this program is useful as a self-help tool" or "I had to bring myself to make use of the program". The items could be answered on a 4-point Likert scale ranging from "Totally disagree" to "Totally agree". Participants also had the possibility to provide feedback on the program.
Rosenberg self-esteem scale (RSE) Change in RSE from baseline to post (intervention period is 6 weeks) The RSE is a self-report questionnaire assessing an individual's self-esteem (Rosenberg, 1965) The scale consists of 10 items and the participants are asked to rate in how far they agree with each item on a 4-point Likert scale ranging from "strongly disagree" to "strongly agree".
WHOQOL-Bref Change in WHOQOL-Bref from baseline to post (intervention period is 6 weeks) The WHOQOL-Bref is a questionnaire assessing Quality of Life (QOL) (Whoqol Group, 1998). It is an abbreviated version of the WHOQOL-100 and contains 26 items. The questionnaire has four types of 5-point Likert scales asking the participant "how much", "how completely", "how often", "how good" or "how satisfied" he felt in the last two weeks. The four different scales are distributed across the four domains sampled in this questionnaire: Physical health, Psychological, Social relations, Environment.
University of Rhode Island Change Assessment (URICA) Only at Baseline (pre intervention) The URICA is a measure of willingness to change (Dozois, Westra, Collins, Fung \& Garry, 2004) and was assessed at baseline. It consists of 32 items that depict four stages of change: pre-contemplation, contemplation, action and maintenance. In the present study, in total 9 items are used which were chosen from the subscales of pre-contemplation, contemplation and action. Internal consistency is .83 and test-retest reliability lies between .63-.75.
Patient Health Questionnaire-9 Depression Module (PHQ-9) Change in PHQ-9 from baseline to post (intervention period is 6 weeks) The PHQ-9 is used to measure depression and its severity (Kroenke, Spitzer, \& Williams, 2001). It consists of 9 items which can be rated on a 4-point Likert scale ranging from 0 (not at all) to 3 (nearly every day), depending on the severity and frequency of the symptoms.
Trial Locations
- Locations (1)
Department for Psychiatry and Psychotherapy of University Medical Center Hamburg-Eppendorf
🇩🇪Hamburg, Germany