Optimizing Resilience and Coping in HIV Via Internet Delivery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Retention of participants in online delivery format.
Study Overview
Brief Summary
This is a feasibility/pilot test of a set of positive affect skills provided online to HIV positive people with elevated depressive symptoms - a Center for Epidemiological Studies Depression Scale D (CES-D) score > 10. The investigators will test the feasibility of recruitment, retention and acceptability of these skills in an online delivery format, determine feasibility and acceptability of daily emotion assessments via text messaging and assess efficacy of these skills for improving psychological well-being this population.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •18 or older
- •Score of CES-D depression scale >10
- •Daily internet access
- •Smart phone ownership
Exclusion Criteria
- Not provided
Arms & Interventions
Intervention
Participants receive a five week intervention providing the following activities:
EMA:
Ecological Momentary Assessment (EMA) of Emotion throughout the day.
Intervention:
Positive Events: Participants identify a positive event and then describe how they capitalized on this event.
Gratitude: Participants identify one more more things that make them feel grateful.
Mindfulness: Participants participate in a 30 minute guided mindfulness/meditation practice.
Positive Reappraisal: Participants identify how they reappraised a negative event making it into a positive event.
Personal Strengths: Participants identify one more more personal strengths. Attainable goals: Participants identify a short-term attainable goal. Participants will outline what they did that day to work toward attaining their week's goal.
Acts of Kindness: Participants will identify one more more acts of kindness that they engaged in and how it made them feel.
Intervention: Intervention (Behavioral)
Emotion reporting and EMA notification
Participants report emotions and receive EMA (ecological momentary assessment) text messages on the same regular basis as intervention participants, but receive no interventions.
EMA detail:
Ecological Momentary Assessment (EMA) of Emotion throughout the day. We will assess current emotions via email or text message 4 times per day, 2 days per week (one randomly selected week/work day and one randomly selected weekend/non-work day) during the 8 week study period, for a total of 16 days of EMA reporting. Participants will be asked to rate how much they are currently feeling several positive and negative emotions that have been associated with mortality and health: happy, excited, content, appreciative, sad, worried, and fearful.
Outcomes
Primary Outcomes
Retention of participants in online delivery format.
Time Frame: 5 weeks post enrollment. May be slightly more or less for intervention participants depending on time taken to complete online content.
We will track, for each participant who completes a screening questionnaire, where they heard about the study and the proportion who go on to enroll. We will track retention - noting when participants drop out to determine if particular sessions or activities result in less retention than other areas.
Acceptability of ORCHID content
Time Frame: 5 weeks post enrollment. May be slightly more or less for intervention participants depending on time taken to complete online content.
We will track participation in both the self-report questionnaires as well as the intervention sessions (e.g., number of ORCHID sessions completed, amount of home practice completed). We will carefully track usage - noting when participants who leave the study drop out to determine if there are particular sessions that are less acceptable than others.
Feasibility of an online delivery format.
Time Frame: 5 weeks post enrollment. May be slightly more or less for intervention participants depending on time taken to complete online content.
We will follow up with participants who have significant missing data to determine areas in which the protocol is feasible and to highlight areas for improvements. We will summarize participant feedback regarding the protocol and will use this feedback to inform the subsequent proposals.
Secondary Outcomes
- Determine acceptability of multiple daily emotion assessments using text messaging.(5 weeks post enrollment. May be slightly more or less for intervention participants depending on time taken to complete online content.)