Online Psychoeducational Videos and Digital Assessments as a Method for Broadening Access to Care for Borderline Personality Disorder
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mclean Hospital
- Enrollment
- 83
- Locations
- 1
- Primary Endpoint
- Borderline Symptom List 23 (BSL-23)
Study Overview
Brief Summary
In this study, 100 adults who were recently diagnosed with borderline personality disorder (BPD) will be randomized to either receive educational videos about BPD or educational videos about other topics. All participants in both conditions will complete daily surveys about their emotions and social interactions, and they will respond to surveys and complete cognitive tests at 4 different time points. Some participants will receive feedback about their cognitive test performance, and others will not. The investigators are interested in learning about how accurate education about BPD and enhanced knowledge about cognitive abilities might help people manage their BPD symptoms. The investigators expect that participants who received psychoeducation about BPD will have lower levels of BPD and depressive symptoms than other participants, and that participants who received feedback on their cognitive tests will also have lower symptoms.
Detailed Description
In this study, 100 adults who were diagnosed with BPD within the past three months will be randomly assigned to receive psychoeducational videos (4-10 minutes each) about the development, symptoms, naturalistic trajectory, and treatment of BPD (2/3 of participants) or matched-length videos about non-BPD, health-related topics (1/3 of participants). One video will be delivered every business day for two weeks. Participants will respond to 5-minute surveys on their recent social interactions, their feelings of threat, connectedness, and aloneness, and will complete a 1-minute version of the Continuous Performance Test (CPT) and Digit Symbol Matching Test, every day for 30 days. Participants will complete additional full-length surveys and cognitive tests at 4 time points: baseline (Day 1), Time 2 (day 15), Time 3 (Day 30), and Follow-up (day 60). The primary outcome is BPD symptom severity, and the secondary outcome is depressive symptom severity. The investigators expect that BPD-focused psychoeducation and personalized neuropsychological feedback will each lead to separate, measurable reductions in BPD and depressive symptom severity. The investigators also expect that the relationship between psychoeducation and symptom reduction will be mediated by increased knowledge about BPD, and that the relationship between neuropsychological feedback and symptom reduction will be mediated by increased cognitive control.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Treatment
- Masking
- None
Masking Description
While the investigators will not explicitly inform participants of their condition, it will be apparent based on the content of the videos they receive and whether or not they receive feedback.
The investigators and study staff will be aware of condition assignments in order to facilitate the delivery of the appropriate videos and the neuropsychological feedback.
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •reliable access to a smartphone with a data plan for the duration of the study
- •ability to speak and understand English
- •age 18 years or older
- •diagnosis of BPD within the past 6 months
- •awake and able to complete EMA surveys between 9:00am and 9:00pm on most days
- •located within the United States
Exclusion Criteria
- •cognitive disability that impedes ability to participate in the study
- •current psychiatric symptoms that interfere with the individual's ability to provide consent or complete the research procedures (e.g., acute mania, acute psychosis, eating disorder threatening medical stability).
Arms & Interventions
BPD Videos and Feedback
Ten daily 4-10 minute psychoeducational videos about BPD and personalized feedback about performance on neuropsychological tasks.
Intervention: Psychoeducational Videos (Other)
BPD Videos and Feedback
Ten daily 4-10 minute psychoeducational videos about BPD and personalized feedback about performance on neuropsychological tasks.
Intervention: Neuropsychological Feedback (Other)
BPD Videos and No Feedback
Ten daily 4-10 minute psychoeducational videos about BPD.
Intervention: Psychoeducational Videos (Other)
Non-BPD Videos and No Feedback
Ten daily 4-10 minute educational videos about health-related topics other than BPD.
Intervention: Non-BPD-related Educational Videos (Other)
Outcomes
Primary Outcomes
Borderline Symptom List 23 (BSL-23)
Time Frame: Baseline (day 1), Time 2 (day 15), Time 3 (day 30), Follow-Up (day 60)
Change (increase or decrease) in BSL-23 mean score (average score across all 23 items) at time 2, time 3, and follow-up, as compared to baseline. Minimum score = 0, maximum score = 4. A higher score indicates more severe BPD symptoms.
Secondary Outcomes
- Patient Health Questionnaire (PHQ-9)(Baseline (day 1), Time 2 (day 15), Time 3 (day 30), Follow-Up (day 60))
Investigators
Lois W. Choi-Kain, MD
Director, Gunderson Personality Disorder; Associate Professor of Psychiatry
Mclean Hospital