Psychoeducational Videos and Digital Assessments for BPD

Not Applicable

Active, not recruiting

• Conditions: Borderline Personality Disorder
• Interventions: Other: Non-BPD-related Educational Videos; Other: Psychoeducational Videos; Other: Neuropsychological Feedback

• Registration Number: NCT05358925
• Lead Sponsor: Mclean Hospital

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 Timeline

• Study First Submitted: 2022-04-28
• Study First Submitted QC: 2022-04-28
• Study First Posted: 2022-05-03
• Study Start: 2023-06-01
• Primary Completion: 2024-11-20
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-14
• Last Update Posted: 2025-04-17
• Study Completion: 2025-12-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 100

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).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Non-BPD Videos and No Feedback	Non-BPD-related Educational Videos	Ten daily 4-10 minute educational videos about health-related topics other than BPD.
BPD Videos and No Feedback	Psychoeducational Videos	Ten daily 4-10 minute psychoeducational videos about BPD.
BPD Videos and Feedback	Psychoeducational Videos	Ten daily 4-10 minute psychoeducational videos about BPD and personalized feedback about performance on neuropsychological tasks.
BPD Videos and Feedback	Neuropsychological Feedback	Ten daily 4-10 minute psychoeducational videos about BPD and personalized feedback about performance on neuropsychological tasks.

Primary Outcome Measures

Name	Time	Method
Borderline Symptom List 23 (BSL-23)	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 Outcome Measures

Name	Time	Method
Patient Health Questionnaire (PHQ-9)	Baseline (day 1), Time 2 (day 15), Time 3 (day 30), Follow-Up (day 60)	Change (increase or decrease) in PHQ-9 total score at time 2, time 3, and follow-up, as compared to baseline. Minimum score = 0, maximum score = 27. A higher score indicates more severe depressive symptoms.

Trial Locations

Locations (1)

McLean Hospital; 🇺🇸 Belmont, Massachusetts, United States