Improving Adherence to Evidence-Based Practice Using an Innovative and Easy-to-Use Health IT Solution
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 79
- 试验地点
- 1
- 主要终点
- Generalized Anxiety Disorder-7 (Gad-7)
研究概览
简要总结
The purpose of this study is to expand Adhere.ly- a simple, HIPAA-compliant, web-based platform to help therapists engage clients in practicing therapeutic skills between sessions (homework) during mental health treatment by conducting a trial comparing standard therapy to therapy enhanced with Adhere.ly.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •English-speaking
- •Mental health providers who have obtained at least a master's degree in social work, counseling, clinical psychology, or related field
- •Carry active mental health treatment caseloads in the U.S.
- •Have a laptop, tablet, or smartphone with internet access
- •English-speaking
- •Treatment-seeking adults ≥18 years
- •Clinically elevated anxiety and depression as indicated by a score ≥10 on the GAD-7 and/or PHQ-8
- •Have a laptop, tablet, or smartphone with internet access
排除标准
- •Client with self-reported:
- •Active psychotic symptoms (e.g., hallucinations, delusions)
- •Significant cognitive disability.
结局指标
主要结局
Generalized Anxiety Disorder-7 (Gad-7)
时间窗: 3-Months Post-Baseline
The Generalized Anxiety Disorder scale-7 (GAD-7) is a seven-item diagnostic tool validated in both the primary care setting and the general population
Patient Health Questionnaire-8 (Phq-8)
时间窗: 3-Months Post-Baseline
The eight-item Patient Health Questionnaire depression scale (PHQ-8) is established as a valid diagnostic and severity measure for depressive disorders in large clinical studies
Generalized Anxiety Disorder-7 (Gad-7)
时间窗: Baseline, 3 Months Post Baseline
The Generalized Anxiety Disorder Scale-7 (GAD-7) assesses the severity of anxiety symptoms in adults. The GAD-7 was completed by clients about themselves. Scores range from 0 to 21 with higher scores indicating worse anxiety symptom severity. A score of 8 or greater is generally considered to indicate clinically significant anxiety symptom severity.
Patient Health Questionnaire-8 (PHQ-8)
时间窗: Baseline, 3 Months Post Baseline
The Patient Health Questionnaire-8 (PHQ-8) assesses the severity of depression symptoms in adults. The PHQ-8 was completed by clients about themselves. Scores range from 0 to 28 with higher scores indicating worse depression symptom severity. A score of 10 or greater is generally considered to indicate clinically significant depression symptom severity.
次要结局
- Health-Related Quality of Life (CDC HRQOL-14)(3-Months Post-Baseline)
- Working Alliance Inventory - Short Revised - Client Version (Wai-sr)(3-Months Post-Baseline)
- Client Satisfaction Questionnaire (CSQ-8)(3-Months Post-Baseline)
- Homework Rating Scale II (HRS II)(Weekly between Baseline and 3-Months Post-Baseline)
- Homework Adherence And Competence Scale (Haacs)(Weekly between Baseline and 3-Months Post-Baseline)
- Assessment of Core CBT Skills (ACCS)(Weekly between Baseline and 3-Months Post-Baseline)
- Attitudes Toward Homework Questionnaire (ATHQ)(3-Months Post-Baseline)
- Health-Related Quality of Life (HRQOL-14) - Healthy Mental Health Days Index(Baseline, 3 Months Post Baseline)
- Homework Rating Scale II (HRS II)(Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11, Week 12, Average across weeks reported.)
- Assessment of Core CBT Skills (ACCS) - Cognitive Behavioral Therapy Domain(Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11, Week 12, Average across weeks reported.)
- Attitudes Toward Homework Questionnaire (ATHQ) - Positive Homework Effect Scale(Baseline, Post-Trial Therapist Assessment)
- Working Alliance Inventory - Short Revised (WAI-SR)(3 Months Post Baseline)
- Client Satisfaction Questionnaire - 8 (CSQ-8)(3 Months Post Baseline)
- Assessment of Core CBT Skills (ACCS) - Homework Domain(Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 9, Week 10, Week 11, Week 12, Average across weeks reported.)
- Attitudes Toward Homework Questionnaire (ATHQ) - Negative Session Impact Scale(Baseline, Post-Trial Therapist Assessment)