Enhancing Sustained Engagement in Digital Mental Health Interventions (DMHIs)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 201
- 试验地点
- 1
- 主要终点
- Engagement with the intervention (subjective)
研究概览
简要总结
The goal of this clinical trial is to test which engagement strategies lead to more participation in a digital mental health program among healthcare workers. The main questions it aims to answer is:
- Does content tailoring increase engagement with the digital program?
- Does human support increase engagement with the digital program?
Researchers will compare the general intervention to a tailored intervention and to the tailored intervention with human support coaching to see what leads to more engagement with/use of the program.
Participants will:
- Use a digital program weekly for 6 weeks
- Complete questionnaires at 5 times: Start of study, Week 2, Week 3 (mid-program), Week 6 (end of program), and Week 10 (follow-up)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- None
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
- •Age 18 years or older, all sexes
- •Currently working in healthcare in the US with at least 4 hours per week of direct patient contact
- •Stable access to internet
- •Have a total score between 3-14 on the PHQ-9 (Patient Health Questionnaire-9), suggestive of mild to moderate depressive symptoms
排除标准
- •Have a total score of ≥15 on the PHQ-9, indicating Severe Depressive symptoms.
- •Currently diagnosed with a psychotic disorder or bipolar disorder, based on self-report.
- •Currently receiving psychotherapy for depression or anxiety based on self-report; If on medications for depression or anxiety, must be on a stable dose of medication for at least 2 weeks.
研究组 & 干预措施
Control Group
Infographic onboarding and the Cognitive Behavioral Therapy (CBT)-based 6-week digital mental health intervention.
干预措施: Engage (Behavioral)
Content Tailoring Group
Healthcare-worker-tailored infographic onboarding and the Cognitive Behavioral Therapy (CBT)-based 6-week digital mental health intervention with healthcare worker tailoring.
干预措施: HCW-Tailored Engage (Behavioral)
Content Tailoring Plus Human Support Group
An onboarding engagement call with a human coach and the Cognitive Behavioral Therapy (CBT)-based 6-week digital mental health intervention with healthcare worker tailoring, plus human support via messaging (coaching).
干预措施: HCW-Tailored Engage (Behavioral)
结局指标
主要结局
Engagement with the intervention (subjective)
时间窗: From start of intervention to end of intervention period at 6 weeks.
The primary outcome is engagement with intervention. Subjective engagement will be measured via the TWente Engagement with Ehealth Technologies Scale (TWEETS), a 9-item measure aimed at assessing behavioral engagement, cognitive engagement, and affective engagement. A higher total score reflects a greater, more positive engagement with the digital health intervention.
Engagement - Number of Lessons
时间窗: From start of intervention to end of intervention period at 6 weeks.
An objective measure of engagement with the digital intervention is number of lessons read (i.e., module completion). More lessons read reflects more engagement with the intervention.
Engagement - Number of Tools
时间窗: From start of intervention to end of intervention period at 6 weeks.
An objective measure of engagement with the digital intervention is number of tools completed (i.e., tool usage). More tools completed reflects more engagement with the intervention.
Engagement - Duration of Time
时间窗: From start of intervention to end of intervention period at 6 weeks.
An objective measure of engagement with the digital intervention is the duration of time participants spend on the digital intervention site. More time on the site reflects more engagement with the intervention.
次要结局
- Burnout(From baseline to follow-up at 10 weeks.)
- Depressive Symptoms(From baseline to follow-up at 10 weeks.)
- Anxiety symptoms(From baseline to follow-up at 10 weeks.)