Evaluating the Feasibility of Disseminating a Novel Mobile Platform to Treat Depression

University of California, San Francisco

Overview

The goal of this project is to conduct a pilot study to test the utility of a Natural Language Processing (NLP) clinical messaging tool to improve the reach and the quality (fidelity and competency) of coaches providing behavioral activation (BA) strategies through a mobile mental health app called Personalized Real-time Intervention for Motivational Enhancement (PRIME). This study will improve the reach of clinicians by using a NLP-powered messaging tool, which will ensure fidelity to the BA model and clinicians will have access to real-time clinical information about their patients to guide more targeted treatment (competence). If successful, PRIME could operate as a cost effective tool for clinicians to extend their reach and an accessible treatment for the population of those struggling with depression.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Conditions

Depression

Interventions

PRIME 1.0BEHAVIORAL

Mobile application designed to improve psychosocial functioning and motivational deficits (sans NLP-powered dashboard).

PRIME 2.0BEHAVIORAL

Mobile application designed to improve psychosocial functioning and motivational deficits (with NLP-powered dashboard).

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 and older * Read and speak English * PHQ-9 score of 5 or greater or indicate that their depressive symptoms are interfering with their daily functioning (Item 10 of the PHQ-9 \> 2). * To be consistent with the NIMH RDoC initiative, we will assess for co-morbid problems (substance abuse, anxiety, and psychosis), but will not exclude participants with psychiatric comorbidities * Must own a mobile device on iOS or Android platforms that either Wi-Fi or 3G/4G ready; Exclusion Criteria: * Under 18 * Cannot read or speak in English * Cannot attain suitable mobile device

Locations (1)

University of California San Francisco

San Francisco, California, United States

Outcomes

Primary Outcomes

Depression severity

PhQ-9

Time frame: Change from baseline to 3 month follow-up

Functioning

Sheehan Disability Scale

Time frame: Change from baseline to 3 month follow-up

Secondary Outcomes

Coaching efficiency

Flurry analytics

Time frame: 8 weeks

Coaching competence

Fidelity and competence assessment

Time frame: 8 weeks

Data from ClinicalTrials.gov

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