None listed
Conditions
Brief summary
This is a trial of a computerised cognitive behavioural therapy (c-cbt) programme for young people who outside of, or poorly engaged with, mainstream education. The programme is designed to reduce depressive symptoms. Participants are randomised to the c-cbt programme now, or beginning in 5 weeks time. The programme has 7 levels which take 20-30 minutes each. Participants usually do 2 levels per week. Participants are re-assessed at 5 and at 10 weeks time. Fifty percent of students who are in the delayed start group are reassessed at 15 weeks time. Measures include depressive symptoms (CRDS and RADS) anxiety symptoms (Spence), Quality of Life (PQLS), Hopelessness (HPLS) and locus of control. Satisfaction with treatment and beliefs about treatment and the intervention are explored using semi structured interviews before, after the intervention and at 4 weeks follow up. Parents and tutors are invited to give feedback too, via semi structured interviews. The target number of participants is 30 young people who have symptoms of mild to moderate depression.
Interventions
Computerised cognitive behavoural therapy (CBT) intervention. Participants are asked to complete 1 or 2 30 minute levels per week; there are 7 levels in total which should be completed within 5 weeks as suits the individual. The topics covered include psycho-education, relaxation techniques, social skills training, activity scheduling, problem solving, recognition and restructing of cognitive disortions, hopefulness and helpseeking.
A crossover study design is used: all participants are s
Computerised cognitive behavoural therapy (CBT) intervention. Participants are asked to complete 1 or 2 30 minute levels per week; there are 7 levels in total which should be completed within 5 weeks as suits the individual. The topics covered include psycho-education, relaxation techniques, social skills training, activity scheduling, problem solving, recognition and restructing of cognitive disortions, hopefulness and helpseeking. A crossover study design is used: all participants are screened at baseline and then randomised to treatment now (to be completed over the following 4-5 weeks) or delayed start (start after 5 weeks). All participants are reassessed at 5 weeks (after those randomised to 'start now' have completed the intervention and before those randomised to 'delayed start' begin) and at 10 weeks (after all participants have completed the programme), 50% of participants randomised to 'delayed start' are reassessed at 15 weeks.
Sponsors
Theresa Fleming
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
12 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
young people aged 12-18 years who are in an Alternative Education, youth transition or intensive youth programmes for young people who are disengaged or at risk of being disengaged from mainstream education.
Exclusion criteria
Young people who are already recieving CBT, Interpersonal Therapy or Selective Serotonin Reuptake Inhibitors (SSRI's) for depression. Young people who have severe depression, current sucide risk or other severe mental health issue which may mean that they are unsafe on this programme. Young people who have a disablity or insufficent english language that would result in them being unable to use the computer programme. Young people who are not expected to be enrolled in the participating site for a 10 week period.
Outcome results
None listed