Students with elevated worry and anxiety Mental and Behavioural Disorders
Conditions
Interventions
Randomisation: Random selection to the two arms (usual care vs usual care plus unguided i-RFCBT) will be conducted automatically by means of a secure service created and managed by the Exeter Clinical
Sponsors
University of Exeter
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 16 years plus based in the UK, attending university (predominantly one of the six partner universities: Exeter, Oxford, Newcastle, Southampton, Cardiff, King’s College London or other HE institution e.g., associated HE institution, e.g., Falmouth University for University of Exeter) 2. Reporting elevated levels of worry and rumination on standardised questionnaires (scoring in at least worst tercile and worst quartile on the brooding scale and Penn State Worry Questionnaire: this means scores of >11 for worst tercile, > 12 for worst quartile on the brooding scale and >24 for top tercile and >26 for top quartile on the Penn State Worry Questionnaire short-form 3. Basic literacy in English as indicated by the ability to complete consent and online questionnaires (12year old reading age or better) 4. Ability to provide informed consent 5. Available for the full duration of the study (12 months) 6. Regular access to a relevant smartphone, tablet, PC or laptop necessary to use the intervention (using android or IOS systems)
Exclusion criteria
Exclusion criteria: 1. Meeting criteria on self-report electronic screening questionnaires for any of the following: 1.1. Current episode of major depressive disorder 1.2. Active suicidality 1.3. Any history of severe mental health problems (i.e., bipolar/psychosis/mania/drug/alcohol dependence) 2. Currently receiving psychological therapy or counselling or antidepressants or other psychiatric medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of major depression as indexed by a diagnostic interview or self-reported equivalent across the 12-month follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Depression is measured by Patient Health Questionnaire -9 (PHQ-9) at 3 and 12 months 2. Anxiety is measured by Generalised Anxiety Disorder -7 (GAD-7) at 3 and 12 months 3. Mental well-being is measured by Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) at 3 and 12 months 4. Social and occupational academic functioning is measured by the Work & Social Adjustments Scale (WSAS) at 3 and 12 months 5. Worry is measured by the short-form Penn State Worry Questionnaire at 3 and 12 months 6. Rumination is measured by the 5-item Brooding Scale at 3 and 12 months 7. Resilience is measured by the Brief Resilience Scale at 3 and 12 months 8. Stress is measured by the Perceived Stress Scale-7 and abbreviated version of the Post-secondary student stressors index at 3 and 12 months 9. Self-reported academic outcomes at 3 and 12 months 10. Use of services/treatment received is reported at 3 and 12 months | — |
Countries
England, United Kingdom
Contacts
Public ContactEd Watkins
Outcome results
None listed