Depression
Conditions
Keywords
Human, Mental Disorders, intervention, digital health
Brief summary
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.
Interventions
BEHAVIORALPRIME 1.0
Mobile application designed to improve psychosocial functioning and motivational deficits (sans NLP-powered dashboard).
BEHAVIORALPRIME 2.0
Mobile application designed to improve psychosocial functioning and motivational deficits (with NLP-powered dashboard).
Sponsors
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression severity | Change from baseline to 3 month follow-up | PhQ-9 |
| Functioning | Change from baseline to 3 month follow-up | Sheehan Disability Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Coaching efficiency | 8 weeks | Flurry analytics |
| Coaching competence | 8 weeks | Fidelity and competence assessment |
Countries
United States
Outcome results
None listed