Depressive Symptoms
Conditions
Keywords
Depressive symptoms, resiliency, Health Promotion, minority health, text-messaging app, participatory technology development
Brief summary
The purpose of the study is to test an experimental method, a text-messaging app called B-RESILIENT, for improving participants' mood. B-RESILIENT is a text messaging app adaptation of a Resiliency Course, developed by community members known as Building Resiliency and Community Hope.
Detailed description
In phase 1, the investigators held a series of in-person and virtual workshops with the Partnered Research Center for Quality Care (PRC) community partners to co-develop mobile interventions to address community priorities. The goal of the workshops was to develop novel mobile interventions based on stakeholder input. The specific intervention to be developed was determined based on stakeholder input regarding community priorities during the workshops. Workshops were audio and/or video recorded to document the process. One of the tools used in this process was the Chorus Participatory Mobile Framework created at the Center for Health Services and Society at UCLA. Chorus is a web application that allows users to easily create mobile (text messaging and interactive voice) applications in real-time without requiring any server programming. The investigators used this framework during the workshops to develop and test the application in real-time. Participants were also given phone numbers to call or text in to the intervention that they co-developed for the purpose of testing, providing feedback, and guiding future development. In phase 2, the investigators will conduct a pilot randomized control trial of the B-RESILIENT tool developed during the workgroup phase 1. Investigators will enroll 30 adults in South Los Angeles to participate in a randomized, wait-list trial. The study group will receive the intervention for 4 weeks, followed by the wait-list group for another 4 weeks. Investigators will conduct baseline and follow-up surveys, as well as in-person or telephone workgroups, to assess the tool's usability and feasibility for supporting management of mood and depressive symptoms.
Interventions
BEHAVIORALResiliency App
Sponsors
University of California, Los Angeles
RAND
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age 18 or older 2. Speak English 3. Endorse one item on the PHQ-2 4. Are able to be contacted by phone or email, and have a cell phone that receives text messages 5. Have internet access
Exclusion criteria
1. Under age 18 years 2. Endorse no items on PHQ-2 screener 3. PHQ-8 score of 15 or greater on the baseline interview 4. No cell phone and internet access 5. Currently homeless 6. Has a prior diagnosis of schizophrenia, psychosis, bipolar disorder 7. Current alcohol and substance abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depressive symptom count as measured by the Patient Health Questionnaire 8 | Change from baseline at 1 month | The Patient Health Questionnaire (PHQ) 8 is a standard measure of depressive symptoms. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Brief Resilience Scale | Change from baseline at 1 month | A 6 item measure of the ability to bounce back or recover from stress. |
| Coping Strategies | Change from baseline at 1 month | The coping strategies questionnaire is a 4 item measure used to determine any use of avoidant and/or active coping strategies to stressful situations or problems. |
| Social Supports | Change from baseline at 1 month | The social support survey is a 10 item measure created to help assess various dimensions of social support (emotional, affectionate, and positive social interaction). |
| Fordyce Emotions Questionnaire | Change from baseline at 1 month | This questionnaire assesses current happiness with four questions. The first question assesses current happiness on a scale of 0 (extremely unhappy) to 10 (extremely happy). Questions 2 through 4 asks the percent of time the respondent feels happy; percent of time unhappy; and percent of time neutral. |
| Income | Change from baseline at 1 month | The income survey is a 1 item measure created to evaluate the level of income within each household. |
| Client Use of Services | Change from baseline at 1 month | The client use of services Scale is an 6 item measure that assesses access to and use of general health services in the community. This includes hospitalizations, ER visits, Mental Health Services, Social and Community-based Services, and other trusted locations. |
| Current Medication Use | Change from baseline at 1 month | The current medication use is a measure with 2 items created to identify any prescribed medications being consumed for mental or emotional problems such as depression, anxiety, or nerves. |
| Employment, work missed for those employed | Change from baseline at 1 month | The employment questionnaire has 1 item that assesses the employment situation of participants. There are 4 additional items reporting any days missed of work. |
Countries
United States
Outcome results
None listed