Anxiety, Depression
Conditions
Keywords
online group psychological intervention, depression, anxiety, online group Cognitive Behavioural Therapy, App-based interventions, Randomized controlled trial
Brief summary
The aim is to assess the effectiveness of online group CBT for reducing symptoms of depression and anxiety among university students. The investigators will conduct a four-arm randomised control trial comparing a 10-session online group CBT intervention to three mental health apps (namely SilverCloud guided, SilverCloud unguided, and Mood Flow).
Detailed description
Email invitations and information about the study will be sent to random samples of students inviting those with symptoms of depression, anxiety, or stress to join the trial. Students who express interest will be asked to complete an online consent form (providing more detailed information about the study and explaining potential risks and benefits of participation), following which they will complete a baseline assessment. Students who meet inclusion criteria will then be randomly allocated to one of four interventions. Follow-up assessments will be done at 3-, 6- and 12-months post intervention. The baseline assessment will include measures of depression and anxiety, as well as factors that could potentially predict treatment responses (such as gender, age, substance use, self-harm, adverse childhood experiences, and physical health). Follow-up assessments will include measures of depression and anxiety, as well as substance use, self-harm, and treatment seeking. The primary outcomes will be symptoms of depression and anxiety as measured by the GAD-7 and PHQ-9.
Interventions
BEHAVIORALOnline Group CBT intervention
Group of participants complete 10 weeks of Online Group CBT intervention
BEHAVIORALSilverCloud guided
Group of participants make use of the SilverCloud guided app
BEHAVIORALSilverCloud Unguided
Group of participants make use of the SilverCloud Unguided app
BEHAVIORALMood Flow
Group of participants make use of the Mood Flow app
Sponsors
Harvard University
West Virginia University
University of Stellenbosch
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Aged 18 or older years. 2. Enrolled as a student at Stellenbosch University. 3. Provide Informed Consent. 4. Access to internet to join the online group.
Exclusion criteria
1. No internet availability. 2. Did not provide Informed Consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline scores in the mean symptoms of depression as measured by the PHQ-9 at 3-months. | Baseline and 3-month follow up assessment for experiment and control interventions groups. | Determine if a 10-week online group CBT (GCBT) intervention effectively reduces mean scores of depression, between baseline and 3-month follow up, among university students when compared with three control group interventions (i.e., Mood Flow, SilverCloud guided, and SilverCloud unguided). |
| Change from baseline scores in the mean symptoms of anxiety as measured by the GAD-7 at 3-months. | Baseline and 3-month follow up assessment for experiment and control interventions groups. | Determine if a 10-week online group CBT (GCBT) intervention effectively reduces mean scores of anxiety, between baseline and 3-month follow up, among university students when compared with three control group interventions (i.e., Mood Flow, SilverCloud guided, and SilverCloud unguided). |
Countries
South Africa
Contacts
Primary ContactElsie Breet, PhD
Backup ContactJason Bantjes, PhD
Outcome results
None listed