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The Zen Garden: A feasibility randomized controlled trial of an m-health tool for blended Competitive Memory Training for self-esteem problems

The Zen Garden: A feasibility randomized controlled trial of an m-health tool for blended Competitive Memory Training for self-esteem problems - The Zen Garden: a smartphone app for blended COMET therapy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON46777
Enrollment
30
Registered
2018-09-21
Start date
2018-09-01
Completion date
Unknown
Last updated
2025-03-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

(trans-diagnostic) symptoms of negative self-esteem low self-esteem self-esteem problems

Interventions

COMET protocols for sef-esteem primarily involve 1) the identification of the negative self-opinion, 2) the identification of positive characteristics and behaviors that are incompatible with the ne

Sponsors

PsyQ, subdivision of Parnassia Group
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1) Aged 18+ 2) Proficiency in the Dutch language * 3) A score

Exclusion criteria

Exclusion criteria: 1) Current alcohol or drug abuse or addiction disorder 2) Bipolar or psychotic disorder 3) Following another treatment specifically targeting self-esteem problems 4) Having followed a COMET intervention in the past 12 months without success

Design outcomes

Primary

MeasureTime frame
1. Feasibility of the blended COMET protocol in comparison to the standard face-to-face COMET: * Recruitment time and inclusion rate: required time to include patients and amount of patients (out of eligible ones) willing to participate in the study after referral by the primary therapist. * Therapy adherence: difference in amount of completed homework exercises between the two conditions. These are monitored automatically by the mobile app (i.e., planted flowers and materials added to the planted flowers, flowers review time), while in the face-to-face condition patients are given a weekly diary form to keep track of frequency and duration of daily exercises. At the start of each session, therapists will review clients* homework in the previous week and will make a copy of the form. * Therapy retention: difference in dropout rate between the two conditions. * Time on task in the Zen Garden app (patients in the blended COMET group only): patients* total activity with the mobile app is (i.e., app usage logs, including frequency and duration of app logins and activity in the app and amount of tasks or actions performed in the app) 2. Difference in Treatment acceptability/satisfaction between the two COMET versions: * Patients* expectancies about the treatment will be assessed and compared between the two groups with the Credibility and Expectancy Questionnaire (CEQ; Devilly & Borkovec, 2000) at the end of the first COMET session. * At the post-intervention assessment patients* satisfaction with the intervention will be assessed with the Client Satisfaction Questionnaire-8 (CSQ-8; Larsen et al., 1979), which is a global measure of patient perceptions of the treatment they received. 3. User experience with the Zen Garden app (the blended COMET group only), assessed during the post-intervention session: * App usability assessed with the System Usability Scale (SUS; Brooke, 1996); * Overall user experience will be measured with the User Experi

Secondary

MeasureTime frame
* Improvement in self-esteem: Rosenberg Self-esteem Scale (RSES; Rosenberg, 1965) and Self-Esteem Rating Scale * Short Form (SERS-SF; Lecomte et al., 2006) administered at both assessment time points. * Improvement in depression and anxiety symptoms: Beck Depression Inventory II (BDI-II; Beck et al., 1996) and State Anxiety subscale of the State Trait Anxiety Inventory (STAI; Spielberger, 1983) administered at both time points. * At a descriptive level, therapists* total amount of time spent per patient, including sessions and weekly contact with patients, will be recorded as a proxy of cost-effectiveness.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)