- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02691221
ReliefLink: A Preventative Mobile Toolkit for Follow-Up Care of Psychiatric Patients
December 13, 2017 updated by: Nadine Kaslow, PhD, Emory University
The purpose of this study is to increase use and availability, as well as assess the feasibility of the ReliefLink (RL) application for use in conjunction with standard care to promote psychological health and prevent suicidal behavior.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The aims of this study of ReliefLink application are to determine the utility of ReliefLink self-reports of suicidal ideation, negative emotions, loneliness, subjective well-being, flourishing, mental toughness, positive emotions, learned optimism, resilience, and post-traumatic growth.
Additional aims are to evaluate the impact of ReliefLink on perceived access to/usage of care and resources and to explore participant acceptance of ReliefLink as a technological support for standard treatment through human systems engineering of treatment plan adherence and user interview.
Study Type
Interventional
Enrollment (Actual)
13
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Georgia
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Atlanta, Georgia, United States, 30303
- Grady Health System
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 64 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Enrolled as patients seeking behavioral health treatment through the Grady Health System
- Speak English
- Sought inpatient and/or outpatient treatment with Grady Health System following a suicide attempt or ideation.
- Has personal access to a functioning iPhone and service plan.
Exclusion Criteria:
- Has significant cognitive impairments.
- Is actively psychotic or has an imminently life-threatening medical/psychiatric condition per provider evaluation.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Participants with previous suicide attempt or ideation
Participants will complete daily tasks assigned for completion through a downloaded application on their mobile device and completing six 2-hour long outcome assessment sessions including rater-lead scales over the course of six months.
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Participants will complete daily mood tracking and completion of a minimum of one stress management activity per day.
Relaxation exercises to choose from on the current version of RL are audio files (i.e., no visuals), and consist of: Guided Meditation, Energizing Breath, Guided Visualization for Relaxation, Progressive Relaxation, Mindfulness Meditation Body Scan, and Mindfulness of Breathing.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in scores on 6 item Columbia Suicide Severity Rating Scale Screener (C-SSRS)
Time Frame: Baseline, 6 Months
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A comprehensive, semi-structured interview measure that uniquely measures the full spectrum of suicidality including passive and active suicidal ideation, suicidal intent as well as suicidal behaviors.
It rates an individual's degree of suicidal ideation on a scale, ranging from "wish to be dead" to "active suicidal ideation with specific plan and intent."
A higher number of "yes" responses indicated an increased degree of suicidal ideation.
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Baseline, 6 Months
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Change in scores on 20-item Positive-Negative Affect Scale (PANAS)
Time Frame: Baseline, 6 Months
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Consists of 10 positively and 10 negatively valanced word items.
Items are rated by the participant for the extent they are feeling this "right now" on a scale of 1- slightly or not at all through 5- extremely.
Total scores can range from 10-50, with higher scores representing higher levels of positive effect and lower scores having negative effect.
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Baseline, 6 Months
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Change in scores on 20-item R-UCLA Loneliness Scale
Time Frame: Baseline, 6 Months
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A 20-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation.
Participants rate each item on a scale from 1 (Never) to 4 (Often).
A higher score indicates an increased degree of loneliness.
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Baseline, 6 Months
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Change in scores on 14-item Mental Health Continuum Short Form (MHC-SF)
Time Frame: Baseline, 6 Months
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Consists of 14 items and measures the degree of emotional well-being as defined in terms of positive affect/satisfaction with life; social well-being, social acceptance, social actualization, social contribution, social coherence social integration, psychological well-being, personal growth, positive relations with others, purpose in life and self-acceptance.
Choices for these items vary between 1 to 7. Individuals who exhibit low levels (i.e., 'never' or 'once or twice' during the past month) on at least one measure of hedonic well-being and low levels on at least six measures of positive functioning are diagnosed with languishing mental health.
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Baseline, 6 Months
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Change in scores on 12-item Flourishing Scale (FS)
Time Frame: Baseline, 6 Months
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A measure of the participant's self-perceived success in relationships, self-esteem, purpose, and optimism.
Items are rated on a seven point rating scale from 1 Strongly disagree to 7 Strongly agree.
The scale provides a single psychological well-being score.
A lower score indicates a decreased degree of well-being.
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Baseline, 6 Months
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Change in scores on 8-item Grit-S scale
Time Frame: Baseline, 6 Months
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Measures the individual's tendency to sustain interest in and effort toward very long-term goals.
Eight items are assessed using a Likert-like scale (1 = Not like me at all, 5 = Very much like me).
There are two sub-scales: Perseverance of Effort and Consistency of Interests.
A lower score indicates a decreased decreased levels of perseverance and passion for long-term goals.
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Baseline, 6 Months
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Change in scores on 10-item Life Orientation Test - Revised
Time Frame: Baseline, 6 Months
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Measures positive and negative expectancies about future events.
It consists of 20 statements referring to negative expectancies and 10 statements referring to positive expectancies.
Participants answer on a 5-point scale (5 = I agree a lot, 1 = I DISagree a lot).
A lower score indicates a decreased degree of life orientation.
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Baseline, 6 Months
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Change in scores on 25-item Connor Davidson Resilience Inventory
Time Frame: Baseline, 6 Months
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Measures resilience.
Range of scores (0-100).
A score of 0 is suggestive of no resilience, a score of 100 is suggestive of high level of resilience.
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Baseline, 6 Months
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Change in scores on 21-item Posttraumatic Growth Inventory
Time Frame: Baseline, 6 Months
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Self-reported measure of post-traumatic growth on a scale of 0 (Did not experience change as a result of their crisis) to 5 (experienced to a very great degree as a result of their crisis).
A lower score indicates a decreased degree of posttraumatic growth.
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Baseline, 6 Months
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11-item Effectiveness of Obtaining Resources scale (EOR)
Time Frame: 6 Months
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Calculates the mean of the effectiveness scores for obtaining resources from 11 different types of community resources including mental health treatment, church or clergy, health care, legal services, police, or social services.
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6 Months
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Number of participants experiencing hospitalizations
Time Frame: 6 Months
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Number of hospitalizations self-reported by participants during semi-structured interview.
No or infrequent hospitalizations would indicate successful support for the participant via the RL app.
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6 Months
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Number of participants experiencing self-injury events
Time Frame: 6 Months
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Number of self-injury events reported during semi-structured interview.
No or infrequent self-injury events would indicate successful support for the participant via the RL app.
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6 Months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participant reported barriers to care and resources
Time Frame: 16 Weeks
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The number of participant reported barriers to care and resources will be gathered through mobile phone internal usage data coded and a semi-structured interview.
Acceptance of ReliefLink as a treatment resource would be suggested if there aren't significant reported barriers.
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16 Weeks
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Participant adherence to assigned coping skills activities
Time Frame: 16 Weeks
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The frequency of Participant adherence to assigned coping skills activities will be gathered through mobile phone internal usage data coded and a semi-structured interview.
Acceptance of ReliefLink as a treatment resource would be suggested if there was significant participant adherence.
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16 Weeks
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Participant adherence to daily mood tracking
Time Frame: 16 Weeks
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The degree of Participant adherence to daily mood tracking will be gathered through mobile phone internal usage data coded and a semi-structured interview.
Acceptance of ReliefLink as a treatment resource would be suggested if there is significant adherence to mood tracking.
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16 Weeks
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Participant usage of resource location functions
Time Frame: 16 Weeks
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The frequency of Participant usage of resource location functions will be gathered through mobile phone internal usage data coded and a semi-structured interview.
Acceptance of ReliefLink as a treatment resource would be suggested if is significant participant usage.
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16 Weeks
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Participant positive feedback
Time Frame: 16 Weeks
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Participant positive feedback will be gathered through a semi-structured interview.
Acceptance of ReliefLink as a treatment resource would be suggested if there is positive participant feedback received.
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16 Weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Nadine Kaslow, PhD, Emory University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2016
Primary Completion (Actual)
October 1, 2017
Study Completion (Actual)
October 1, 2017
Study Registration Dates
First Submitted
February 22, 2016
First Submitted That Met QC Criteria
February 22, 2016
First Posted (Estimate)
February 25, 2016
Study Record Updates
Last Update Posted (Actual)
December 15, 2017
Last Update Submitted That Met QC Criteria
December 13, 2017
Last Verified
December 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00083066
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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