- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03345459
College Mental Health Project
Depression is common and debilitating disorder which, among college students, is predictive of significant problems including higher rates of dropout and suicidal behaviors. Despite viable psychotherapeutic and pharmacological options, the majority of depressed college students, like others in the general population, do not pursue treatment. Further, barriers to care, both those involving practical issues and psychological factors, lead to high attrition rates from treatment, resulting in modest effect sizes in effectiveness trials. In reaction to these alarming figures and as a means of increasing accessibility and retention, effective internet-based treatment for depression have been developed and tested. Despite increased availability, response to internet-based treatment continues to vary substantially, yet, controlled trials show that a meaningful proportion of patients who receive internet-based therapy recover. Identifying individuals with a high likelihood of responding to internet-based treatment would enable clinicians to target this inexpensive treatment only to the patients with a high probability of responding; allowing more intensive treatments to be reserved for patients who would not respond to internet-based therapy. The development of a system to make this determination would represent a major advance and address an unmet need.
ICare is an online depression treatment that has been adapted for college students (e.g., language used, problems discussed, embedded images). Prior work by the developers of ICare have tested the internet-based treatment in diverse samples of depressed adults, and prior meta-analytic research has demonstrated that psychological treatments for depression in college students are as effective relative to trials carried out among depressed adults. The overarching goal of the study is to: (a) test whether depressed college students utilize ICare, (b) identify psychosocial and clinical characteristics that increase the likelihood of ICare utilization, and (c) identify multivariate characteristics that predict treatment response.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Randy P Auerbach, PhD
- Phone Number: 617-855-4405
- Email: rauerbach@mclean.harvard.edu
Study Locations
-
-
Massachusetts
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Belmont, Massachusetts, United States, 02478
- Recruiting
- McLean Hospital
-
Contact:
- Randy P Auerbach, PhD
-
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged 18-25 years;
- Enrolled as a first year student at a participating institution;
- English fluency;
- Mild or Moderate Depression: (i) PHQ-9 score 10-14 or (ii) PHQ-9 score 15-19;
- Provide Online Consent Form.
Exclusion Criteria:
- Severe Depression: (i) PHQ-9 score ≥20;
- Endorse "3" (nearly every day) on item 9 of the PHQ-9;
- No internet access
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Internet-Based Treatment (ICare)
ICare Prevent is a 7-week internet-based treatment for depression that is primarily cognitive behavior therapy but targets broad-based mechanisms related to college students.
|
ICare Prevent (internet-based treatment for depression in college students): 7 weekly sessions and 1 booster session.
Each session requires about 30-45 minutes to complete.
All sessions are accessed online, and it is a guided treatment (i.e., each patient provided an eCoach).
|
No Intervention: Usual Care
Participants are notified that they have elevated distress, and additionally, they are provided a list of on-campus and community resources.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire-9 (PHQ-9) administered at post-treatment
Time Frame: Assess depressive symptoms over the prior 2 weeks.
|
Self-report questionnaire assessing depression symptoms during the past 2 weeks.
Scores on the PHQ-9 range from 0-27.
Lower scores are indicative of less severe depressive symptoms.
|
Assess depressive symptoms over the prior 2 weeks.
|
Generalized Anxiety Disorder - 7 item (GAD-7) administered at post-treatment
Time Frame: Assess anxious symptoms over the prior 2 weeks.
|
Self-report questionnaire assessing anxiety symptoms during the past 2 weeks.
Scores on the GAD-7 range from 0-21.
Lower scores are indicative of less severe anxious symptoms.
|
Assess anxious symptoms over the prior 2 weeks.
|
EuroQol 5 (EQ-5D) administered at post-treatment
Time Frame: Examines problems/symptoms over the prior 2 weeks.
|
Comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Each of the 5 items is rated on a scale from 1 to 3, and then summed to a total score.
Lower scores are indicative of less severe problems.
|
Examines problems/symptoms over the prior 2 weeks.
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2016P002625
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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Clinical Trials on ICare Prevent (internet-based treatment for depression in college students)
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Karolinska InstitutetCompletedSubstance Use Disorders (SUD)Sweden