TODAY! A Mobile App Study

Mobile Phone and Internet-Based Intervention for Vulnerable Youth

Sponsors

Lead Sponsor: Ann & Robert H Lurie Children's Hospital of Chicago

Source Ann & Robert H Lurie Children's Hospital of Chicago
Brief Summary

The aim of this study is to conduct a small randomized controlled trial (RCT) for a 10-week mobile phone intervention using principles of Cognitive Behavior Therapy to target general and minority stressors and treat anxiety and depression in young men romantically/sexually attracted to men.

Detailed Description

Investigators will conduct a double-arm RCT to develop the infrastructure and collection of data needed to power a larger RCT (e.g., rates of consent, retention rates). Clinical outcomes will be assessed for the purpose of detecting unexpected deterioration. Investigators will also collect usability feedback regarding the intervention which may be used to refine the treatment. Usage data will be used to identify under-used lessons and tools and improve their usefulness/appeal. Compliance with assessments will be monitored and used to improve retention protocols.

Overall Status Active, not recruiting
Start Date 2018-06-04
Completion Date 2021-07-31
Primary Completion Date 2021-07-31
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Change in Patient Health Questionnaire (PHQ) 9-items Assessed at baseline, 5 weeks, 10 weeks and 22 weeks
Change in Generalized Anxiety Disorder (GAD) 7-item Questionnaire Assessed at baseline, 5 weeks, 10 weeks and 22 weeks
Secondary Outcome
Measure Time Frame
Usability feedback Assessed at baseline, 5 weeks, 10 weeks and 22 weeks. Data regarding usage will be generated on the back end
Enrollment 22
Condition
Intervention

Intervention Type: Behavioral

Intervention Name: TODAY! App and Coaching

Description: The TODAY! app uses the skill building structure of Cognitive Behavior Therapy (CBT). The intervention will be divided into "modules," each devoted to a particular skill. Skills addressed within the intervention include increasing social support, engaging in goal-driven behaviors and reducing mood-driven (i.e., avoidance) behaviors, seeking out positive activities, replacing cognitive distortions with more adaptive thinking styles, improving problem-solving skills, reducing avoidance patterns, and increasing alternate coping strategies. The intervention will be supplemented with brief human contact in the form of a motivational coach. The Coach will be trained on the Motivational Interviewing principles upon which the coaching protocol is based.

Arm Group Label: TODAY! App and Coaching

Eligibility

Criteria:

Inclusion Criteria: 1. Were assigned male at birth and identify as a man 2. Report romantic/sexual attraction to men; 3. Ages 14-24 years; 4. Resides in the Chicago metro area (i.e., Chicago or suburbs of Cook County) 5. Presents with clinically significant depressive or anxiety symptoms, per a 10+ on the PHQ-9 or 5+ on the GAD-7 6. Currently owns a mobile phone that is compatible with the intervention application, and believes they will be able to keep using this mobile phone for the next 10 weeks 7. Fluent in English. Exclusion Criteria: 1. Has visual, hearing, voice, or motor impairment that would prevent completion of study procedures or use of the Internet or mobile phone. 2. Per self-reported history or the Mini-International Neuropsychiatric Interview (MINI) 7 (Adult version for participants ages 17-24 years and Kid version for ages 14-16 years), has ever been diagnosed with a psychotic disorder or bipolar disorder, or is currently diagnosed with obsessive compulsive disorder, or has been diagnosed in the past two years with posttraumatic stress disorder, dissociative disorder, or eating disorder; or evidences another condition that indicates this intervention may be insufficient to meet the youth's needs. If substance abuse disorder is currently present, PI or designated individual will use clinical judgement to determine whether severity/impairment related to substance use indicates this intervention may be insufficient to meet the youth's needs. 3. Has been hospitalized for psychiatric reasons or has attempted suicide in the last year, or has a score of 4 or more (i.e., "high" to "severe" suicidality) on the Columbia Suicide Severity Rating Scale, or reports non-suicidal self-injury of a nature that suggests this intervention may be insufficient to meet the youth's needs. 4. Is concurrently participating in another behavioral intervention research study 5. Reports currently being in DCFS custody and under 21. 6. Reports currently being in psychotherapy. 7. Initiation, discontinuation, or adjustment of antidepressant medication in the past 4 weeks. Individuals excluded solely for this reason will be allowed to retake the baseline assessments (and be compensated accordingly) to determine eligibility after they have been on a stable antidepressant regimen for 4 weeks, if the study is still enrolling at that time. 8. Less than an 8th grade reading level. 9. Does not have an email address and does not obtain one within 1 week of the telephone screening.

Gender:

Male

Gender Based:

Yes

Gender Description:

Cisgender men (Assigned male at birth and identify as a man)

Minimum Age:

14 Years

Maximum Age:

24 Years

Healthy Volunteers:

No

Overall Official
Last Name Role Affiliation
Diane Chen, Ph.D. Principal Investigator Ann & Robert H Lurie Children's Hospital of Chicago
Location
Facility: Ann & Robert H. Lurie Children's Hospital of Chicago
Location Countries

United States

Verification Date

2021-01-01

Responsible Party

Type: Principal Investigator

Investigator Affiliation: Ann & Robert H Lurie Children's Hospital of Chicago

Investigator Full Name: Diane Chen

Investigator Title: Medical Psychologist, Division of Adolescent Medicine

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: TODAY! App and Coaching

Type: Experimental

Description: RCT participants will be randomized into a 10-week intervention condition during which they will receive the CBT modules through the TODAY! app. In addition to the mobile app, participants will receive coaching from the study Coach who is trained in Motivational Interviewing principles. Participants will complete mood and behavior assessments at 4 time-points over the course of 22 weeks.

Label: Referrals

Type: No Intervention

Description: RCT participants will be randomized into a 10-week wait-list control condition and will be provided with and encouraged to use mental health and lesbian, gay, bisexual, queer (LGBQ) referrals and resources in the community. Participants will complete mood and behavior assessments at 4 time-points over the course of 22 weeks. After the 22-week post intervention follow-up, control group participants will have the option to receive the intervention, however they will not be administered follow-up assessments or given coaching.

Acronym TODAY!
Patient Data Undecided
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: Single (Outcomes Assessor)

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 [email protected]. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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