- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04449627
Psychological Impact of Admission With Covid-19 During the SARS-CoV-2 Pandemic: Naturalistic Cohort Study With a Digital Intervention (FeelGood)
Studies have shown that admission to hospital during a coronavirus epidemic is associated with increased levels of anxiety, depression and panic disorder. During the SARS-CoV-2 pandemic in North London the Royal Free Hospital admitted over 500 patients with Covid-19. As part of the standard of care, these patients are screened at 8 weeks post discharge for signs of anxiety and depression. The Feeling Good app is a NHS approved digital application which utilises applied relaxation, mindfulness based cognitive therapy and positive visualisation through audio tracks for the treatment of anxiety and depression.
This is a naturalistic cohort study aimed to track the post illness psychological symptoms of those who have been admitted with Covid-19 to the Royal Free hospital up to 5-7 months after discharge. The study population is those who are exhibiting anxiety or depressive symptoms as measure by the PHQ-2 or TSQ questionnaires. All those with symptoms will be offered free access to a NHS approved app for anxiety and depression, and followed up for 3 months after recruitment to track changes to their symptoms.
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Joanna Dobbin, MScMBBS
- Phone Number: 07833457884
- Email: j.dobbin@nhs.net
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion criteria
- Over the age of 18
- Treated for Covid-19 at the Royal Free Hospital
- Capacity to consent AND
- At screening had a PHQ-2 score >=3 (positive) OR
- At screening had a TSQ score >= 6 (positive)
Exclusion criteria
- A current inpatient
- Participant on alternative trial that excludes being in a secondary trial
- Patient currently using alternative MBCT app tool
- Patients under 18 years old
- Background of psychotic illness
- Patient declined
- Patient unable to consent
- Underlying cognitive impairment which may impede ability to comply with the intervention
- Severe hearing impairment
- Current delirium
- Was an in-patient in intensive care during hospital stay
- Unable to contact patient via telephone on 2 attempts Patient is not registered with a GP. Unable to understand English proficiently enough to engage with the audio tracks.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Retrospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Naturalistic cohort
Patients who were hospitalised between March and June from Covid19, who did not require treatment in intensive care, who at 8 weeks post discharge have symptoms of anxiety or depression.
All patients are offered access to an audio based self help programme based on applied relaxation and mindfulness based cognitive therapy.
|
Audio based tracks using Jacobson relaxation and mindfullness based cognitive therapy (MBCT) techniques including positive visualisation.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety as measured by generalised anxiety disorder score (GAD-7) scale
Time Frame: Day 14
|
Generalised anxiety disorder score (GAD-7) scale.
Score 0-21, with a higher score associated with greater anxiety symptoms.
Scores of 5, 10, and 15 represent cut-points for mild, moderate, and severe anxiety, respectively.
GAD-7 score at baseline will be controlled for.
|
Day 14
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depression as measured by the patient health questionnaire 9 (PHQ-9)
Time Frame: 14 days and week 12
|
The Patient Health Questionnaire (PHQ-9) is a screening tool for the identification of depressive disorders, which has been validated for use in primary care.
Each of the nine items in the questionnaire is based on the DSM diagnostic criteria for clinical depression.
The PHQ-9 is scored out of 27 according to severity, where score of 5-9 indicates mild depression, 10-14 moderate, 15-19 moderately severe, and 20 or above severe depression.
|
14 days and week 12
|
Trauma as measured by Trauma screening questionnaire (TSQ)
Time Frame: 12 weeks
|
The Trauma screening questionnaire (TSQ) is a 10 point scale used to identify symptoms of post traumatic stress disorder (PTSD), with a score between 0 and 10, with a score of 6 or higher scored as positive.
|
12 weeks
|
Anxiety as measured by generalised anxiety disorder score (GAD-7) scale
Time Frame: Week 12
|
Generalised anxiety disorder score (GAD-7) scale.
Score 0-21, with a higher score associated with greater anxiety symptoms.
Scores of 5, 10, and 15 represent cut-points for mild, moderate, and severe anxiety, respectively.
GAD-7 score at baseline will be controlled for.
|
Week 12
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Risk associated with distress
Time Frame: Baseline analysis
|
Risk factors for psychological distress from admission with Covid-19 will be collected, these will include, age, gender, ethnicity, length of hospital stay, oxygen requirement, co-morbidites, years of education, smoking status, occupation.
|
Baseline analysis
|
Qualitative analysis
Time Frame: Baseline
|
Framework analysis.
Qualitative feedback of patient experience.
Semi structured interviews of a subset of patients will be performed to gain further insight into the patient experience.
These will be analysed using a framework thematic analysis, to identify themes which will then be used to code the text.
|
Baseline
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Research and Development Manager, Sponsor GmbH
Study record dates
Study Major Dates
Study Start (Anticipated)
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
Additional Relevant MeSH Terms
- Mental Disorders
- Pathologic Processes
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- RNA Virus Infections
- Virus Diseases
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Mood Disorders
- Pneumonia, Viral
- Pneumonia
- Lung Diseases
- Trauma and Stressor Related Disorders
- Depressive Disorder
- COVID-19
- Disease
- Anxiety Disorders
- Stress Disorders, Traumatic
- Stress Disorders, Post-Traumatic
Other Study ID Numbers
- RoyalFreeNHS
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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