- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04944277
Assessing Effectiveness of ThoughtFullChat Application in Improving Mental Well-Being
April 1, 2022 updated by: Lim Kean Ghee, International Medical University
Assessing Effectiveness of a Text-based Mental Health Coaching Application in Improving Mental Well-Being Among House Officers, IMU Faculty, IMU Corporate Staff and IMU Students in Malaysia
- To determine the state of mental health among house officers, IMU corporate staff, IMU students and IMU faculty
- To find out the effectiveness and user experience of text-based mental health coaching applications among house officers, IMU corporate staff, IMU students and IMU faculty
IMU - International Medical University
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The text-based mental health coaching application that the investigators are using is ThoughtFullChat Application.
ThoughtFullChat Application provides mental health coaching through text by licensed mental health professionals.
Participants of this research will be required to answer a set of questionnaires which consists of DASS-21, Satisfaction with Life Scale and Brief Resilience Scale at the start of the study.
Participants will be randomly distributed into 2 groups which are intervention and control groups.
Participants in the intervention group will be using the application for 3 months.
Post-intervention questionnaires will be given to all participants after 3 months.
Data collected from these 2 groups will be analyzed by using SPSS.
Study Type
Interventional
Enrollment (Actual)
353
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
-
-
Negeri Sembilan
-
Seremban, Negeri Sembilan, Malaysia, 70300
- IMU Clinical Campus
-
-
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- House Officers in Malaysia (UD41)
- Corporate staff in IMU, IMU Faculty Members
- All students who are currently studying in IMU who give their consent
- Competent in English Language
- Experiencing none to severe stress, anxiety or depression based on DASS-21 score
Exclusion Criteria:
- Medical students, Medical Officers (UD44)
- Contract staff, Outsourced staff or international staff in IMU campuses
- Students who refuse to give their consent and those that have already or just graduated from IMU
- Competent in other languages except English
- Experiencing extremely severe stress, anxiety or depression based on the DASS-21 score
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Without ThoughtFullChat Application
Participants will not use the app during the 3 months
|
|
|
Experimental: With ThoughtFullChat Application
Participants will be using the app during the 3 months
|
A subscription-based mobile platform that empowers users to proactively engage with their mental health via self-serve tools and 1-on-1 daily bite-sized coaching with certified mental health professionals.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Anxiety
Time Frame: 3 months
|
Depression, Anxiety and Stress Scale - 21 Items (DASS-21), a self report scale is used to measure the participants' emotional states of depression, anxiety and stress.
For anxiety component, it contains 7 items and scores from 0 to 3 for each item.
The total scores of each subscale need to be multiplied by 2 and are categorized into 5 severity ranges: normal, mild, moderate, severe and extremely severe.
The severity ranges for anxiety are: normal (0-7); mild (8-9); moderate (10-14); severe (15-19) and extremely severe (20+).
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Depression
Time Frame: 3 months
|
Depression, Anxiety and Stress Scale - 21 Items (DASS-21), a self report scale is used to measure the participants' emotional states of depression, anxiety and stress.
For depression component, it contains 7 items and scores from 0 to 3 for each item.
The total scores of each subscale need to be multiplied by 2 and are categorized into 5 severity ranges: normal, mild, moderate, severe and extremely severe.
The severity ranges for depression are: normal (0-9); mild (10-13); moderate (14-20); severe (21-27) and extremely severe (28+).
|
3 months
|
|
Stress
Time Frame: 3 months
|
Depression, Anxiety and Stress Scale - 21 Items (DASS-21), a self report scale is used to measure the participants' emotional states of depression, anxiety and stress.
For stress component, it contains 7 items and scores from 0 to 3 for each item.
The total scores of each subscale need to be multiplied by 2 and are categorized into 5 severity ranges: normal, mild, moderate, severe and extremely severe.
The severity ranges for stress are: normal (0-14); mild (15-18); moderate (1-25); severe (26-33) and extremely severe (34+).
|
3 months
|
|
Resilience
Time Frame: 3 months
|
Brief Resilience Scale is created to assess the perceived ability to bounce back or recover from stress.
The scale was developed to assess a unitary construct of resilience, including both positively and negatively worded items.
It consists of 6 items, each item scores from 1 to 5. Items 1, 3, 5 are positively worded while items 2, 4, 6 are negatively worded.
The total score of Brief Resilience Scale will be the mean of the 6 items.
The average score can be interpreted as follows: 1.00 to 2.99 (low resilience); 2.00 to 4.3 (normal resilience) and 4.31 to 5.00 (high resilience).
|
3 months
|
|
Satisfaction with Life
Time Frame: 3 months
|
Satisfaction with Life Scale is developed to assess satisfaction with people's lives as a whole.
The scale has 5 items with each item ranges from 1 to 7. The total range of scores is 5-35 while 20 point is the neutral point in the scale.
The scores can be interpreted as follows: 5-9 (extremely dissatisfied with life), 31-35 (extremely satisfied).
|
3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Kean Ghee Lim, FRCS, International MU
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. 2007 Apr 14;369(9569):1302-1313. doi: 10.1016/S0140-6736(07)60368-7.
- Arnett JJ. Emerging adulthood. A theory of development from the late teens through the twenties. Am Psychol. 2000 May;55(5):469-80.
- Auerbach RP, Mortier P, Bruffaerts R, Alonso J, Benjet C, Cuijpers P, Demyttenaere K, Ebert DD, Green JG, Hasking P, Murray E, Nock MK, Pinder-Amaker S, Sampson NA, Stein DJ, Vilagut G, Zaslavsky AM, Kessler RC; WHO WMH-ICS Collaborators. WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. J Abnorm Psychol. 2018 Oct;127(7):623-638. doi: 10.1037/abn0000362. Epub 2018 Sep 13.
- Huberty J, Green J, Glissmann C, Larkey L, Puzia M, Lee C. Efficacy of the Mindfulness Meditation Mobile App "Calm" to Reduce Stress Among College Students: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2019 Jun 25;7(6):e14273. doi: 10.2196/14273.
- Donker T, Petrie K, Proudfoot J, Clarke J, Birch MR, Christensen H. Smartphones for smarter delivery of mental health programs: a systematic review. J Med Internet Res. 2013 Nov 15;15(11):e247. doi: 10.2196/jmir.2791.
- Musiat P, Conrod P, Treasure J, Tylee A, Williams C, Schmidt U. Targeted prevention of common mental health disorders in university students: randomised controlled trial of a transdiagnostic trait-focused web-based intervention. PLoS One. 2014 Apr 15;9(4):e93621. doi: 10.1371/journal.pone.0093621. eCollection 2014.
- Khan TM, Sulaiman SA, Hassali MA. Mental health literacy towards depression among non-medical students at a Malaysian university. Ment Health Fam Med. 2010 Mar;7(1):27-35.
- Marshall JM, Dunstan DA, Bartik W. Effectiveness of Using Mental Health Mobile Apps as Digital Antidepressants for Reducing Anxiety and Depression: Protocol for a Multiple Baseline Across-Individuals Design. JMIR Res Protoc. 2020 Jul 5;9(7):e17159. doi: 10.2196/17159.
- Kelders SM, Bohlmeijer ET, Pots WT, van Gemert-Pijnen JE. Comparing human and automated support for depression: Fractional factorial randomized controlled trial. Behav Res Ther. 2015 Sep;72:72-80. doi: 10.1016/j.brat.2015.06.014. Epub 2015 Jul 6.
- Haider II, Tiwana F, Tahir SM. Impact of the COVID-19 Pandemic on Adult Mental Health. Pak J Med Sci. 2020 May;36(COVID19-S4):S90-S94. doi: 10.12669/pjms.36.COVID19-S4.2756.
- Hoyt R, Adler K, Ziesemer B, Palombo G. Evaluating the usability of a free electronic health record for training. Perspect Health Inf Manag. 2013 Apr 1;10(Spring):1b. Print 2013.
- Teo AR, Choi H, Andrea SB, Valenstein M, Newsom JT, Dobscha SK, Zivin K. Does Mode of Contact with Different Types of Social Relationships Predict Depression in Older Adults? Evidence from a Nationally Representative Survey. J Am Geriatr Soc. 2015 Oct;63(10):2014-22. doi: 10.1111/jgs.13667. Epub 2015 Oct 6.
- Abdul Latiff L, Tajik E, Ibrahim N, Abubakar AS, Ali SS. DEPRESSION AND ITS ASSOCIATED FACTORS AMONG SECONDARY SCHOOL STUDENTS IN MALAYSIA. Southeast Asian J Trop Med Public Health. 2016 Jan;47(1):131-41.
- Adlina S, Suthahar A, Ramli M, Edariah AB, Soe SA, Mohd Ariff F, Narimah AH, Nuraliza AS, Karuthan C. Pilot study on depression among secondary school students in Selangor. Med J Malaysia. 2007 Aug;62(3):218-22.
- Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, Jaffar A, Ismail A, Mahadevan R. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013 Aug;6(4):318-23. doi: 10.1016/j.ajp.2013.01.014. Epub 2013 Mar 1.
- Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and its effects on medical students: a cross-sectional study at a college of medicine in Saudi Arabia. J Health Popul Nutr. 2011 Oct;29(5):516-22. doi: 10.3329/jhpn.v29i5.8906.
- Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005 Jun;39(6):594-604. doi: 10.1111/j.1365-2929.2005.02176.x.
- Hardeman RR, Przedworski JM, Burke SE, Burgess DJ, Phelan SM, Dovidio JF, Nelson D, Rockwood T, van Ryn M. Mental Well-Being in First Year Medical Students: A Comparison by Race and Gender: A Report from the Medical Student CHANGE Study. J Racial Ethn Health Disparities. 2015 Sep;2(3):403-13. doi: 10.1007/s40615-015-0087-x.
- Jafari N, Loghmani A, Montazeri A. Mental health of Medical Students in Different Levels of Training. Int J Prev Med. 2012 Mar;3(Suppl 1):S107-12.
- Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016 Apr;50(4):456-68. doi: 10.1111/medu.12962.
- Boyd CP, Hayes L, Nurse S, Aisbett DL, Francis K, Newnham K, Sewell J. Preferences and intention of rural adolescents toward seeking help for mental health problems. Rural Remote Health. 2011;11(1):1582. Epub 2011 Feb 14.
- Aysan F, Thompson D, Hamarat E. Test anxiety, coping strategies, and perceived health in a group of high school students: a Turkish sample. J Genet Psychol. 2001 Dec;162(4):402-11. doi: 10.1080/00221320109597492.
- Bangasser DA, Curtis A, Reyes BA, Bethea TT, Parastatidis I, Ischiropoulos H, Van Bockstaele EJ, Valentino RJ. Sex differences in corticotropin-releasing factor receptor signaling and trafficking: potential role in female vulnerability to stress-related psychopathology. Mol Psychiatry. 2010 Sep;15(9):877, 896-904. doi: 10.1038/mp.2010.66. Epub 2010 Jun 15.
- Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008 Aug;43(8):667-72. doi: 10.1007/s00127-008-0345-x. Epub 2008 Apr 8.
- Andrews B, Wilding JM. The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol. 2004 Nov;95(Pt 4):509-21. doi: 10.1348/0007126042369802.
- Kajitani K, Higashijima I, Kaneko K, Matsushita T, Fukumori H, Kim D. Short-term effect of a smartphone application on the mental health of university students: A pilot study using a user-centered design self-monitoring application for mental health. PLoS One. 2020 Sep 25;15(9):e0239592. doi: 10.1371/journal.pone.0239592. eCollection 2020.
- Aboalshamat K, Hou XY, Strodl E. The impact of a self-development coaching programme on medical and dental students' psychological health and academic performance: a randomised controlled trial. BMC Med Educ. 2015 Aug 19;15:134. doi: 10.1186/s12909-015-0412-4.
- Gopalakrishnan V, Umabalan T, Affan M, Zamri AA, Kamal A, Sandheep S. Stress perceived by houseman in a hospital in northern Malaysia. Med J Malaysia. 2016 Feb;71(1):8-11.
- Yeoh CM, Thong KS, Seed HF, Nur Iwana AT, Maruzairi H. Psychological morbidities amongst house officers in Sarawak General Hospital Kuching. Med J Malaysia. 2019 Aug;74(4):307-311.
- Rashid AA, Ghazali SS, Mohamad I, Mawardi M, Musa H, Roslan D. The effectiveness of a Malaysian House Officer (HO) preparatory course for medical graduates on self-perceived confidence and readiness: A quasi-experimental study. PLoS One. 2020 Jul 17;15(7):e0235685. doi: 10.1371/journal.pone.0235685. eCollection 2020.
Helpful Links
- The Burden of Mental Illness: An Emerging Global Disaster. Sungai Buloh
- Malaysian Healthcare Performance Unit, Malaysian Healthcare Performance: Technical Report 2016, Ministry of Health Malaysia, Putrajaya
- Information about Mental Illness and the Brain.
- Common Mental Health Disorders: Identification and Pathways to Care.
- A qualitative exploration of the perspectives of mental health professionals on stigma and discrimination of mental illness in Malaysia. Int J Ment Health Syst 9, 10 (2015).
- The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials. World Psychiatry
- Mental Health of the world
- Mental Health and Coping Response among Malaysian Adults during COVID-19 Pandemic Movement Control Order
- The economic cost of mental disorders in Malaysia
- The APEC Digital Hub-WONCA Collaborative Framework on Integration of Mental Health into Primary Care in the Asia Pacific
- Resilience: A definition in context. Australian Community Psychologist
- Building your resilience
- Researching protective and promotive factors in mental health
- The Prevalence and Associated Factors of Depression, Anxiety and Stress of First Year Undergraduate Students in a Public Higher Learning Institution in Malaysia.
- The mental health of university students in the United Kingdom.
- The challenges and mental health issues of academic trainees.
- The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis
- National Centre for Education Statistics. Nontraditional Undergraduates / Definitions and Data
- Single young professionals and shared household living.
- Accommodating students.
- Life satisfaction among university students in a Canadian Prairie City: a multivariate analysis
- The prevalence of psychological distress and its association with coping strategies among medical interns in Malaysia: A national-level cross-sectional study
- Doctors still see own mental health problems as sign of weakness, research finds
- Dr. Pitt is adjunct clinical assistant professor. Mental Health Services for Residents: More Important Than...
- Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions
- Coping Skills and Burnout among Medical Officers in a Malaysian Tertiary Hospital
- Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems
- Doctors' Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences
- A Preliminary Study of Talkspace's Text-based Psychotherapy
- A Study of BetterHelp Text-Based Counseling
- Application of Synchronous Text-Based Dialogue Systems in Mental Health Interventions: Systematic Review
- Two-way messaging therapy for depression and anxiety: longitudinal response trajectories
- Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial
- An Empathy-Driven, Conversational Artificial Intelligence Agent (Wysa) for Digital Mental Well-Being: Real-World Data Evaluation Mixed-Methods Study
- Long-Term Outcomes of a Therapist-Supported, Smartphone-Based Intervention for Elevated Symptoms of Depression and Anxiety: Quasiexperimental, Pre-Postintervention Study
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 (Actual)
June 15, 2021
Primary Completion (Actual)
January 31, 2022
Study Completion (Actual)
February 28, 2022
Study Registration Dates
First Submitted
June 10, 2021
First Submitted That Met QC Criteria
June 19, 2021
First Posted (Actual)
June 29, 2021
Study Record Updates
Last Update Posted (Actual)
April 11, 2022
Last Update Submitted That Met QC Criteria
April 1, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CSc/Sem6(03)2021
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
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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