- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05325944
Digital Mental Health Intervention for Nonsuicidal Self-Injury in Young Adults
Study Overview
Status
Detailed Description
The primary purpose of this trial is to test the feasibility of conducting a randomized controlled trial (RCT) of an 8-week digital mental health intervention (DMHI) for non-treatment engaged young adults with repeated nonsuicidal self-injury. The DMHI will be a highly interactive conversational agent that conveys psychoeducational content and guides participants through skill-based activities. We will conduct a 3-arm feasibility trial, randomizing participants to receive the self-guided DMHI, the DMHI with low-intensity coaching, or an active control which will involve the delivery of non-interactive psychoeducational content via the same app interface. Initial randomization will be generated in permuted blocks of 6 using a computer program, with participants assigned on a 1:1:1 ratio. To prevent allocation bias, randomization will be conducted by the biostatistician, who will not inform the study team of the treatment arms until the baseline assessment has been completed and the patient has been enrolled. The control group will serve as the reference group to verify the effectiveness of the DMHI while the comparison of self-guided to coached deployments will evaluate the added benefit of coaching.
The primary clinical outcome measures will be frequency of NSSI behavior (ABASI) and frequency of NSSI urges (ABUSI). Secondary outcomes will include suicidal ideation (DSI-SS), depressive symptom severity (PHQ-9), and anxiety symptom severity (GAD-7).
This study will enroll individuals who have meet the following eligibility criteria: 1) current NSSI, defined as 2+ self-injury episodes (e.g., cutting, burning) in the past month; 2) Age 18 to 24; 3) English language skills sufficient to engage in the consent and intervention procedures. Participants will be excluded if they 1) Have a severe mental illness diagnosis (e.g., psychotic disorder); 2) Are imminently suicidal, with a plan and intent; or 3) Are currently receiving psychotherapy.
Coaching will consist of providing users with support and accountability via positive reinforcement, goal and expectation setting, and monitoring. Coaching outreach will focus on adherence to the treatment but will not provide treatment advice. Coaches will provide a brief (20-30 minute phone call or equivalent depending on the medium) engagement phone call. Thereafter, coaches will check in with participants via messaging, phone call, or email, twice per week and respond to patient messages.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Kaylee P Kruzan, PhD
- Phone Number: 312-503-3114
- Email: kaylee.kruzan@northwestern.edu
Study Contact Backup
- Name: David C Mohr, PhD
- Phone Number: 312-503-1403
- Email: d-mohr@northwestern.edu
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Northwestern University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ages 18-24 *The age to provide consent in Nebraska is 19. Individuals recruited from the state of Nebraska must be 19 or older.
- Current NSSI, defined as self-injury on 2 or more days in the past month
- Has a smartphone
- English language skills sufficient to engage in the consent and intervention procedures
Exclusion Criteria:
- Serious mental illness for which intervention would be contraindicated (e.g., psychotic disorder, manic episode, etc.)
- Severe suicidality (i.e., experiencing suicidal ideation with a plan and intent to act)
- Current engagement in psychotherapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Self-guided digital intervention for NSSI
The self-guided digital intervention for NSSI will consist of 8 weekly modules containing psychoeducation and skill-based practice, and daily ecological momentary assessments.
All content is delivered by a highly interactive conversational agent that guides users through the app content via a text-like interface.
|
Psychoeducational content, skill-based practice, and daily ecological momentary assessments will be delivered over an 8-week period. Psychological strategies center on cognitive behavioral principles and acceptance-based emotional regulation strategies. Daily EMAs assess NSSI and use of cognitive, behavioral, and emotion regulatory strategies. |
Experimental: Digital intervention for NSSI with coaching
The self-guided digital intervention for NSSI will consist of 8 weekly modules containing psychoeducation and skill-based practice, and daily ecological momentary assessments.
All content is delivered by a highly interactive conversational agent that guides users through the app content via a text-like interface.
This arm will additionally receive lightweight coaching which consists of a one 20-30 minute engagement call at the beginning of treatment.
Thereafter, coaches will check in with participants via medium of participants choice twice per week and respond to patient texts, calls, or emails.
|
Psychoeducational content and psychological strategies center on cognitive behavioral principles and acceptance-based emotional regulation strategies.
Daily EMAs assess NSSI and use of cognitive, behavioral, and emotion regulatory strategies.
Human coaching will be used to support intervention use and engagement twice per week via text, call or email.
|
Active Comparator: Active control
The active control arm will receive 8 weekly modules with psychoeducational components only, without the interaction features or EMA for personalization.
|
Psychoeducational content and psychological strategies center on cognitive behavioral principles and acceptance-based emotional regulation strategies.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Alexian Brothers Assessment of Self-Injury - Methods checklist
Time Frame: 16 weeks
|
16-item checklist that assesses the frequency (days/times) of common NSSI methods within the past month.
|
16 weeks
|
Alexian Brothers Urges to Self-Injure Scale
Time Frame: 16 weeks
|
5-item self-report measure assessing the intensity and frequency of NSSI urges.
Higher scores mean more intense urges to self-injure.
Minimum score: 0; maximum score: 30.
|
16 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire-9
Time Frame: 16 weeks
|
10-item self-report measure assessing depression symptom severity.
Higher scores mean greater symptom severity.
Minimum score: 0; maximum score: 27.
|
16 weeks
|
Generalized Anxiety Disorder-7
Time Frame: 16 weeks
|
8-item self-report measure assessing generalized anxiety disorder symptom severity.
Higher scores mean greater symptom severity.
Minimum score: 0; maximum score: 21.
|
16 weeks
|
Borderline Evaluation of Severity Over Time
Time Frame: 16 weeks
|
15-item self-report measure assessing borderline symptom severity.
Higher scores mean greater symptom severity.
Three domains: Thoughts and Feelings, Behaviors-Negative, Behaviors-Positive.
Minimum score: 12; maximum score: 72.
|
16 weeks
|
Depression Symptom Inventory - Suicidality Subscale
Time Frame: 16 weeks
|
4-item self-report questionnaire assessing the frequency and intensity of suicidal thoughts over previous two weeks.
Higher scores signal greater frequency and severity of suicidal thoughts.
Minimum score: 0; maximum score: 12.
|
16 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: David C Mohr, PhD, Northwestern University
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
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
- R34MH128410 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
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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