이 페이지는 자동 번역되었으며 번역의 정확성을 보장하지 않습니다. 참조하십시오 영문판 원본 텍스트의 경우.

Internet Program for Workers With Subthreshold Depression (WorkDep)

2015년 1월 9일 업데이트: Oregon Center for Applied Science, Inc.

Multimedia Internet-Based Program for Workers With Subthreshold Depression

Depression is one of the most prevalent mental disorders to afflict adults. It seriously impacts role functioning and often takes a recurrent or chronic course. Because most adults who suffer from depression never receive treatment, there is a critical need to develop interventions that can be easily implemented and widely disseminated. Interventions that reduce the performance-impairing symptoms of subclinical depression and prevent the onset of major depression can improve employee well-being, while reducing healthcare costs and improving productivity. This project produced a mobile-web program to activate cognitive behavioral skills in workers with subthreshold depression, reduce depression symptoms, improve functioning in the workplace, and potentially reduce the risk for escalation to full-syndrome depression.

연구 개요

상태

완전한

정황

상세 설명

The responsive mobile-web MoodHacker app was designed to: (a) educate users about depression; (b) educate users about the logistics and benefits of mood and activity monitoring; (c) promote daily mood and activity monitoring; (d) help users increase their positive activity engagement; (e) help users decrease negative thinking and increase positive thinking; and (f) promote daily practice of the skills taught.

Program content was adapted from the Coping with Depression group therapy course [18], enhanced with mindfulness-based [22] and other evidence-based positive psychology strategies [23-25]. Content for the application was refined based on input from experts in the field who had extensive experience working with adult employees at risk for depression. Additional program modifications were made based on data from individual interviews and iterative user testing with the population of interest during the formative and production phases of the project.

The MoodHacker user experience is structured around twelve learning objectives delivered through daily emails, in-app messaging, and in the "Articles & Videos" library. Daily emails (Figure 1) are sent to engage users in program content, provide sequenced guidance through the learning objectives in the articles and whiteboard-style videos, give tips for getting the most out of MoodHacker, and prompt the user to track their mood and activities daily. Users are encouraged to view the articles and videos as ordered, but viewing is not restricted, and users can view content according to their interest. The emails, articles and videos promote practice of the featured cognitive and behavioral skills outside the app experience.

연구 유형

중재적

등록 (실제)

300

단계

  • 해당 없음

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

연구 대상 성별

모두

설명

Inclusion Criteria:

  • 18 years or older
  • mild-to-moderate depressive symptoms as measured by the PHQ-9 (score of 10-19)
  • not currently suicidal or meeting criteria for bipolar or schizo-affective disorder
  • employed at least part-time
  • English speaking
  • access to a high-speed internet connection

Exclusion Criteria:

  • younger than 18 years old
  • severe depressive symptoms as measured by the PHQ-9 (score of 20+)
  • currently suicidal or meeting criteria for bipolar or schizo-affective disorder
  • employed less than part-time or unemployed
  • not English speaking
  • no access to a high-speed internet connection

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: MoodHacker
Participants in the treatment condition were emailed a link to the MoodHacker mobile-web app and instructed to use the program for the next six weeks. Participants were asked to complete 2 follow-up assessments, 6 weeks and 10 weeks after baseline.
Mobile-web app to educate users about depression and promote daily mood and positive activity monitoring.
다른 이름들:
  • Internet program for workers with subthreshold depression
활성 비교기: Alternative Care
Alternative care participants were emailed and encouraged to browse links to vetted online information about depression. Participants were asked to complete 2 follow-up assessments, 6 weeks and 10 weeks after baseline and were given access to the MoodHacker program after the 10-week assessment
Online information about depression from government and other trusted sources to educate users about depression.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Depression symptoms as assessed by the Patient Health Questionnaire-9 (PHQ-9)
기간: 10 week follow-up
Depressive symptomatology was assessed at each assessment point using the self-reported Patient Health Questionnaire-9 scale to assess the nine DSM-IV major depression symptoms. The PHQ-9 is a self-report version of the Primary Care Evaluation of Mental Disorders (PRIME-MD) and has been shown to be a reliable and valid brief depression assessment tool.
10 week follow-up

2차 결과 측정

결과 측정
측정값 설명
기간
Activation of positive self-care and life-choice behaviors
기간: 6-week posttest and 10-week follow-up
How actively individuals are taking care of themselves, including making positive life choices, was expected to increase as a result of the intervention. Behavioral activation was measured using the Behavioral Activation for Depression Scale Short Form (BADS). This scale consists of 9 items.
6-week posttest and 10-week follow-up
Change in negative thinking
기간: 6-week posttest and 10-week follow-up
Change in negative thinking was assessed using the Automatic Thoughts Questionnaire - Revised scale Short Form (ATQ-R-SF). A 12-item adaptation of the ATQ-R instrument asked respondents to rate how many times over the past week they have had thoughts that are consistent with 12 negative self-statements.
6-week posttest and 10-week follow-up
Knowledge about depression
기간: 6-week posttest and 10-week follow-up
Treatment participants were assessed for an increase in knowledge about depression. The scale consisted of 14 multiple-choice items based on the 12 learning objectives addressed in the MoodHacker articles and videos.
6-week posttest and 10-week follow-up
Worker productivity as assessed by the Work Limitations Questionnaire
기간: 6-week posttest and 10-week follow-up
Worker productivity was assessed using the Work Limitations Questionnaire (WLQ). The WLQ Short Form consists of 10 items divided into four subscales measuring the degree to which a person was limited in their job's (1) time demands; (2) physical demands; (3) mental demands; and (4) output demands.
6-week posttest and 10-week follow-up
Worksite outcomes as assessed by the Workplace Outcomes Suite
기간: 6-week posttest and 10-week follow-up
Worksite outcomes were also assessed using the Workplace Outcomes Suite (WOS). The WOS is designed as an open-access instrument to facilitate empirical research on Employee Assistance Program (EAP) interventions. The suite contains five 5-item scales that assess: absenteeism, presenteeism, work engagement, life satisfaction, and workplace distress.
6-week posttest and 10-week follow-up
User satisfaction as assessed by the System Usability Scale
기간: 6 week posttest
Treatment participants completed the System Usability Scale, which is a quantitative measure of program ease of use. The scale includes 10 items. Users were asked to what degree they agreed or disagreed with program use and satisfaction statements on a 6-point scale (1=strongly disagree; 6=strongly agree).
6 week posttest

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

수사관

  • 수석 연구원: Amy J Birney, MPH, MCHES, Oregon Center for Applied Science

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2012년 8월 1일

기본 완료 (실제)

2013년 6월 1일

연구 완료 (실제)

2013년 6월 1일

연구 등록 날짜

최초 제출

2015년 1월 7일

QC 기준을 충족하는 최초 제출

2015년 1월 8일

처음 게시됨 (추정)

2015년 1월 9일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2015년 1월 12일

QC 기준을 충족하는 마지막 업데이트 제출

2015년 1월 9일

마지막으로 확인됨

2015년 1월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • 81RR-2R

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

구독하다