Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial
Open Access
- 18 May 2012
- journal article
- research article
- Published by Springer Science and Business Media LLC in Trials
- Vol. 13 (1), 62
- https://doi.org/10.1186/1745-6215-13-62
Abstract
The need for cost-effective interventions for people suffering from major depressive disorders is essential. Behavioral activation is an intervention that can largely benefit from the use of new mobile technologies (for example smartphones). Therefore, developing smartphone-based behavioral activation interventions might be a way to develop cost-effective treatments for people suffering from major depressive disorders. The aim of this study will be to test the effects of a smartphone-delivered behavioral activation treatment. The study will be a randomized controlled trial with a sample size of 120 participants, with 60 patients in each group. The treatment group includes an 8-week smartphone-based behavioral activation intervention, with minimal therapist contact. The smartphone-based intervention consists of a web-based psychoeducation, and a smartphone application. There is also a back-end system where the therapist can see reports from the patients or activities being reported. In the attention control group, we will include brief online education and then recommend use of a smartphone application that is not directly aimed at depression (for example, ‘Effective meditation’). The duration of the control condition will also be 8 weeks. For ethical reasons we will give the participants in the control group access to the behavioral activation treatment following the 8-week treatment period. We believe that this trial has at least three important implications. First, we believe that smartphones can be integrated even further into society and therefore may serve an important role in health care. Second, while behavioral activation is a psychological treatment approach for which there is empirical support, the use of a smartphone application could serve as the therapist’s prolonged arm into the daily life of the patient. Third, as we have been doing trials on guided Internet treatment for more than 10 years it is now time to move to the next generation of information technology - smartphones - which are not only relevant for Swedish conditions but also for developing countries in the world which are increasingly empowered by mobile phones with Internet connection. ClinicalTrials.gov NCT01463020This publication has 46 references indexed in Scilit:
- Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative studyBMC Psychiatry, 2011
- The promise and pitfalls of the internet for cognitive behavioral therapyBMC Medicine, 2010
- Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-AnalysisPLOS ONE, 2010
- Internet administered guided self-help versus individualized e-mail therapy: A randomized trial of two versions of CBT for major depressionBehaviour Research and Therapy, 2010
- Effectiveness of a Novel Integrative Online Treatment for Depression (Deprexis): Randomized Controlled TrialJournal of Medical Internet Research, 2009
- Recent developments and current controversies in depressionThe Lancet, 2006
- The PHQ-9Journal of General Internal Medicine, 2001
- Clinical validation of the Quality of Life Inventory. A measure of life satisfaction for use in treatment planning and outcome assessment.Psychological Assessment, 1992
- EuroQol - a new facility for the measurement of health-related quality of lifeHealth Policy, 1990
- Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluationClinical Psychology Review, 1988