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The objective is to test the effects of a smartphone-delivered behavioural activation treatment. Also, a moderator analysis of low and high severity of depressive symptoms will be made. We expect the behavioural activation intervention to be superior to the mindfulness intervention for the participants suffering from high severity of depressive symptoms - and the mindfulness intervention to be better or at least as good as the behavioural activation intervention for the participants suffering from low severity of depressive symptoms.
Major depression is expected to be the disorder with the highest disease burden in high-income countries by the year 2030. The efficacy of behavioural activation in the treatment of major depressive disorders has been established in a number of studies over the last four decades. Furthermore, behavioural activation is an intervention that can largely benefit from the use of new mobile technologies (e.g. smartphones). One important feature of mobile technology is the possibility for the therapist to reach the patient between sessions and thus create direct incentives for behavioural activation in everyday life. Therefore, developing smartphone-based behavioural activation interventions might be a way to develop a cost-effective treatment for people suffering from major depressive disorders.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Smartphone delivered BA | Experimental |
| |
| Smartphone delivered mindfulness | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Smartphone delivered BA | Behavioral | A 8 week behavioural activation therapy delivered through smartphone |
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient Health Questionnaire (PHQ-9)- Change from baseline | Change from baseline in anxiety symptoms two weeks post treatment, at six months and at 12 months post treatment. | Two weeks pre treatment, two weeks post treatment, six months and 12 months post treatment |
| Beck Depression Inventory (BDI)- Change from baseline | Change from baseline in anxiety symptoms two weeks post treatment, at six months and at 12 months post treatment. | Two weeks pre treatment, two weeks post treatment, six months and 12 months post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life Inventory (QOLI)- Change from baseline | Change from baseline in anxiety symptoms two weeks post treatment, at six months and at 12 months post treatment. | Two weeks pre treatment, two weeks post treatment, six months and 12 months post treatment |
| Acceptance & Action Questionnaire (AAQ)- Change from baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gerhard Andersson, Professor | Linkoeping University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Linköping University | Linköping | Östergötland County | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24413342 | Derived | Ly KH, Truschel A, Jarl L, Magnusson S, Windahl T, Johansson R, Carlbring P, Andersson G. Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial. BMJ Open. 2014 Jan 9;4(1):e003440. doi: 10.1136/bmjopen-2013-003440. | |
| 22607302 | Derived |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Smartphone delivered mindfulness | Other | A 8 week mindfulness intervention delivered through smartphone |
|
Change from baseline in anxiety symptoms two weeks post treatment, at six months and at 12 months post treatment. |
| Two weeks pre treatment, two weeks post treatment, six months and 12 months post treatment |
| Beck Anxiety Inventory (BAI)- Change from baseline | Change from baseline in anxiety symptoms two weeks post treatment, at six months and at 12 months post treatment. | Two weeks pre treatment, two weeks post treatment, six months and 12 months post treatment |
| Trimbos and iMTA questionnaire on Costs associated with Psychiatric illness (TIC-P)- Change from baseline | Change from baseline in health cost burden and at six months post treatment. | Two weeks pre treatment and at six months post treatment. |
| Ly KH, Carlbring P, Andersson G. Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial. Trials. 2012 May 18;13:62. doi: 10.1186/1745-6215-13-62. |