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| Name | Class |
|---|---|
| Lincolnshire Partnership NHS Foundation Trust | UNKNOWN |
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This study investigates mental health mobile apps, to understand their efficacy in reducing mild levels of psychological distress amongst adolescents. All participants will be provided with an app which is already available in the public domain, and will be asked to use the app for guided self-help. Half of participants will receive a weekly telephone call, whilst the other half will not.
The subscription version of the app "Sanvello" has several self-help exercises based on Cognitive Behavioural Therapy (to identify and challenge their thinking styles) and Mindfulness practices (to connect them with the present moment). Participants will be asked to complete these exercises on a daily basis for five weeks.
Telephone calls will be provided weekly to half of participants to provide information about the app, or a rationale for its use. This phone call will not serve to provide any extra intervention or therapy to the participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Assisted self-guidance | Experimental | Participants will be asked to use the app for five weeks and will be contacted via telephone once a week by a researcher to provide a rationale for using the app, or to offer any information about the app itself. This will not be used to provide therapeutic intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mental Health Mobile Application | Other | Mobile phones will not be provided to participants, but app subscriptions will be provided. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Kessler 10 | 10 item self-report measure of psychological distress with five response categories (none of the time, a little of the time, some of the time, most of the time, all of the time). Scores range from 10 to 50; a higher score indicates more psychological distress. | Through study completion, an average of 18 weeks |
| Cognitive Emotion Regulation Questionnaire-Short | 18 item self-report process measure of cognitive strategies to regulate emotions with five response categories (almost never, rarely, occasionally, frequently, almost always). This measure has nine subscales, with two items each (self-blame, acceptance, rumination, positive refocusing, refocus on planning, positive reappraisal, putting into perspective, catastrophising, other-blame). Scores per subscale range from 2 to 10; higher scores indicate greater use of specific cognitive strategies, some of which are favourable and others indicate negative thinking styles. | Through study completion, an average of 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Warwick-Edinburgh Mental Wellbeing Scale | 14 item self-report measure of wellbeing with five response categories (none of the time, rarely, some of the time, often, all of the time). Scores range from 14 to 70; a higher score indicates better mental wellbeing and scores below a cut point of 40 indicate low wellbeing. | Through study completion, an average of 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Personal Questionnaire | Participant-generated goals, established by asking each participant which difficulties the individual would like to work on. Ten items are established with each participant (e.g. with a focus on symptoms, mood, specific activities, relationships, or self-esteem). Each of the ten items is rated according to seven response categories (this has bothered me: not at all, very little, little, moderately, considerably, very considerably, maximum possible). Scores range between 10 and 70, with higher scores indicating greater difficulties. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Dawson, DClinPsy | University of Lincoln | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lincolshire Partnership NHS Foundation Trust | Lincoln | Lincolnshire | LN5 7RZ | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28546138 | Background | Grist R, Porter J, Stallard P. Mental Health Mobile Apps for Preadolescents and Adolescents: A Systematic Review. J Med Internet Res. 2017 May 25;19(5):e176. doi: 10.2196/jmir.7332. | |
| 36345016 | Derived | Badesha K, Wilde S, Dawson DL. Mental health mobile application self-help for adolescents exhibiting psychological distress: A single case experimental design. Psychol Psychother. 2023 Mar;96(1):223-248. doi: 10.1111/papt.12436. Epub 2022 Nov 7. |
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| CompACT-8 | 8 item self-report measure of psychological flexibility with six response categories (strongly disagree, moderately disagree, slightly disagree, neither agree nor disagree, slightly agree, moderately agree, strongly agree). Total scores range from 0 to 48, with higher scores indicating greater psychological flexibility. This measure has three subscales: openness to experience (range of scores: 0 to 18), behavioural awareness (range of scores: 0 to 12), and valued action (range of scores: 0 to 18); as with the overall score, higher subscale scores indicate favourable outcomes. | Through study completion, an average of 18 weeks |
| Through study completion, an average of 18 weeks |
| Change Interview | Participant view of change according to a semi-structured interview of ten key questions. | Up to 18 weeks |