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The study was terminated early due to the difficulty in recruiting cases during a pandemic period.
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| Name | Class |
|---|---|
| ANID - Millennium Science Initiative Program - NCS17_03 Millennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago, Chile | UNKNOWN |
| Millennium Institute on Immunology and Immunotherapy | OTHER |
| Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany |
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Youth depression is a matter of concern worldwide. It affects an important part of the young population around the world and its consequences both physically and mentally make this issue an important research field for psychologists and other health related professionals (Zuckerbrot, Cheung, Jensen, Stein & Laraque, 2018). Two of the biggest challenges that clinicians and researchers face when dealing with youth depression are adherence and the establishment of a therapeutic alliance (TA; Nock & Ferriter, 2005). While several treatments are available to relief depressive symptomatology in youths, a significant number do not access them for a variety of reasons (DiMatteo, Lepper & Corgan, 2000). In the last decades, substantial research has been conducted on how youths and the general population perceive therapy, and different methods have been developed to assess clients and therapists in order to improve outcomes and other aspects of the psychotherapy process, such as feedback tools and real-time measurements like Ecological Momentary Assessment (EMA) (Shiffman, et al., 2008). With the aid of Information Communication Technologies (ICTs) and eMental Health strategies, feedback and assessment tools can be presented in a friendly manner, providing a novel way to possibly improving adherence rates and TA scores. This study aims to develop and test the effectiveness of an Ecological Momentary Assessment mobile application to improve initial adherence and TA in psychotherapy for youths with depression.
The hypotheses for this trial are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Patients in experimental group will receive EMA prompts. Therapists in this group will receive a summarized PDF report before the beginning of the first psychotherapy session. The report will include graphic summarized data from the EMA prompts. |
|
| Control group | Active Comparator | Patients in control group will receive the EMA prompts in the same manner as patients in the experimental group. Therapists in this group will not receive the PDF reports, and instead will get raw scores from a screening evaluation conducted with patients in the recruitment phase of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EMA prompting for patients | Behavioral | EMA prompting will consist of the delivery of the PHQ-4 and PANAS questionnaires, as well as basic identification, therapy motivations and expectations, location, current activity and social interactions. These prompts will be presented to patients during a 7 day period, 5 times per day. |
| Measure | Description | Time Frame |
|---|---|---|
| Working Alliance Inventory, Patient Form (WAI-P) | Likert scale with answers that range from 1 to 7. Higher scores suggest a better perception of the Therapeutic Alliance. | Immediately after the end of first three psychotherapy sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Working Alliance Inventory, Therapist Form (WAI-T) | Likert scale with answers that range from 1 to 7. Higher scores suggest a better perception of the Therapeutic Alliance. | Immediately after the end of first three psychotherapy sessions. |
| Assistance to sessions |
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Inclusion Criteria for Patients:
Exclusion Criteria for Patients:
Inclusion Criteria for Therapists:
- Having 1 or more years of clinical experience.
Exclusion Criteria for Therapists:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CEMERA, Faculty of Medicine, Universidad de Chile | Santiago | Santiago Metropolitan | 8380455 | Chile |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Abras, C., Maloney-Krichmar, D., Preece, J. (2004) User-Centered Design. In Bainbridge, W. Encyclopedia of Human-Computer Interaction. Thousand Oaks: Sage Publications. | ||
| 29999123 | Background | Borghero F, Martinez V, Zitko P, Vohringer PA, Cavada G, Rojas G. [Screening depressive episodes in adolescents. Validation of the Patient Health Questionnaire-9 (PHQ-9)]. Rev Med Chil. 2018 Apr;146(4):479-486. doi: 10.4067/s0034-98872018000400479. Spanish. | |
| 27289172 |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| UNKNOWN |
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|
| PDF Reports for therapists | Behavioral | After the patients' EMA data is collected, a previously designed R script will summarize and transform the data into a brief and graphic report for therapists in the experimental arm of the study. These reports are intended to provide detailed information about the patients' mood, anxiety levels, positive and negative affects, as well as crossed data such as mood according to location, anxiety according to activity, etc. |
|
Assistance to sessions will be registered by therapists as a measurement of initial adherence. |
| Immediately after the end of first three psychotherapy sessions. |
| Background |
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