Not provided
Not provided
Not provided
Not provided
Not provided
Current unavailability of resources
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
In a sample of patients already receiving esketamine treatment as part of their clinical care, this project seeks to test whether we can improve depression by introducing helpful information delivered by a computer-based training protocol. This work could ultimately lead to the ability to treat depression more efficiently and with broader dissemination by rapidly priming the brain for helpful forms of learning.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive Training | Experimental | 8 sessions of web-based cognitive training |
|
| Sham Training | Sham Comparator | 8 sessions of web-based sham training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive Training | Behavioral | 8 sessions of web-based cognitive training |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Montgomery Asberg Depression Rating Scale | depression severity; range 0-60; high score=worse outcome | Trajectories from baseline through 1 month |
| Quick Inventory of Depressive Symptoms | Self-reported depression (range: 0-27; higher scores = worse outcome) | Trajectories from baseline through 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Hamilton Depression Rating Scale modified score | Clinician-rated depression (range: 0-52; higher scores = worse outcome) | Trajectories from baseline through 1 month |
| Clinical Global Impression Scale--Improvement |
| Measure | Description | Time Frame |
|---|---|---|
| Client Satisfaction Questionnaire | self-reported satisfaction with treatment; range 8-32; higher score=better rating | Assessment at 'post-CT' timepoint (completed approximately 1 week following randomization) |
| Ease of use |
Inclusion Criteria:
Any patient aged 18-80 in the esketamine clinic in the Center for Interventional Psychiatry. The clinic's extensive screening and eligibility criteria for esketamine treatment will not be altered in any way, other than imposing the study-specific age range and the two exclusion criteria below.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Western Psychiatric Institute and Clinic | Pittsburgh | Pennsylvania | 15213 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
Not provided
Not provided
| ID | Term |
|---|---|
| D000091942 | Cognitive Training |
| ID | Term |
|---|---|
| D000066530 | Neurological Rehabilitation |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Sham Training |
| Behavioral |
8 sessions of web-based sham training |
|
range 1-7 (higher score=worse outcome)
| Trajectories from baseline through 1 month |
| Clinical Global Impression Scale--Severity | range 1-7 (higher score=worse outcome) | Trajectories from baseline through 1 month |
| Frequency of scheduled esketamine visits | The frequency of scheduled esketamine visits, optimized according to clinicians' judgment of response and patient preferences | During first month |
| Number of patients terminated from esketamine therapy | Number with esketamine treatment terminated by the clinic's embedded providers due to lack of clinical response after 1-month of treatment | During first 6 months |
self-report slider scale rating; range = 0-100; high score=better rating
| Assessment at 'post-CT' timepoint (completed approximately 1 week following randomization) |
| Helpfulness | self-report slider scale rating; range = 0-100; high score=better rating | Assessment at 'post-CT' timepoint (completed approximately 1 week following randomization) |
| Satisfaction with Cognitive Training | self-report slider scale rating; range = 0-100; high score=better rating | Assessment at 'post-CT' timepoint (completed approximately 1 week following randomization) |
| Future likelihood of using Cognitive Training | self-report slider scale rating; range = 0-100; high score=better rating | Assessment at 'post-CT' timepoint (completed approximately 1 week following randomization) |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |