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The purpose of the study is to evaluate the use of a text-based game as a way to understand decision making and knowledge related to anxiety, stress, and mood states like depression or loneliness. The investigators are interested in identifying whether participants who are given feedback before and during the game will report changes in behavior or depressive symptoms over the course of a one-week period. This is a follow-up to the published study from the researchers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Video | Experimental | Short video with BA intervention ideas |
|
| Active game | Experimental | Feedback Twine game |
|
| Neutral game | Sham Comparator | Neutral Twine game |
|
| No intervention | No Intervention | ||
| Video + Active game | Experimental | Combines Video and Active game |
|
| Video + Neutral game | Active Comparator | Combines Video and Neutral game |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video | Behavioral | Video uses BA techniques for approximately 5 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| patient health questionnaire (PHQ; 8 items) | The PHQ measures depression; scores range from 0 to 24 with higher scores indicating more depression. | baseline (T0) - before intervention |
| patient health questionnaire (PHQ; 8 items) | The PHQ measures depression; scores range from 0 to 24 with higher scores indicating more depression. | one week following intervention (T1) |
| Behavior in study-specific game | For participants completing the game (neutral or active), behavior and choices made will be used as data for analyses. Game choices allow participants to decide what next activities they will "do" in the game. Analyses incorporate decision probabilities (which of 2-5 choices are selected) and compare them between conditions. The game is completed at baseline following assessment (and following video) for those assigned this arm only. | Completed at baseline (T0) |
| Measure | Description | Time Frame |
|---|---|---|
| Generalized Anxiety Disorder 7 (GAD-7) | 7-item measure of generalized anxiety; scores range from 0 to 21 with higher scores indicating more anxiety. | Baseline (T0) before intervention |
| Generalized Anxiety Disorder 7 (GAD-7) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bard College | Annandale-on-Hudson | New York | 12504 | United States |
Data and code for analyses have been shared on the Open Science Framework, https://osf.io/
IPD will be available when the study is submitted for publication, beginning in 2023.
Anyone will be able to access de-identified data and code.
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D014743 | Videotape Recording |
| ID | Term |
|---|---|
| D013637 | Tape Recording |
| D001296 | Audiovisual Aids |
| D018961 | Educational Technology |
| D013672 | Technology |
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Brief interventions are conducted online and thus largely masked. All assessment is also conducted through an online survey.
| Active game | Behavioral | Game provides positive feedback in response to decisions made by participants |
|
| Neutral game | Behavioral | Game without feedback |
|
7-item measure of generalized anxiety; scores range from 0 to 21 with higher scores indicating more anxiety.
| one-week follow-up (T1) |
| D013676 |
| Technology, Industry, and Agriculture |
| D013690 | Television |