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This study plans to learn more about the use of one of two self-guided online cognitive behavioral therapy courses. One is focused on symptoms of depression and one is focused on history of suicidal thoughts and behaviors.
Based on previous work with other computerized CBT (cCBT) interventions (e.g., cCBT-D), which has found that cCBT has similar effectiveness to traditional CBT, members of the team along with Veterans Health Administration (VHA) leaders have developed computerized cCBT-SP and cCBT-D courses that will be ready for safety, feasibility, and acceptability testing. If proven to be feasible, safe, and effective, these courses could be made available to all Veterans, at no cost to users.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| c-CBT for Suicide Prevention | Experimental | CBT for Suicide Prevention |
|
| c-CBT for Depression | Experimental | Computerized CBT for Depression |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| c-CBT for Suicide Prevention | Behavioral | Online c-CBT for SP The computerized Cognitive Behavioral Therapy for Suicide Prevention (cCBT-SP) course is comprised of 12 online sessions and is augmented by use of a companion workbook. |
| Measure | Description | Time Frame |
|---|---|---|
| Client Satisfaction Questionnaire | Acceptability | 12 weeks |
| Internet Evaluation and Utility Questionnaire | Acceptability | 12 weeks |
| Internet Impact and Effectiveness Questionnaire | Acceptability | 12 weeks |
| Narrative Evaluation of Intervention Interview | Acceptability | 12 weeks |
| Recruitment Rate | Number of individuals who consented to participate | 12 weeks |
| Completion of intervention | Number of participants who completed most or all of the sessions | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Beck Scale for Suicide Ideation | Change in suicidal ideation | 12 weeks |
| Patient Health Questionnaire-9 | Change in depression symptoms |
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Cohort A - cCBT-SP Program
Inclusion Criteria:
Exclusion Criteria:
Cohort B - cCBT-D Program
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kelly A Stearns-Yoder, MA | Contact | 720-723-6477 | kelly.stearns@va.gov |
| Name | Affiliation | Role |
|---|---|---|
| Lisa A Brenner, PhD | VA Eastern Colorado Health Care System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eastern Colorado Health Care System | Recruiting | Aurora | Colorado | 80045 | United States |
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| ID | Term |
|---|---|
| D013405 | Suicide |
| D003863 | Depression |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Cognitive Behavioral Therapy for Suicide Prevention (cCBT-SP) or Cognitive Behavioral Therapy for Depression (cCBT-D)
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| c-CBT or Depression | Behavioral | The computerized Cognitive Behavioral Therapy for Depression (cCBT-D) course is comprised of 12 online sessions and is augmented by use of a companion workbook. |
|
| 12 weeks |
| Posttraumatic Stress Disorder Checklist-5 | Change in PTSD symptoms | 12 weeks |
| Generalized Anxiety Disorder-7 | Change in anxiety symptoms | 12 weeks |
| Computerized Adaptive Testing - Suicide Scale | Change in suicidal ideation | 12 weeks |