Novel ACT-based eHealth psychoeducational intervention for students with mental distress: a study protocol for a mixed-methodology pilot trial.
Ehealth
acceptance and commitment therapy
mental distress
psychoeducation
students
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
16 07 2019
16 07 2019
Historique:
entrez:
19
7
2019
pubmed:
19
7
2019
medline:
24
7
2020
Statut:
epublish
Résumé
Recent studies have revealed a high prevalence of depression, anxiety and stress symptoms among university students, highlighting an urgent need for preventative measures at low cost to better support often overwhelmed support services. Here we propose a protocol for assessing the feasibility of a randomised controlled trial (RCT) for an online transdiagnostic psychoeducational intervention called 'A Bite of ACT' compared with a waitlist control. This is an RCT with crossover design involving baseline assessments and two follow-up periods. The primary outcome measure will be the Acceptance Checklist for Clinical Effectiveness Pilot Trials (ACCEPT) for measuring the feasibility of the trial design and methods. Secondary outcomes include measures of well-being, social connectedness, quality of life (EuroQol Five Dimensions), depression, anxiety and stress (Depression Anxiety Stress Scales-21), as well as the process measures: psychological flexibility (Acceptance and Action Questionnaire-Second Version and the Mindful Attention Awareness Scale) and heart rate variability. Analysis will involve calculating descriptive statistics, examining trial feasibility outcomes through ACCEPT, and determining effect size measures to determine the sample size needed in a future trial (if indicated). Qualitative interviews and preliminary health economics analysis will provide additional insights into the feasibility of the intervention and trial methods. This study has been approved by the Department of Psychology Research Ethics Committee in the College of Human and Health Sciences at Swansea University. Dissemination will involve publication in international peer-reviewed journals, presentation of findings at relevant local, national and international conferences, and promotion of study outcomes using social media and other channels for disseminating findings to the wider community. NCT03810131; Pre-results.
Identifiants
pubmed: 31315873
pii: bmjopen-2019-029411
doi: 10.1136/bmjopen-2019-029411
pmc: PMC6661604
doi:
Banques de données
ClinicalTrials.gov
['NCT03810131']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e029411Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Affect Disord. 2015 Mar 1;173:90-6
pubmed: 25462401
BMC Med. 2010 Mar 24;8:18
pubmed: 20334633
BMJ Open. 2018 Nov 1;8(11):e021866
pubmed: 30389758
Circulation. 1996 Mar 1;93(5):1043-65
pubmed: 8598068
BMJ. 2012 Jul 31;345:e4933
pubmed: 22849956
Behav Ther. 2011 Jun;42(2):323-35
pubmed: 21496516
J Pers Soc Psychol. 1989 Dec;57(6):1024-40
pubmed: 2614656
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
BMJ. 2010 Mar 23;340:c869
pubmed: 20332511
Clin Psychol Rev. 2010 Nov;30(7):865-78
pubmed: 21151705
J Affect Disord. 2013 May 15;148(1):1-11
pubmed: 23246209
Perspect Psychol Sci. 2015 Mar;10(2):227-37
pubmed: 25910392
Biomed Res Int. 2015;2015:431725
pubmed: 26557670
Neurosci Biobehav Rev. 2017 Dec;83:547-567
pubmed: 28888535
Front Psychol. 2017 Feb 20;8:213
pubmed: 28265249
Behav Ther. 2018 May;49(3):459-475
pubmed: 29704973
J Med Internet Res. 2012 Aug 02;14(4):e110
pubmed: 22858538
Am Heart J. 2000 Oct;140(4 Suppl):77-83
pubmed: 11011352
Behav Ther. 2011 Dec;42(4):676-88
pubmed: 22035996
Psychol Bull. 2012 Jul;138(4):655-91
pubmed: 22506752
J Psychiatr Res. 2013 Mar;47(3):391-400
pubmed: 23260171
Pain. 2011 Sep;152(9):2098-107
pubmed: 21683527
J Med Internet Res. 2014 May 16;16(5):e130
pubmed: 24836465
J Pers Soc Psychol. 2003 Apr;84(4):822-48
pubmed: 12703651
BMJ. 2005 May 7;330(7499):1057-8
pubmed: 15760970
Ann Intern Med. 2012 Sep 18;157(6):429-38
pubmed: 22945832
Behav Modif. 2016 Jul 20;41(1):141-162
pubmed: 27440189
Int J Nurs Stud. 2013 May;50(5):587-92
pubmed: 23159157
Med Teach. 2018 Feb;40(2):146-153
pubmed: 29113526
Learn Behav. 2010 May;38(2):160-8
pubmed: 20400735
Psychol Sci. 2013 Jul 1;24(7):1123-32
pubmed: 23649562
Transl Psychiatry. 2016 May 10;6:e803
pubmed: 27163204
Behav Modif. 2007 Nov;31(6):772-99
pubmed: 17932235
Behav Ther. 2018 Nov;49(6):889-903
pubmed: 30316488
J Clin Psychol. 2018 Dec;74(12):2047-2069
pubmed: 29962090
BMJ. 2016 Nov 17;355:i5663
pubmed: 27856428
BMC Med Res Methodol. 2011 Mar 11;11:26
pubmed: 21396104
J Neurol Neurosurg Psychiatry. 2000 Jul;69(1):67-73
pubmed: 10864606
Behav Res Ther. 2006 Jan;44(1):1-25
pubmed: 16300724
J Clin Epidemiol. 2014 Sep;67(9):1016-24
pubmed: 24909873
Pilot Feasibility Stud. 2016 Oct 21;2:64
pubmed: 27965879
Behav Res Ther. 2016 Mar;78:30-42
pubmed: 26848517
Med Educ. 2014 Oct;48(10):963-79
pubmed: 25200017
Health Qual Life Outcomes. 2007 Nov 27;5:63
pubmed: 18042300
PLoS Med. 2010 Jul 27;7(7):e1000316
pubmed: 20668659
Br Dent J. 2002 Jun 15;192(11):646-9
pubmed: 12108944
Behav Cogn Psychother. 2016 Jul;44(4):431-43
pubmed: 26365006
Comput Methods Programs Biomed. 2014;113(1):210-20
pubmed: 24054542
J Am Coll Health. 2014;62(1):20-30
pubmed: 24313693
BMC Med Res Methodol. 2013 Jun 13;13:78
pubmed: 23758922
Psychosomatics. 2012 Jul-Aug;53(4):303-18
pubmed: 22748749
J Occup Health Psychol. 2000 Jan;5(1):156-63
pubmed: 10658893
Br J Clin Psychol. 2010 Nov;49(Pt 4):455-71
pubmed: 19799804
Br J Clin Psychol. 2005 Jun;44(Pt 2):227-39
pubmed: 16004657