Reducing worry and rumination in young adults via a mobile phone app: study protocol of the ECoWeB (Emotional Competence for Well-Being in Young Adults) randomised controlled trial focused on repetitive negative thinking.
Cognitive behavioral therapy
Depression
Emotional competence
Mobile-health
Prevention
Randomised controlled trial
Rumination
Well-being
Worry
Young people
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
21 10 2021
21 10 2021
Historique:
received:
17
09
2021
accepted:
12
10
2021
entrez:
22
10
2021
pubmed:
23
10
2021
medline:
26
10
2021
Statut:
epublish
Résumé
Promoting well-being and preventing poor mental health in young people is a major global priority. Building emotional competence skills via a mobile app may be an effective, scalable and acceptable way to do this. A particular risk factor for anxiety and depression is elevated worry and rumination (repetitive negative thinking, RNT). An app designed to reduce RNT may prevent future incidence of depression and anxiety. The Emotional Competence for Well-Being in Young Adults study developed an emotional competence app to be tested via randomised controlled trials in a longitudinal prospective cohort. This off-shoot study adapts the app to focus on targeting RNT (worry, rumination), known risk factors for poor mental health. In this study, 16-24 year olds in the UK, who report elevated worry and rumination on standardised questionnaires are randomised to (i) receive the RNT-targeting app immediately for 6 weeks (ii) a waiting list control who receive the app after 6 weeks. In total, the study will aim to recruit 204 participants, with no current diagnosis of major depression, bipolar disorder or psychosis, across the UK. Assessments take place at baseline (pre-randomisation), 6 and 12 weeks post-randomisation. Primary endpoint and outcome for the study is level of rumination assessed on the Rumination Response Styles Questionnaire at 6 weeks. Worry, depressive symptoms, anxiety symptoms and well-being are secondary outcomes. Compliance, adverse events and potentially mediating variables will be carefully monitored. This trial aims to better understand the benefits of tackling RNT via an mobile phone app intervention in young people. This prevention mechanism trial will establish whether targeting worry and rumination directly via an app provides a feasible approach to prevent depression and anxiety, with scope to become a widescale public health strategy for preventing poor mental health and promoting well-being in young people. ClinicalTrials.gov , NCT04950257 . Registered 6 July 2021 - Retrospectively registered.
Sections du résumé
BACKGROUND
Promoting well-being and preventing poor mental health in young people is a major global priority. Building emotional competence skills via a mobile app may be an effective, scalable and acceptable way to do this. A particular risk factor for anxiety and depression is elevated worry and rumination (repetitive negative thinking, RNT). An app designed to reduce RNT may prevent future incidence of depression and anxiety.
METHOD/DESIGN
The Emotional Competence for Well-Being in Young Adults study developed an emotional competence app to be tested via randomised controlled trials in a longitudinal prospective cohort. This off-shoot study adapts the app to focus on targeting RNT (worry, rumination), known risk factors for poor mental health. In this study, 16-24 year olds in the UK, who report elevated worry and rumination on standardised questionnaires are randomised to (i) receive the RNT-targeting app immediately for 6 weeks (ii) a waiting list control who receive the app after 6 weeks. In total, the study will aim to recruit 204 participants, with no current diagnosis of major depression, bipolar disorder or psychosis, across the UK. Assessments take place at baseline (pre-randomisation), 6 and 12 weeks post-randomisation. Primary endpoint and outcome for the study is level of rumination assessed on the Rumination Response Styles Questionnaire at 6 weeks. Worry, depressive symptoms, anxiety symptoms and well-being are secondary outcomes. Compliance, adverse events and potentially mediating variables will be carefully monitored.
DISCUSSION
This trial aims to better understand the benefits of tackling RNT via an mobile phone app intervention in young people. This prevention mechanism trial will establish whether targeting worry and rumination directly via an app provides a feasible approach to prevent depression and anxiety, with scope to become a widescale public health strategy for preventing poor mental health and promoting well-being in young people.
TRIAL REGISTRATION
ClinicalTrials.gov , NCT04950257 . Registered 6 July 2021 - Retrospectively registered.
Identifiants
pubmed: 34674669
doi: 10.1186/s12888-021-03536-0
pii: 10.1186/s12888-021-03536-0
pmc: PMC8532278
doi:
Banques de données
ClinicalTrials.gov
['NCT04950257']
Types de publication
Clinical Trial Protocol
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
519Informations de copyright
© 2021. The Author(s).
Références
Behav Ther. 2012 Sep;43(3):629-40
pubmed: 22697450
J Pers Soc Psychol. 1994 Jul;67(1):92-104
pubmed: 8046585
J Med Internet Res. 2013 Nov 15;15(11):e247
pubmed: 24240579
J Abnorm Psychol. 2002 May;111(2):350-6
pubmed: 12003456
Appl Psychol Health Well Being. 2012 Mar;4(1):1-30
pubmed: 26286968
Health Qual Life Outcomes. 2007 Nov 27;5:63
pubmed: 18042300
Depress Anxiety. 2017 Jun;34(6):518-525
pubmed: 28504859
Med Care. 2003 May;41(5):582-92
pubmed: 12719681
Emot Rev. 2016 Jul;8(3):258-268
pubmed: 27594904
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Behav Res Ther. 2017 Mar;90:123-136
pubmed: 28049069
J Abnorm Psychol. 1997 May;106(2):221-9
pubmed: 9131842
JAMA Psychiatry. 2017 May 1;74(5):437-438
pubmed: 28384700
J Youth Adolesc. 2015 Jan;44(1):90-113
pubmed: 25115460
Psychol Bull. 2008 Mar;134(2):163-206
pubmed: 18298268
Clin Trials. 2012 Aug;9(4):396-407
pubmed: 22752633
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD003380
pubmed: 22161377
Behav Res Ther. 1990;28(6):487-95
pubmed: 2076086
World Psychiatry. 2017 Oct;16(3):287-298
pubmed: 28941113
Annu Rev Clin Psychol. 2015;11:379-405
pubmed: 25581242
J Nonverbal Behav. 2018 Jun;42(2):155-178
pubmed: 29527080
Curr Psychiatry Rep. 2018 May 19;20(6):44
pubmed: 29779065
Emotion. 2001 Mar;1(1):25-37
pubmed: 12894809
J Med Internet Res. 2019 May 13;21(5):e11349
pubmed: 31094331
JMIR Ment Health. 2016 Mar 01;3(1):e7
pubmed: 26932350
Psychol Med. 2020 Jan;50(1):11-19
pubmed: 30630555
Lancet. 2012 Mar 17;379(9820):1056-67
pubmed: 22305766
Br J Psychiatry. 2011 Oct;199(4):317-22
pubmed: 21778171
Psychol Med. 2012 Jul;42(7):1359-71
pubmed: 22085757
Cognit Ther Res. 2008 Aug 1;32(4):
pubmed: 24353355
BMC Psychiatry. 2020 Sep 22;20(1):458
pubmed: 32962684
Trials. 2018 Jul 31;19(1):406
pubmed: 30060763
Behav Res Ther. 2016 Dec;87:170-181
pubmed: 27697671
J Pers Soc Psychol. 1995 Jul;69(1):176-90
pubmed: 7643299
J Pers Soc Psychol. 1991 Jul;61(1):115-21
pubmed: 1890582
Clin Psychol (New York). 2016 Mar;23(1):94-104
pubmed: 27065571
Arch Gen Psychiatry. 2005 Jun;62(6):593-602
pubmed: 15939837
J Clin Child Adolesc Psychol. 2008 Oct;37(4):701-13
pubmed: 18991122
Behav Res Ther. 2020 Apr;127:103573
pubmed: 32087393
Behav Ther. 2007 Mar;38(1):23-38
pubmed: 17292692
J Child Adolesc Psychiatr Nurs. 2015 Feb;28(1):35-42
pubmed: 25808272
Perspect Psychol Sci. 2008 Sep;3(5):400-24
pubmed: 26158958
Cochrane Database Syst Rev. 2016 Aug 09;(8):CD003380
pubmed: 27501438
J Abnorm Child Psychol. 2002 Oct;30(5):515-27
pubmed: 12403154
J Clin Psychol. 1990 Jan;46(1):78-88
pubmed: 2303569
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
J Med Internet Res. 2011 Dec 31;13(4):e126
pubmed: 22209829
J Adolesc Health. 2016 Oct;59(4):375-7
pubmed: 27664465
Ann Intern Med. 2010 Jun 1;152(11):726-32
pubmed: 20335313
Anxiety Stress Coping. 2017 May;30(3):243-252
pubmed: 27575924
J Abnorm Child Psychol. 2018 Oct;46(7):1521-1533
pubmed: 29368207
Psychol Med. 2016 Jan;46(1):11-26
pubmed: 26315536
World Psychiatry. 2019 Feb;18(1):97-98
pubmed: 30600619
Lancet. 2015 Apr 11;385(9976):1472-5
pubmed: 25217115