Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial

Abstract Background Although major depression is a frequent disorder in non-professional caregivers and there are effective psychological interventions to prevent it, caregivers have difficulty accessing them. Interventions for depression applied through an app could improve accessibility; yet, to d...

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Main Authors: Fernando L. Vázquez, Ángela Torres, Olga Díaz, Mario Páramo, Patricia Otero, Vanessa Blanco, Lara López
Format: Article
Language:English
Published: BMC 2018-07-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-018-2793-2
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author Fernando L. Vázquez
Ángela Torres
Olga Díaz
Mario Páramo
Patricia Otero
Vanessa Blanco
Lara López
author_facet Fernando L. Vázquez
Ángela Torres
Olga Díaz
Mario Páramo
Patricia Otero
Vanessa Blanco
Lara López
author_sort Fernando L. Vázquez
collection DOAJ
description Abstract Background Although major depression is a frequent disorder in non-professional caregivers and there are effective psychological interventions to prevent it, caregivers have difficulty accessing them. Interventions for depression applied through an app could improve accessibility; yet, to date, adherence to such interventions has been low. The objectives of this study are to (1) evaluate the efficacy of a cognitive behavioral depression prevention intervention administered through a smartphone app with and without telephone conference calls, (2) analyze the mediators of the change in the incidence of depression and depressive symptoms, and (3) assess adherence and satisfaction with the interventions. Methods A randomized controlled clinical trial will be conducted. Caregivers with elevated symptoms will be randomly assigned to a cognitive behavioral intervention administered by a smartphone app (CBIA) group, a CBIA plus telephone conference calls (TCCs) group (CBIA + TCC), or an attention control group. Each condition will consist of approximately 58 participants. Both interventions will be administered in five modules through a smartphone app and the CBIA + TCC group will receive additional TCCs in group format (four sessions of 30 min each). Trained blind assessors will conduct pre-treatment, post-treatment and follow-up assessments at 1, 3, 6, and 12 months. Discussion This study will provide evidence of the efficacy of a cognitive behavioral intervention to prevent depression in caregivers with elevated depressive symptoms administered through a smartphone app and the impact of feedback applied through conference calls to increase program adherence and efficacy. If the results were favorable, it would mean that we have developed a more effective, accessible, and clinically useful preventive depression intervention than the currently available ones for many present and future caregivers. Trial registration ClinicalTrials.gov: NCT03110991. Registered 5 April 2017.
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spelling doaj.art-1d5a2842960543d48bf28bac442f2cb52022-12-22T00:54:11ZengBMCTrials1745-62152018-07-0119111010.1186/s13063-018-2793-2Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trialFernando L. Vázquez0Ángela Torres1Olga Díaz2Mario Páramo3Patricia Otero4Vanessa Blanco5Lara López6Department of Clinical Psychology and Psychobiology, University of Santiago de CompostelaDepartment of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de CompostelaDepartment of Clinical Psychology and Psychobiology, University of Santiago de CompostelaDepartment of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de CompostelaDepartment of Psychology, University of A CoruñaDepartment of Evolutive and Educational Psychology, University of Santiago de CompostelaDepartment of Clinical Psychology and Psychobiology, University of Santiago de CompostelaAbstract Background Although major depression is a frequent disorder in non-professional caregivers and there are effective psychological interventions to prevent it, caregivers have difficulty accessing them. Interventions for depression applied through an app could improve accessibility; yet, to date, adherence to such interventions has been low. The objectives of this study are to (1) evaluate the efficacy of a cognitive behavioral depression prevention intervention administered through a smartphone app with and without telephone conference calls, (2) analyze the mediators of the change in the incidence of depression and depressive symptoms, and (3) assess adherence and satisfaction with the interventions. Methods A randomized controlled clinical trial will be conducted. Caregivers with elevated symptoms will be randomly assigned to a cognitive behavioral intervention administered by a smartphone app (CBIA) group, a CBIA plus telephone conference calls (TCCs) group (CBIA + TCC), or an attention control group. Each condition will consist of approximately 58 participants. Both interventions will be administered in five modules through a smartphone app and the CBIA + TCC group will receive additional TCCs in group format (four sessions of 30 min each). Trained blind assessors will conduct pre-treatment, post-treatment and follow-up assessments at 1, 3, 6, and 12 months. Discussion This study will provide evidence of the efficacy of a cognitive behavioral intervention to prevent depression in caregivers with elevated depressive symptoms administered through a smartphone app and the impact of feedback applied through conference calls to increase program adherence and efficacy. If the results were favorable, it would mean that we have developed a more effective, accessible, and clinically useful preventive depression intervention than the currently available ones for many present and future caregivers. Trial registration ClinicalTrials.gov: NCT03110991. Registered 5 April 2017.http://link.springer.com/article/10.1186/s13063-018-2793-2Non-professional caregiversAppSmartphoneDepressionPreventionAdherence to the intervention
spellingShingle Fernando L. Vázquez
Ángela Torres
Olga Díaz
Mario Páramo
Patricia Otero
Vanessa Blanco
Lara López
Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial
Trials
Non-professional caregivers
App
Smartphone
Depression
Prevention
Adherence to the intervention
title Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial
title_full Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial
title_fullStr Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial
title_full_unstemmed Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial
title_short Cognitive behavioral intervention via a smartphone app for non-professional caregivers with depressive symptoms: study protocol for a randomized controlled trial
title_sort cognitive behavioral intervention via a smartphone app for non professional caregivers with depressive symptoms study protocol for a randomized controlled trial
topic Non-professional caregivers
App
Smartphone
Depression
Prevention
Adherence to the intervention
url http://link.springer.com/article/10.1186/s13063-018-2793-2
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