eHealth Self-Monitoring for Depression

Recruiting in Palo Alto (17 mi)

Overseen byVanessa Panaite, PhD

Age: 18 - 65

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: VA Office of Research and Development

No Placebo Group

Trial Summary

What is the purpose of this trial?Depression is the most prevalent mental health condition among VHA patients and is strongly associated with poor functioning, negative health outcomes, and suicide. Despite effective and available treatments, engagement in care is poor. This study will analyze VHA electronic medical record data, to identify patient characteristics associated with poor treatment engagement. The study will then develop and formatively evaluate an eHealth intervention to improve and sustain engagement in mental health care through self-monitoring. This is an important step in engaging Veterans who, in part, based on their military training, may have difficulty identifying or accepting depressed affect and the benefits of treatment. The information obtained will inform clinical strategies and operations policy to improve quality, coordination, and efficiency of mental health services.

Eligibility Criteria

This trial is for Veterans referred to VA mental health clinics for depression treatment. It's open to all ages and genders, but not for those with bipolar or psychotic disorders, substance abuse issues, severe cognitive impairment, unstable life situations, or other severe medical conditions that could affect the study.

Inclusion Criteria

I was recently referred to a VA clinic for depression therapy.

My age does not limit my participation.

I am eligible regardless of my gender or minority status.

+1 more

Exclusion Criteria

Potentially temporary states/situations that may significantly impair mood or capability to engage in treatment: unstable environment that is not in one's control (e.g., homeless, temporary group home, extensive care taking duties)

Alcohol Use disorder or Substance Use disorder to prevent confounding effects on mood and treatment adherence

I do not have bipolar or current psychotic disorders.

+2 more

Participant Groups

The study aims to develop an eHealth intervention focused on self-monitoring to improve engagement in mental health care among Veterans with depression. Researchers will use VHA data to identify factors linked to poor treatment adherence and test strategies for better engagement.

1Treatment groups

Experimental Treatment

Group I: Self-monitoringExperimental Treatment1 Intervention

This research study will evaluate a self-monitoring intervention to increase awareness, provide support, and promote motivation to initiate treatment after referral to mental health. The proposed intervention is a user-driven program delivered online and by mobile text. This will be initially piloted for acceptability among Veterans referred to mental health service for depression treatment.