N/A
N=142
PracticeGround: Transforming Training and Delivery of Mental Health EBPs
Depression · Insomnia · Suicide
Bottom Line
View on ClinicalTrials.gov: NCT02314624 ↗Enrolled (actual)
142
Serious AEs
0.0%
Results posted
Jun 2023
Primary outcome: Primary: Depression, Anxiety, and Stress Scale (DASS) — 1.55; 1.68; 1.32; 1.4 score on a scale — p=.734
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Behavioral Activation for Depression, Cognitive Behavior Therapy for Insomnia, Collaborative Assessment and Management of Suicidality (Behavioral); Care-as-Usual Psychotherapy (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Evidence-Based Practice Institute, Seattle, WA
- Primary completion
- Dec 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Depression, Anxiety, and Stress Scale (DASS) |
1.55; 1.68; 1.32; 1.4; 1.1; 1.08 | .734 |
| PRIMARY Beck Depression Inventory (BDI-II) |
1.25; 1.52; 1.16; 1.12; 1.00; 1.08 | .036 sig |
| PRIMARY Patient Health Questionnaire-9 (PHQ-9) |
1.48; 1.44; 1.23; 1.24; 1.24; 1.28 | .664 |
| PRIMARY Behavioral Activation for Depression Scale Short Form (BADS-SF) |
18.8; 17.3; 23.4; 20.4; 24.6; 21.3 | .764 |
| PRIMARY Mental Health Services Satisfaction Survey (MHSSS) |
37.6; 38.8; 37.6; 37.8; 39.2; 37.5 | .440 |
| PRIMARY Working Alliance Inventory (WAI) |
71.7; 71.9; 73.7; 70.5; 73.6; 72.7 | .09 |
| PRIMARY Therapy Task Checklist (TTC) - Patient Version |
45.5; 37.9; 46.6; 42.3; 49.6; 39.0 | .19 |
| PRIMARY Modified Practice Attitudes Scale (MPAS) |
24.8; 24.9; 24.6; 23.6 | .15 |
| PRIMARY Perceptions of Computer-Assisted Therapy Questionnaire (PCAT) |
160.1; 157.4; 170.4; 146.4 | <.001 sig |
| PRIMARY ASA-Monitoring and Feedback Version (ASA-MF) |
68.0; 64.8; 72.1; 64.8; 72.2; 68.3 | .14 |
| PRIMARY Monitoring and Feedback Attitudes Scale (MFA) |
57.9; 55.1; 59.7; 57.2; 58.9; 58.0 | .22 |
| PRIMARY Routine Monitoring (RM) |
1.6; .60; 4.6; 1.8; 3.6; 1.3 | <.001 sig |
| PRIMARY Current Assessment Practice Evaluation-Revised (CAPER) |
17.6; 12.4; 21.7; 13.2; 21.9; 13.4 | .001 sig |
| PRIMARY Therapy Task Checklist (TTC) - Provider Version |
48.7; 40.7; 51.3; 43.7; 50.8; 42.9 | .99 |
Summary
The ultimate goal is to facilitate the delivery of empirically supported treatments (ESTs) for mental disorders and to improve client mental health outcomes. Toward this end, this Phase II SBIR proposal seeks to complete the development and testing of PracticeGround, a comprehensive software system designed to integrate with electronic health records, and that contains multiple methods of training clinicians in ESTs and delivering ESTs to clients, continuous progress monitoring of client outcomes, and clinical support tools to guide clinicians and clients through delivery of the necessary EST. The investigators will conduct an 18-week randomized controlled trial (N=80) comparing PracticeGround (n=40) to care-as-usual (n=40) in depressed outpatient clients. PracticeGround clinicians will have full access to the software. Study clinicians and clients will be assessed once every six weeks (baseline, 6, 12, and 18 weeks). To ensure generalizability of findings, the investigators will not control for natural therapy variations (e.g.,session frequency, medication use, etc.). Primary outcomes include: depression, psychological distress, treatment satisfaction (clients and clinicians), and treatment drop out. Secondary clinician outcomes include: extent of PracticeGround use with clients across clinicians' caseload.
Eligibility Criteria
PATIENTS
Inclusion Criteria
- Meets DSM-IV criteria for MDD and/or DD
- Obtains a score of 11 or greater on the PHQ-9
- Currently receiving psychosocial treatment for depression by a study-participant clinician
- Payment-eligible to receive at least 12 weeks of additional psychosocial treatment
Exclusion Criteria
- Current diagnosis of bipolar disorder or another psychotic disorder
- Active mania
- Current diagnosis of alcohol and/or drug dependence
- At imminent risk of suicide (as deemed by their clinician).
PROVIDERS
Inclusion Criteria
- English speaker
- 18 years or older
- Currently licensed mental health treatment provider (or a therapist working towards licensure under direct supervision of licensed mental health treatment provider)
- Have an office with access to internet
- Have access to computer with sound card and/or tablet and printer
- Capacity to accept new patients seeking treatment for depressive symptoms
Exclusion Criteria
- (PILOT ONLY) Receiving training for an evidence based treatment for depression, including behavioral activation, interpersonal therapy, cognitive/cognitive-behavioral therapy, mindfulness-based cognitive therapy or cognitive behavioral analysis system of psychotherapy
- Participated in the Field Test for WILLOW
- Is not comfortable/savvy with technology (by answering "I get easily frustrated and usually walk away from it" to the question "Which response best matches how you typically respond to complicated problems you encounter when using a new app, computer, or technology for the first time?"; answering "I am not comfortable and/or do not enjoy technology, particularly new forms of technology. I avoid the use of technology as much as is realistically possible." to the question "How technologically savvy/skilled are you?")
- Does not have a feasible office set up for using a computer in therapy
Data sourced from ClinicalTrials.gov (NCT02314624). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.