Depression Clinical Trial
Official title:
Sinasprite: A Pilot Feasibility Study of a Casual Game for Primary Care Patients With Mild Stress, Anxiety or Depression
The investigators are proposing a prospective one-arm cohort study testing the feasibility of a game designed to improve symptoms in adults with mild levels of stress, depression, and anxiety. The study will take place at Madigan Army Medical Center. Primary outcomes include usage data including time, frequency and duration of app use, participant satisfaction with the game, and comments and suggestions regarding participants' experiences using the Sinasprite game over a 12-week period. Participants will download Litesprite's game, Sinasprite, onto their personal smartphone. Elements of cognitive-behavioral therapies like cognitive strategies, diaphragmatic breathing, and visualization are embedded in the game enabling participants to learn to achieve the desired healthy habits. The game's goal is to help Socks the Fox become a Zen Master. Over six weeks, players help Socks to progress by describing and categorizing their concerns, entrusting Socks to "hold" these concerns, and engaging in bonding activities with Socks, such as fishing and meditation. The investigators currently have a prototype and have been told by insurance firms, providers, and self-funded employers that they need to see validated results from a pilot study that shows feasibility with subjects in the target audience before they can consider a commercial roll out. Participants will complete questions related to mood, stress, and well-being at baseline, 6 weeks, and 12 weeks. Data will be evaluated in real-time and reports of participant progress will be provided to the participant's provider, with the participant's consent. Data and feedback from this pilot study will be used to update the design and inform the technical development team to further refine the game experience in preparation for a larger randomized controlled trial evaluating the effectiveness of Sinasprite.
Status | Recruiting |
Enrollment | 50 |
Est. completion date | March 2018 |
Est. primary completion date | December 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Age 18 years or older 2. Eligible to receive care at a MHS clinic 3. English-speaking 4. In possession of a personal smartphone capable of downloading the Sinasprite application for use during the study 5. Self-reported PHQ-9 score = 10 and no self-reported suicidal or homicidal ideation 6. Self-reported GAD-7 score = 10 and no self-reported suicidal or homicidal ideation 7. No change in antidepressant or antianxiety medication and/or dosage in past 3 months Exclusion Criteria: 1. Under 18 years of age 2. English insufficient to interact with the game or complete assessments 3. Residing in an institution or other living situation where health care decisions are not made by the participant (e.g., hospitalized, prisoners, people living in a rehabilitation facility) 4. Self-reported PHQ-9 score > 10 or self-reported suicidal or homicidal ideation 5. Self-reported GAD-7 score > 10 or self-reported suicidal or homicidal ideation 6. Change in antidepressant or antianxiety medication and/or dosage in past 3 months |
Country | Name | City | State |
---|---|---|---|
United States | Madigan Army Medical Center | Tacoma | Washington |
Lead Sponsor | Collaborator |
---|---|
Madigan Army Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient satisfaction. These data will be collected via questionnaire at the end of the study only | Data is via a standardized satisfaction questionnaire developed by the authors that is a mixture of open ended and likert scale questions on satisfaction with the app. | 12 wks | |
Secondary | Measure of perceived stress (PSS) | Participants will complete the 10 item perceived stress scale (PSS validated questionnaire) at 0, 6 and 12 wks. | Pre/post (0, 6 and 12 wks) | |
Secondary | Quality of life (LiSAT-9) | Participants will complete the LiSAT-9 validated questionnaire at 0, 6, and 12 weeks to assess their quality of life during the study. | Pre/post (0, 6 and 12 wks) | |
Secondary | Symptom reports: measure of depression symptoms (PHQ-9 score) | Participants will complete the 9 item PHQ-9 validated questionnaire at 0, 6, and 12 wks to assess participant symptoms of self-reported depression during the study. | Pre/post (0, 6, and 12 wks) | |
Secondary | Symptom reports: measure of anxiety symptoms (GAD-7 score) | Participants will complete the 7 item GAD-7 validated questionnaire at 0, 6, and 12 wks to assess participant symptoms of self-reported anxiety during the study. | Pre/post (0, 6, and 12 wks) | |
Secondary | Measure of coping self-efficacy (CSE) questionnaire | Participants will complete the 26 item coping self-efficacy (CSE) validated questionnaire at 0, 6 and 12 wks to assess their coping self-efficacy during the study. | Pre/post (0, 6 and 12 wks) | |
Secondary | App daily usage (minutes/day) | Time (minutes per day) app was used | 12 wks | |
Secondary | App frequency usage (days/week) | Frequency (days/week) app was used | 12 wks | |
Secondary | App duration of usage (total weeks) | Weeks app was used | 12 wks |
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