Depression Clinical Trial
— SMARTOfficial title:
Treating Depression on a Day-to-day Basis: Development of a Novel Clinical Tool for Physicians Based on a Smartphone Application, the SMART Project (Smartphones and Mood Disorders, an Application for Research and Treatment)
Testing and validating an e-health (smartphone application) approach to better understand the determinants of day-to-day symptomatology in depression, medication adherence, and treatment efficacy in the goal of maximizing patient care.
Status | Recruiting |
Enrollment | 200 |
Est. completion date | December 31, 2024 |
Est. primary completion date | September 30, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Age between 18 and 65 years; - Fulfilling the Diagnostic and Statistical Manual version IV (DSM-IV) criteria of depression assessed by the Structured Clinical Interview; - Patients started their antidepressant treatment less than 5 days before inclusion; - Patient treated in an outpatient setting; - Patient informed of the diagnosis of his disease; - Informed patient with written consent. Exclusion Criteria: - A current mental or psychiatric impairment or disease (schizophrenia, bipolar disorder) that required psychotropic medication or inpatient treatment on a psychiatric ward; - A history of psychosis, including schizophrenia, bipolar I or bipolar II disorder, and major depressive disorder with psychotic features; - Cognitive deficit and not thus being able to comprehend the informed consent and study procedure; - Patients with somatic, cognitive or other disorders preventing the use of the device (deafness, impaired vision, illiteracy….); - Non-comprehension of the French language |
Country | Name | City | State |
---|---|---|---|
France | Centre Hospitalier Charles PERRENS | Bordeaux |
Lead Sponsor | Collaborator |
---|---|
Centre Hospitalier Charles Perrens, Bordeaux |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | A greater clinical response in the active group (smartphone application) comparatively to the comparator group (clinical response was defined as a decline in HDRS-17 score greater than 50%) | HDRS Hamilton Depressive Rating Scale. Changes in HDRS scores of at least 50% at 8 weeks. | Baseline (pre-treatment). 8 weeks post-baseline | |
Secondary | Improvement in scores for therapeutic alliance | Measurement by the 4PAS (4-Point Ordinal Alliance Self-Report) | baseline (pre-treatment). 8 weeks post-baseline | |
Secondary | Improvement in scores for medication adherence | Measurement by the MARS (Medical Adherence Rating Scale) | 8 weeks after enrollment | |
Secondary | Improvement in scores for Quality of Life | Measurement by the Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form) | 8 weeks after enrollment |
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