Depression Clinical Trial
Official title:
Designing a Mobile App to Support Academic Success for Student Veterans
Compared to civilian students in higher education, student Veterans have high rates of mental health disorders (PTSD: 40% vs. 9% and Depression: 24% vs 12.1%). As a result, Veterans with mental health disorders can be more likely to experience academic issues, such as lower enrollment rates and slower degree attainment on average. In addition, student Veterans with mental health disorders can experience substantial challenges with the already-difficult transition to the student role, with difficulties related to education planning, academic skills, and mental health management. Though many student Veterans could benefit from programming embedded in supported education interventions, current in-person VA supported education treatments are often difficult to access - or not available locally - for these Veterans. In addition, there is no widely available, VA-specific online or mobile-app based resource for students, which is a substantial gap in resources for student Veterans. The goal of this project is to develop and evaluate a comprehensive mobile app for student Veterans with mental health disorders. This intervention will use the principles of Veteran supported education research and manualized treatments to develop a personalized academic success app, VetEd, to address a variety of academic and psychiatric symptom-related educational barriers for student Veterans. Specifically, VetEd will provide a resource to (1) orient student Veterans with mental health disorders to successfully transition to the role of student as defined by their self-created educational roadmap, which will include helping students acquire (2) academic skills, (3) mental health management skills, and (4) up-to-date information on psychiatric, academic, and financial resources to help them successfully meet higher-education expectations. This overall study will involve three aims: 1) Developing a Veteran-centered educational support app to help student Veterans with mental health disorders to identify their perceived academic needs, app preferences, and evaluate Veteran-centered content; 2) Testing and iteratively revising the VetEd app (n =15) by assessing app software, content, human-computer interface, usability, satisfaction data, and preliminary exploration of changes in educational functioning (course activity completion, academic self-efficacy, and retention; and 3) Completing final revisions of the VetEd app for a future grant application of a larger RCT. This pilot project is significant and innovative in three key respects: (1) it extends services based in previous, effective supported education research to address both psychiatric and academic concerns for Veterans with mental health disorders; (2) is potentially cost-effective and easy to disseminate nationally; and (3) focuses on improving Veterans' academic functioning and quality of life is substantially different than current VA mobile app offerings. Results from this pilot project will inform the development of a Merit Review application for a larger, randomized clinical trial of VetEd with student Veterans.
Status | Recruiting |
Enrollment | 15 |
Est. completion date | June 30, 2024 |
Est. primary completion date | May 31, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Currently enrolled in a minimum of at least 2 courses in a higher education setting - Current DSM-5 mental health disorder - Competent to provide informed consent - Owns a smart phone capable of supporting mobile apps - Are willing and able to read in English - Self-report struggling with current course activities Exclusion Criteria: - Not currently enrolled as a student - Current or recent (within 1 month of study entry) moderate or severe DSM-5 alcohol or drug use disorder - Cognitive impairment that would interfere with participation - Severe suicidal ideation or a psychiatric hospitalization within the past month |
Country | Name | City | State |
---|---|---|---|
United States | VA Bedford HealthCare System, Bedford, MA | Bedford | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | System Usability Scale (SUS) | The SUS a 10-item measure, scored on a 5-point Likert scale, that assesses human-computer interaction. A SUS score above 58 is regarded as above average, and a SUS score above 80 a score above which participants are likely to recommend the product to friends. | 4-week time point | |
Secondary | Acceptability E-Scale (AES) | The AES is a 5-item validated measure of the acceptability of mobile interventions, which has a cut-off of 80% for acceptability covering overall and specific component satisfaction. It will take approximately 2 minutes. | 4-week time point | |
Secondary | The Academic Self-Efficacy Scale (ASES) | An eight-item rapid assessment instrument to assess respondent self-efficacy regarding several academic skills related to academic achievement, such as time management, taking notes, taking tests, and general academic ability. | Baseline and 4-week time point | |
Secondary | The Coping With Education Barriers Subscale (CWBS) | A subscale of the full 28 item scale, specifically the Coping with Educational Barriers scale (20 items), which assesses participants' degree of confidence in overcoming potential educational barriers (both internal and external). | Baseline and 4-week time point | |
Secondary | Military to Civilian questionnaire (M2C-Q) | A 16-item intended to measure dimensions of community reintegration related to productivity (in education, work, and domestic life); social relations; community engagement; and perceived meaning in life, self-care, and leisure. | Baseline to 4-week time point |
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