Depressive Symptoms Clinical Trial
Official title:
Randomized Controlled Trial of a Culturally-adapted Version of Thrive, a Computerized Cognitive Behavior Therapy (cCBT) Program to Treat Depressive Symptoms, Syndromes, and Disorders Among Rural Montanans
This study evaluates a culturally-modified version of Thrive, a computerized Cognitive Behavior Therapy program to treat depressive symptoms, syndromes, and disorders among rural Montanans. Study participants will be randomized to either a wait-list treatment as usual or the Thrive program. After 8 weeks, the wait-list group will then receive Thrive. The primary assessment measure is the Patient Health Questionnaire-9.
Montana ranks high among states on mental health disorder prevalence and low on access to
mental health care. It has the highest suicide rate in the nation. Of Montana's 56 counties,
10 are classified as rural and 45 as frontier, accentuating distance challenges in accessing
care. New treatment delivery modalities are needed to complement, supplement and augment
traditional mental health care. With increase in access to the Internet,
computer-administered Cognitive Behavior Therapy (cCBT) programs have emerged as viable
approaches to effective treatment of depression.
Thrive is an interactive cCBT program with a heavy emphasis on video rather than text content
that appears to improve participant engagement, a shortcoming seen in prior cCBT programs.
The goal of this project is to conduct a randomized wait-list controlled of Thrive to
determine its effectiveness in reducing depressive symptom severity among Montanans, many of
whom have few or no other options for mental health treatment.
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