Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Primary |
Study 1: Mental Health America Engagement |
Time spent on webpages after screening results provided |
Through active web session, an average of 10 minutes |
|
| Primary |
Study 1: Mental Health America Engagement |
Number of article(s) read after screening results provided |
Through active web session, an average of 10 minutes |
|
| Primary |
Study 1: Mental Health America Disengagement |
Proportion of users leaving website after shown assigned intervention |
Through active web session, an average of 10 minutes |
|
| Primary |
Study 1: DIY Completion Rate |
Percent of completion of the DIY tool |
Week 1, Week 2, Week 3, Week 4 |
|
| Primary |
Study 2: Engagement (Dosage) |
Number of times using the DIY tool |
Week 1, Week 2, Week 3, Week 4 |
|
| Primary |
Study 2: Tool Use Helpfulness |
Measured using one item (Using the tool has been helpful to me in dealing with my negative thoughts and emotions) on a scale of 1 (strongly agree) to 4 (strongly disagree). Note: includes 5 qualitative questions, not included here. |
Week 1, Week 2, Week 3, Week 4, Week 8 |
|
| Primary |
Study 2: Emotion Mechanisms |
Emotion mechanisms are measured using a 16-item scale for the control group and a 17-item scale for the DIY, no AI and DIY, with AI groups on a scale of 1-10, with higher scores meaning more intensity for each specific emotion. At W8, Emotion Mechanisms are measured using 22 items on a scale of 1-10. Scores will be assessed using mean item-level scores. Participants are asked about their emotions (e.g., confidence, anxiety, comfort, hopefulness, motivation) about their ability to address negative thoughts. These include, for example, identifying thinking traps, reframing negative thoughts, commitment to regularly engaging in the reframing practice, and motivation to keep improving their reframing skills. For the four items that ask about feeling anxious or intimidated, higher scores indicate greater anxiety and intimidation. For the remaining items, higher scores indicate better emotion mechanisms. |
Week 1, Week 2, Week 3, Week 4, Week 8 |
|
| Primary |
Study 2: Tool Mechanisms |
Tool Mechanisms is measured using 4 items about reframing. The items measure relatability/believability, helpfulness, memorability, and learnability on a scale of 1( strongly agree) to 4 (Strongly disagree). Scores will be assessed using mean item-level scores, with higher scores indicating better outcomes after using a DIY tool. |
Week 1, Week 2, Week 3, Week 4 |
|
| Primary |
Study 2: Tool Mechanisms (Part 2) |
Tool Mechanisms (Part 2) is measured using 2 items about belief change and emotion change on a scale of 1 to 10. Scores will be assessed using mean item-level scores, with higher scores indicating stronger beliefs and emotions after completing a DIY tool. Note: this also includes 1 qualitative question; not included here. |
Week 1, Week 2, Week 3, Week 4 |
|
| Primary |
Study 2: Hopefulness |
Hopefulness is measured using a single item (How hopeful do you feel about the future?) on a scale of 1 to 10. |
Week 1, Week 2, Week 3, Week 4, Week 8 |
|
| Primary |
Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report |
The Competencies of Cognitive Therapy Scale will be used to ask participants about how much they have used specific strategies to cope with negative moods, primarily negative automatic thoughts, in the last 4 weeks. The current study will use items 20, 28, 21, 6, 24, and 11; all items are rated on a scale of 1 (not at all) to 7 (completely). Higher scores indicate better outcomes. Scores will be assessed using mean item-level scores. These items ask participants about the following strategies: re-evaluating the situation, taking time to step back from a situation and considering that their negative thoughts might be inaccurate, actively working to develop more rational views, having a specific action plan of things they could do to cope, taking time to consider other factors that may have been involved, and taking note of what they were thinking and working to develop a more balanced view. Note: this also includes 3 qualitative questions; not included here. |
Week 1, Week 2, Week 3, Week 4, Week 8 |
|
| Secondary |
Study 2: Patient Health Questionnaire (PHQ-9) |
The Patient Health Questionnaire (PHQ-9) consists of 9 depression items. Each item is associated with a Diagnostic and Statistical Manual (DSM) symptom of depression. Participants rate whether or not they have experienced the symptom over the last two weeks, with severity ratings of 0 to 3. Total scores range from 0 to 27, with higher scores indicating greater severity of depression symptoms. It is one of the few measures that is brief (it takes less than one minute to give) and has been found to have excellent sensitivity to change over time. Used for screening and will be used as a moderator. |
Baseline, Week 1, Week 2, Week 3, Week 4, Week 8 |
|
| Secondary |
Study 2: Generalized Anxiety Disorder (GAD-7) |
A 7- item screener for generalized anxiety. It consists of items related to Generalized Anxiety Disorder (GAD). Participants rate how much anxiety they have experienced in the last two weeks on a scale of 0 to 3. Total scores range from 0 to 21, with higher scores indicating greater severity of anxiety symptoms. The scale is a valid screener for GAD. Used for screening and will be used as a moderator. |
Baseline, Week 1, Week 2, Week 3, Week 4, Week 8 |
|
