Anxiety Disorders Clinical Trial
— PRINTEMPSOfficial title:
Preventing Psychological Distress and Suicidal Behaviours: a Web-based and Mobile Suicide Prevention Intervention in the General Population
NCT number | NCT03565562 |
Other study ID # | C 15-45 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | April 1, 2018 |
Est. completion date | March 31, 2020 |
An interventional research study will be undertaken to assess the effectiveness of the promotion at the local level of an e-health tool for suicide and psychological distress prevention (the StopBlues application and website). This trial is a cluster-randomized, parallel group, controlled intervention study with local authorities as the unit of randomization. Local authorities will be randomly assigned to one of the following three arms: local authorities not promoting the e-health tool (control group); local authorities promoting the e-health tool without general practitioners (GPs) involvement; local authorities promoting the e-health tool including GPs' waiting room. The trial will last 24 months and after a 12-month post-randomization period, local authorities from the control group will be allowed for a further 12-month period to launch their promotional campaign supported by the research team through regular contacts and additional technical and financial resources (intensively sustained promotion). This will facilitate the recruitment of clusters as well as their adherence to the intervention during the first 12-month period. The main criterion will be the number of suicidal acts at nine months. Data will be collected both at the local authority level and at the individual e-health tool user level.
Status | Recruiting |
Enrollment | 100000 |
Est. completion date | March 31, 2020 |
Est. primary completion date | December 31, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - >18 years - living in one of the 42 french local authority participating to the trial - volunteer - access to internet (smartphone/tablet/computer) Exclusion Criteria: - <18 years |
Country | Name | City | State |
---|---|---|---|
France | Faculté de Médecine Paris Diderot Paris 7 | Paris |
Lead Sponsor | Collaborator |
---|---|
Institut National de la Santé Et de la Recherche Médicale, France | Centre Collaborateur OMS pour la recherche et la formation en santé mentale, Institut de Recherche en Santé Publique, France, National Agency of Public Health, UMR INSERM 1246 - SPHERE MethodS in Patients-centered outcomes and HEalth ResEarch |
France,
Allen J, Mohatt G, Fok CC, Henry D; People Awakening Team. Suicide prevention as a community development process: understanding circumpolar youth suicide prevention through community level outcomes. Int J Circumpolar Health. 2009 Jun;68(3):274-91. — View Citation
Atkinson NL, Saperstein SL, Pleis J. Using the internet for health-related activities: findings from a national probability sample. J Med Internet Res. 2009 Feb 20;11(1):e4. doi: 10.2196/jmir.1035. — View Citation
Bean G, Baber KM. Connect: an effective community-based youth suicide prevention program. Suicide Life Threat Behav. 2011 Feb;41(1):87-97. doi: 10.1111/j.1943-278X.2010.00006.x. Epub 2011 Jan 24. — View Citation
Bertolote J, Fleischmann A. A global perspective on the magnitude of suicide mortality. The Oxford Textbook of Suicidology and Suicide Prevention: A Global Perspective. Oxford: Oxford University Press. Wasserman D., Wasserman C.; 2009. p. 91 98.
Campbell MK, Piaggio G, Elbourne DR, Altman DG; CONSORT Group. Consort 2010 statement: extension to cluster randomised trials. BMJ. 2012 Sep 4;345:e5661. doi: 10.1136/bmj.e5661. — View Citation
Chabaud F, Debarre J, Serazin C, Bouet R, Vaïva G, Roelandt JL. [Study of population profiles in relation to the level of suicide risk in France: Study "Mental health in the general population"]. Encephale. 2010;36(3 Suppl):33-8. doi: 10.1016/S0013-7006(10)70016-6. French. — View Citation
Dickerson S, Reinhart AM, Feeley TH, Bidani R, Rich E, Garg VK, Hershey CO. Patient Internet use for health information at three urban primary care clinics. J Am Med Inform Assoc. 2004 Nov-Dec;11(6):499-504. Epub 2004 Aug 6. — View Citation
du Roscoät E, Beck F. Efficient interventions on suicide prevention: a literature review. Rev Epidemiol Sante Publique. 2013 Aug;61(4):363-74. doi: 10.1016/j.respe.2013.01.099. Epub 2013 Jul 10. Review. — View Citation
Haga SM, Drozd F, Brendryen H, Slinning K. Mamma mia: a feasibility study of a web-based intervention to reduce the risk of postpartum depression and enhance subjective well-being. JMIR Res Protoc. 2013 Aug 12;2(2):e29. doi: 10.2196/resprot.2659. — View Citation
HAS. Choix méthodologiques pour l'évaluation économique à la HAS. 2011
Hegerl U, Althaus D, Schmidtke A, Niklewski G. The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality. Psychol Med. 2006 Sep;36(9):1225-33. Epub 2006 May 17. — View Citation
Kennelly B. The economic cost of suicide in Ireland. Crisis. 2007;28(2):89-94. — View Citation
Marie-Claude Mouquet, Bellamy V. Suicides et tentatives de suicide en France. Etude et Résultats. Mai 2006;(488).
Ministère des Affaires Sociales et de la Santé. Décret n° 2013-809 du 9 septembre 2013 portant création de l'Observatoire National du Suicide. 2013
Monshat K, Vella-Brodrick D, Burns J, Herrman H. Mental health promotion in the Internet age: a consultation with Australian young people to inform the design of an online mindfulness training programme. Health Promot Int. 2012 Jun;27(2):177-86. doi: 10.1093/heapro/dar017. Epub 2011 Mar 11. — View Citation
O'Dea D, Tucker S. The cost of suicide to society. Wellington: Ministry of Health. 2005.
Ono Y, Sakai A, Otsuka K, Uda H, Oyama H, Ishizuka N, Awata S, Ishida Y, Iwasa H, Kamei Y, Motohashi Y, Nakamura J, Nishi N, Watanabe N, Yotsumoto T, Nakagawa A, Suzuki Y, Tajima M, Tanaka E, Sakai H, Yonemoto N. Effectiveness of a multimodal community intervention program to prevent suicide and suicide attempts: a quasi-experimental study. PLoS One. 2013 Oct 9;8(10):e74902. doi: 10.1371/journal.pone.0074902. eCollection 2013. — View Citation
Pearson A, Saini P, Da Cruz D, Miles C, While D, Swinson N, Williams A, Shaw J, Appleby L, Kapur N. Primary care contact prior to suicide in individuals with mental illness. Br J Gen Pract. 2009 Nov;59(568):825-32. doi: 10.3399/bjgp09X472881. — View Citation
Programme national d'actions contre le suicide 2011-2014. 2011
Réseau OSCOUR® / Surveillance syndromique - SurSaUD® / Veille et alerte / Dossiers thématiques / Accueil [Internet]. Disponible sur: http://www.invs.sante.fr/Dossiers-thematiques/Veille-et-alerte/Surveillance-syndromique-SurSaUD-R/Reseau-OSCOUR-R
Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, Haring C, Hawton K, Lönnqvist J, Michel K, Pommereau X, Querejeta I, Phillipe I, Salander-Renberg E, Temesváry B, Wasserman D, Fricke S, Weinacker B, Sampaio-Faria JG. Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989-1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1996 May;93(5):327-38. — View Citation
Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ. 2010 Mar 23;340:c332. doi: 10.1136/bmj.c332. — View Citation
* Note: There are 22 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of suicides - Short term | The number of completed suicides will be extracted from the database of the Epidemiology center on medical causes of deaths (CépiDc) for each local authority participating. | At month 9 | |
Primary | Number of suicide attempts - Short term | The number of attempted suicides will be extracted from the national database of public and private hospital admissions (PMSI-MCO) and the national emergency database (Oscour). | At month 9 | |
Secondary | Number of suicides - Long term | The number of completed suicides will be extracted from the database of the Epidemiology center on medical causes of deaths (CépiDc) for each local authority participating. | At the end of the trial (month 18) | |
Secondary | Number of suicide attempts - Long term | The number of attempted suicides will be extracted from the national database of public and private hospital admissions (PMSI-MCO) and the national emergency database (Oscour). | At the end of the trial (month 18) | |
Secondary | Costs | Fixed costs for the development of the intervention including promotions tools, semi-fixed costs for the implementation of the program by local authorities and GPs, costs of suicidal acts. | At 9 months and at the end of the trial (month 18) | |
Secondary | Level of health-related quality of life and associated utility of StopBlues users | Collected through self-assessment at the user level with the quality of life questionnaire Short Form-12 (SF-12). | At registration, and 1, 2, 3, 6, 12 and 18 months after | |
Secondary | Level of psychological pain of StopBlues users | Collected through self-assessment at the user level with the 12-item General Health Questionnaire (GHQ-12). | At registration, and then at 1, 2, 3, 6, 12 and 18 months | |
Secondary | Level of depression of StopBlues users | Collected through self-assessment at the user level with the Patient Health Questionnaire (PHQ-9) | At registration, and then at 1, 2, 3, 6, 12 and 18 months | |
Secondary | Level of anxiety of StopBlues users | Collected through self-assessment at the user level with the General Anxiety Disorder questionnaire (GAD-7). | At registration, and then at 1, 2, 3, 6, 12 and 18 months | |
Secondary | Level of suicidal risk of StopBlues users | Collected through self-assessment at the user level with the 6 questions on the suicidal risk of the Mini International Neuropsychiatric Interview-Simplified (MINI-S). The MINI-S is not available at registration, it will be triggered when results to GHQ-12, PHQ-9 and/or GAD-7 are considered showing a suicidal risk for the user. | At first filling and 1, 2, 3, 6, 12 and 18 months after | |
Secondary | Help-seeking behaviors and implementation of supportive activities into daily life of StopBlues users | Collected through self-assessment at the user level with an ad hoc questionnaire adapted from the general health-seeking questionnaire (GHSQ). | At registration, and 1, 2, 3, 6, 12 and 18 months after | |
Secondary | Level of depression (for StopBlues users coming for a relative) | Collected at the user level with the Montgomery-Asberg Depression Scale (MADRS). It has 10 questions, quoted from 0 to 6. | At registration | |
Secondary | Intention to seek help of StopBlues users | French traduction of the first question of the General Help-Seeking Questionnaire -Original Version (GHSQ). | At registration for users coming for a relative, and at registration and 1, 2, 3, 6, 12 and 18 months after for users coming for themselves | |
Secondary | Intensity of the participation to the application and website | Number of downloads and connections for each zip codes of local authorities included in the trial. | At month 9 and 18 (end of the trial) | |
Secondary | Length of use to the application and website | Time-lapse between the inscription and the last connection to the application or website. | At month 9 and 18 (end of the trial) | |
Secondary | Proportion of StopBlues users who came to know the e-health tool through the different communication channels | Collected at the user level with a specific question: "How did you get to know about the StopBlues program?" . 1/ By public display 2/ In public places (employment center, library ...) 3/ On my city website 4/ By the press 5/ Through social networks 6/ At merchants 7/ At my pharmacist 8/ At my GP 9/ At another health professional (physiotherapist, medical specialist ...) 10/Through relationships (friends, families, neighbors ...) 11/ Other |
At registration | |
Secondary | Proportion of StopBlues users who came for a relative | The proportion of users who subscribed for a relative and not for themselves. | At registration | |
Secondary | StopBlues users with a safety plan | The proportion of users who filled up a safety plan. | At month 9 and 18 (end of the trial) |
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