StriveWeekly: Self-Guided Online Intervention for Anxiety, Depression, and Stress in University Students

Anxiety Clinical Trial

Official title:

Randomized Control Trial of Online Mental Health Promotion Program for University Students

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04361045
• Other study ID #: 17-000761
• Status: Completed
• Phase: N/A
• Start date: September 14, 2017
• Est. completion date: March 18, 2018

Study information

• Verified date: May 2023
• Source: University of California, Los Angeles
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study was a randomized controlled trial of an original online mental health promotion program. This study aimed to: 1) establish program effectiveness by examining symptom change between conditions and 2) examine predictors of symptom change. The program was previously tested in open trial feasibility study by the same Principal Investigator and has since been rebuilt as informed by feasibility findings and participant qualitative feedback.

Participants were randomly assigned to either a waitlist condition or eight weeks of the intervention condition. Baseline, posttest, and follow-up electronic surveys collected self-reported symptoms of stress, anxiety, and depression. Motivational variables were also assessed at baseline and then tested as moderators of intervention effects.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1631
• Est. completion date: March 18, 2018
• Est. primary completion date: March 18, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• enrolled as a student at UCLA (Fall 2017 - Winter 2018)

Exclusion Criteria:

• concurrent enrollment in a similar online anxiety and depression treatment study on campus

• invalid data reporting (e.g., straight-lined responses to surveys) -- post hoc exclusion

Related Conditions & MeSH terms

• Anxiety
• Depression
• Depressive Symptoms
• Stress, Psychological

Intervention

Behavioral:
• StriveWeekly
The intervention (app.striveweekly.com) delivered eight modules: introduction module, six skills modules, and wrap-up module. The two program "brand name" versions had identical content, but different aesthetic schemes. Modules were released week-by-week, and participants self-guided through content. To facilitate skills practice, every module was accompanied by: a weekly intro email and reminder emails; an "extras" section for tips/suggestions; and a weekly prize drawing. The "Dashboard" section of the intervention displayed user progress. The "Campus" section of this dashboard provided: campus-specific announcements; referrals to relevant campus wellness resources; and an anonymous livestream of all campus users' activity. Strategies/skills included: Psychoeducation; Self-monitoring; Behavioral activation; Cognitive restructuring; Sleep hygiene; Time management; Interpersonal avoidance exposures; Physical exercise; Mindfulness; Maintenance planning.

Locations

Country	Name	City	State
United States	University of California, Los Angeles	Los Angeles	California

Sponsors (1)

Lead Sponsor	Collaborator
University of California, Los Angeles

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Subjective Happiness Scale	This 4-item self-report measure assesses subjective happiness. Individual items are rated 1 to 7, with total scores ranging 4 - 28. Higher scores at posttest relative to baseline indicate improvement.	[Time Frame: Baseline to Posttest (~8 weeks)]
Other	Patient Health Questionnaire-9	This 9-item self-report measure assesses symptoms of major depressive disorder. Individual items are rated 0 (Not at all) to 3 (Nearly every day), with total scores ranging 0 - 27. Lower scores at posttest relative to baseline indicate improvement.	[Time Frame: Baseline to Posttest (~8 weeks)]
Primary	Depression Anxiety and Stress Scale (DASS-21)	This 21-item self-report measure assesses symptoms of depression, anxiety, and stress. Individual items are rated 0 (Did not apply to me at all) to 3 (Applied to me very much or most of the time), with total scores ranging 0 - 63. Lower scores at posttest relative to baseline indicate improvement.	[Time Frame: Baseline to Posttest (~8 weeks)]
Secondary	Program Adherence	This outcome was assessed based on number of modules with 1+ skills practice log. Skills practice logs were recorded as behavioral data, stored within the online platform's database of user account activity.	[Time Frame: Baseline to Posttest (~8 weeks)]
Secondary	Program Satisfaction	This 5-item measure was adapted from the Client Satisfaction Questionnaire. Individual items are rated 1 (Poor) to 4 (Excellent), with total scores ranging 5 - 20. Higher scores indicate more satisfaction.	Posttest (~8 weeks)