Depression Clinical Trial
Official title:
Randomized Controlled Trial of a Behavioral Training App
The investigators propose addressing and evaluating the efficacy of a behavioral, contingency management app by conducting a randomized controlled trial (RCT) that will evaluate the app compared to a placebo app control group. Participants will be randomly assigned to immediate intervention using the treatment condition or to a placebo app condition. Participants will not know which condition they are assigned to until after the study completion; they will also not know that they are using the treatment app until after the study completion. The sample will consist of 100 families of school-age children (ages 6-12) who display significant behavioral problems. The treatment app is a task management platform containing a self-directed rewards system through which caregivers can assign token rewards to their children for completing routine tasks (e.g., cleaning their room, completing homework). Participants in the placebo app condition will have a similar user experience, however, tokens are assigned non-contingently (dispensed daily, rather than based on task completion). While participants will not be required to complete any tasks or behaviors in the app as part of their participation in the study, they will be asked to use the app at least once per day for 8 weeks. Given the self-directed nature of the treatment app (parents decide how frequently they access the app-based rewards system and how many tasks they assign to their child), parent involvement in the intervention will vary slightly in duration. However, based on the literature and routine practice, we anticipate parents will log in at least once a day to assign tasks to their child and follow up on completed rewards. Assessments (see details below) will occur at baseline, weekly during the intervention, and at the end of the study. The study will take about 8 weeks in total to complete once participants have been enrolled in the app.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | October 30, 2024 |
Est. primary completion date | August 30, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 6 Years to 12 Years |
Eligibility | Inclusion Criteria: - the child must be between the ages of 6-12 at the time of baseline/pre-intervention data collection - the child must have an elevated score based on the strengths and Difficulties Questionnaire (SDQ) - the parent/caregiver must be a fluent English speaker - the parent/caregiver must be the legal guardians of and have full-time custody/child care responsibilities for their child (parents/caregiver with limited contact with their child will not have the opportunity to sufficiently use the app with their child) - the parent/caregiver must have reliable and stable mobile internet access - the parent/caregiver must use an Apple iOS operating system (the research version of the app will only be available in iOS) on their phone - the parent/caregiver and their child must reside in the United States. Exclusion Criteria: - the child or parent/caregiver presents with emergency psychiatric needs that require services beyond those that can be managed within this intervention format (e.g., hospitalization, specialized placement outside the home); In this case, an active intervention by research staff to secure what is needed will be made - if the child has an elevated score for Autism Spectrum Disorder (ASD) on the Developmental Behavior Checklist-Autism Screening Algorithm and the parent indicates that their child was diagnosed with autism or another pervasive developmental disorder; - if the parent/caregiver is currently enrolled or has recently enrolled in any type of behavioral therapy program (i.e., within the past six months) - the caregiver has used the Joon app in the past. If the child is currently taking medication, families that participate in the study will be asked to keep their child's medication status stable and report changes immediately to the project director. - Additionally, participants may be removed from the study if their child's symptoms worsen considerably such that the child requires more immediate professional intervention. |
Country | Name | City | State |
---|---|---|---|
United States | New York University | New York | New York |
Lead Sponsor | Collaborator |
---|---|
New York University | Joon, Inc. |
United States,
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* Note: There are 13 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | IOWA Conners Rating Scale | The IOWA-CRS (Waschbusch & Willoughby, 2008) is a widely used brief measure of attention-deficit/hyperactivity disorder and oppositional-defiant behavior in children completed by parents. The IOWA-CRS consists of 10 items evaluated using a four-point Likert scale with the following anchors: not at all (0); just a little (1); pretty much (2); and very much (3). | before starting the intervention, throughout the 8 week intervention | |
Primary | The Disruptive Behavior Disorders (DBD) Rating Scale (Pelham et al., 1992) | The DBD scale consists of 23 items from the full 45-item measure that asks parents to rate symptoms of ADHD, ODD, and CD on a 4-point Likert scale (i.e., "not at all", "just a little", "pretty much", or "very much"), with higher scores indicating more problems. For this study, the average scores for ADHD, ODD and CD will be used. Support for the scale's reliability and validity have been reported in past samples, with acceptable levels of internal consistency (.82) and concurrent correlations with other measures used for diagnosis of ADHD and ODD being reported (Pelham et al., 2005). | before starting the intervention, 4 weeks after starting the intervention, and 8 weeks after starting the intervention | |
Primary | Impairment Rating Scale - Parent/Teacher Version (IRS) (Pelham, Fabiano, & Massetti, 2005) | The IRS is a multidimensional measure that assesses functioning across domains. Specifically, the IRS qualifies and quantifies impairment present in a child's life, both in school and non-school settings. The scale has parent and teacher versions that ask about the degree to which the child has problems that warrant treatment, intervention, or special services in specific areas of functioning. For children ages 4 through 12, the IRS has shown good psychometric properties and has empirically derived cutoff points. The IRS asks the informant to respond using a 7-point scale that ranges from "No problem; definitely does not need treatment or special services'' to "Extreme problem; definitely needs treatment or special services." The IRS exhibits concurrent, discriminant, and convergent validity, and acceptable levels of temporal stability. | before starting the intervention, 4 weeks after starting the intervention, and 8 weeks after starting the intervention | |
Secondary | Revised Child Anxiety and Depression Scale - Parent version (R-CADS-P; Chorpita & Spence, 2003) | The R-CADS is a 47-item, parent-report questionnaire with subscales including separation anxiety disorder, social phobia, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and low mood (major depressive disorder). It also yields a Total Anxiety Scale (sum of the 5 anxiety subscales) and a Total Internalizing Scale (sum of all 6 subscales). The questionnaire takes between five and ten minutes to administer. | before starting the intervention, 4 weeks after starting the intervention, and 8 weeks after starting the intervention | |
Secondary | The Parenting Stress Index-Short Form (PSI-SF) (Abidin, 1995) | PSI-SF measures the level of stress in the parent-child relationship and is appropriate for use with children aged 1 month to 12 years. It was derived from the longer Parenting Stress Index and consists of 36 statements, each rated on a 1 to 5 scale (1=strongly disagree, 5=strongly agree), which produces a Total Stress score. The items also cluster to produce three subscale scores (Parental Distress, Difficult Child, and Parent-child Dysfunctional Interaction) each derived from ratings of 12 items. | before starting the intervention, 4 weeks after starting the intervention, and 8 weeks after starting the intervention | |
Secondary | Usability Survey | The Usability Survey is a short measure of participants' perceptions of the app and their experiences. The Usability Survey was developed by the Joon team for the purposes of internal review and has been piloted in an internal study. The study consists of 13 items, rated on a scale from 0 to 4 (0 = do not agree at all; 4 = definitely agree). | 8 weeks after starting the intervention |
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