Clinical Trial Summary
The COVID-19 pandemic and more specifically the confinement is an unpleasant experience for
those who undergo it. Separation from loved ones, the loss of freedom, uncertainty over
disease status, and boredom can, on occasion, create dramatic effects.
In fact, the pandemic and its consequences are inducing a considerable degree of fear, worry
and concern in the population at large and among certain groups in particular, such as older
adults, care providers and people with underlying health conditions.
If we refer back to former pandemics (SARS-CoV-1, MERS, Ebola), suicide, post-traumatic
stress disorder (PTSD) and adjustment disorders have been reported, anger generated, and
lawsuits brought.
The current COVID-19 pandemic is an epidemiological and psychological crisis. The enormity of
living in isolation, changes in our daily lives, job loss, financial hardship and grief over
the death of loved ones has the potential to affect the mental health and well-being of many.
Given the developing situation with Covid-19, policy makers urgently need evidence synthesis
to produce guidance for the public and patients suffering from mental disorders such as PTSD
and adjustment disorders. Therefore, it seems crucial to assess and manage the signs of
anxiety, panic attacks, depression and suicide easily and at the national scale using fast,
efficient and cutting-edge techniques.
Objectives :
To assess the superiority of the VieCovid2020 smartphone app, in add-on to usual care in
patients suffering from PTSD or adjustment disorders within the context of COVID-19, on the
rate of responders at 6 months using the PCL-5 (PTSD Checklist for DSM-5)
The VieCovid2020 smartphone application provides lifestyle and educational advices, as well
as, a real-time data collection targeted the emotional state of the user.
It will be used during 3 months in add-on to usual psychiatric intervention and psychiatric
evaluations.
Design of the study :
Multicentric randomized controlled superiority trial with 2 parallel arms. The randomization
will be a various-sized block randomization, stratified by centre and by co-treatment (=usual
psychiatric intervention) prescribed at baseline before randomisation: selective serotonin
reuptake inhibitors (SSRI) alone or SSRI in combination to eye movement desensitization and
reprocessing (EMDR), cognitive behavioural therapy (CBT) or reconsolidation blockade.
Objectives :
To assess the superiority of the VieCovid2020 smartphone app, in add-on to usual care in
patients suffering from PTSD or adjustment disorders within the context of COVID-19, on the
rate of responders at 6 months using the PCL-5 (PTSD Checklist for DSM-5)
Every patient will be randomized between:
- usual psychiatric intervention alone and psychiatric evaluations at 5 following time
points (day 1, 1 month, 3 months, 6 months and 12 months) (control arm) or
- a real-time assessment using the VieCovid2020 smartphone application during the first 3
months in add-on to usual psychiatric intervention and psychiatric evaluations at 5
following time points (day 1; 1 month; 3 months, 6 months and 12 months) (intervention
arm)
Use of the VieCovid2020 smartphone application and psychiatric evaluations at 5 following
time points are added by the research.
Population :
Volunteers suffering from PTSD or adjustment disorders will be included within the study.
Application :
The VieCovid2020 smartphone application provides lifestyle and educational advices, as well
as, a real-time data collection targeted the emotional state of the user.
It will be used during 3 months in add-on to usual psychiatric intervention and psychiatric
evaluations.
Expected benefits :
A potential reduction of acute and chronic stress is expected among users of the application
in particular with the set of lifestyle and educational advices proposed every week.
In the COVID-19 pandemic context, the expected benefits for society is to contribute to
reduce the number of patients suffering from PTSD or adjustment disorders.
850 patients are expected and 18 sites in France.
