Online Positive Emotion Skills Intervention for Symptoms of Depression (MARIGOLD)

This study is currently recruiting participants. (see Contacts and Locations)
Verified July 2014 by University of California, San Francisco
Sponsor:
Information provided by (Responsible Party):
University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT01964820
First received: October 10, 2013
Last updated: July 30, 2014
Last verified: July 2014
  Purpose

Major depressive disorder affects over 120 million people worldwide. Only 50% of Americans with depression receive adequate treatment, and one-third of those receiving treatment do not benefit. In this pilot project investigators will bring together two approaches that have the promise to reach large numbers of depression sufferers: a skills-based intervention for increasing positive affect and experiences in depressed individuals, delivered in an inexpensive self-paced mobile format. The study will make use of smartphone technology to improve conventional outcome measurement via in-the-moment emotion sampling and mobile assessment of heart rate variability, a predictor of cardiac health that may mediate some of the health effects of depression. The aims are: 1) Retool the existing web-based positive emotion intervention for use on smartphones, with innovative exercises that help participants bring the skills they are learning into real- life situations; 2) Measure heart rate variability and emotions using existing smartphone software; and 3) Perform a randomized pilot trial of the mobile intervention on individuals with clinical depression recruited online.


Condition Intervention
Depression
Psychological Stress
Affect
Behavioral: Positive Affect Skills Training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Online Positive Emotion Skills Intervention for Symptoms of Depression - Pilot Feasibility Trial

Resource links provided by NLM:


Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Retention / feasibility [ Time Frame: 3 months after completion of intervention (5 months post-enrollment, may be slightly more or less for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]
    Determine percentage of participants providing data at each stage of the study (intervention phase, post-intervention, 1 month followup, 3 month followup)

  • Depression symptoms (PHQ-9 questionnaire) [ Time Frame: 60 days after enrollment (administered immediately post-intervention, may be slightly more or less than 60 days for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]
  • Depression symptoms (CES-D questionnaire) [ Time Frame: 60 days after enrollment (administered immediately post-intervention, may be slightly more or less than 60 days for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Perceived Stress (PSS questionnaire) [ Time Frame: 60 days after enrollment (administered immediately post-intervention, may be slightly more or less than 60 days for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]
  • Positive and Negative affect (DES questionnaire) [ Time Frame: 60 days after enrollment (administered immediately post-intervention, may be slightly more or less than 60 days for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]
  • Depression symptoms at follow-up (CESD questionnaire) [ Time Frame: 3 months after completion of intervention (5 months post-enrollment, may be slightly more or less for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]
  • Depression symptoms at follow-up (PHQ-9 questionnaire) [ Time Frame: 3 months after completion of intervention (5 months post-enrollment, may be slightly more or less for intervention participants depending on time taken to complete the course) ] [ Designated as safety issue: No ]

Estimated Enrollment: 200
Study Start Date: July 2014
Estimated Study Completion Date: December 2014
Estimated Primary Completion Date: December 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Positive affect skills intervention
Participants receive a 5-week intervention providing training in 8 skills for generating positive affect.
Behavioral: Positive Affect Skills Training

Our intervention teaches 8 skills that research suggests lead to increased positive emotions, beginning with basic skills (recognizing and savoring positive events), and progressing to more complex ones such as goal- setting and acts of kindness. Established skills such as reappraising negative thoughts are also taught, in the context of cultivating positive emotions and coping with stress.

The skills are taught over 5 weeks, with one or more new skills introduced each week. A week consists of 1-2 days of didactic material and 5-6 days of real-life skills practice and reporting.

For a full description, see "A positive affect intervention for people experiencing health-related stress: development and non-randomized pilot test" (Moskowitz et al., 2012).

Other Names:
  • DAHLIA
  • MARIGOLD
No Intervention: Emotion reporting
Participants report emotions on the same regular basis as intervention participants, but receive no intervention.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Daily internet access
  • Cell phone ownership
  • Score of 10 or greater on the PHQ-8 depression scale

Exclusion Criteria:

-

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01964820

Contacts
Contact: Michael A Cohn, PhD cohnm@ocim.ucsf.edu

Locations
United States, California
University of California, San Francisco - Osher Center for Integrative Medicine Recruiting
San Francisco, California, United States, 94143-1726
Sponsors and Collaborators
University of California, San Francisco
Investigators
Principal Investigator: Judith T Moskowitz, PhD University of California, San Francisco
Principal Investigator: Michael A Cohn, PhD University of California, San Francisco
  More Information

Publications:
Responsible Party: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT01964820     History of Changes
Other Study ID Numbers: UCSF CHR 13-12256
Study First Received: October 10, 2013
Last Updated: July 30, 2014
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Depression
Depressive Disorder
Stress, Psychological
Behavioral Symptoms
Mood Disorders
Mental Disorders

ClinicalTrials.gov processed this record on September 18, 2014