Storytelling Video Intervention for Depressed Primary Care Patients - Open Trial
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Depression, Depression, Major Depression Disorder (MDD) |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | July 2016 |
| End Date: | March 2017 |
| Contact: | Carter Davis |
| Email: | CHDavis@butler.org |
| Phone: | 401-455-6487 |
Narrative Intervention to Disseminate ACT for Depression in Primary Care
The overall aim of this program of research is to develop a collaborative narrative
intervention for patients with depression being treated in primary care.
The purpose of the proposed project is to establish the feasibility, acceptability, and
preliminary effects of our newly developed narrative intervention on depression.
To achieve the specific aims, the investigators will conduct an open trial to further
develop and refine the intervention (n = 10).
intervention for patients with depression being treated in primary care.
The purpose of the proposed project is to establish the feasibility, acceptability, and
preliminary effects of our newly developed narrative intervention on depression.
To achieve the specific aims, the investigators will conduct an open trial to further
develop and refine the intervention (n = 10).
The public health impact of existing treatments for major depression is limited by our
ability to disseminate those treatments. There is a particular need to find innovative ways
to disseminate key principles of empirically supported psychotherapy in primary care
settings. Narrative communication is an alternative way to disseminate psychotherapy
behavior change principles. Narrative communication refers to "storytelling" -real people
talking about their struggles and successful ways of coping. An advantage of narrative
communication is that it can be easily distributed (by video) and may reach people who do
not have access to other technologies or who experience barriers to traditional
psychotherapy. We propose that key principles of a type of cognitive-behavioral therapy
(Acceptance and Commitment Therapy, or ACT) can be readily disseminated through a video
storytelling intervention. ACT is an empirically supported therapy for depression. Together
with a video production firm with a record of working in healthcare and developing
documentary-style videos, we will produce a storytelling video intervention (sTVi).
Our aim is to conduct a small open trial (n = 10) of antidepressant medication treatment as
usual + sTVi. Assessments will occur at baseline and 4 weeks (post-treatment). We will
examine the feasibility and acceptability of sTVi (e.g., uptake and completion of sTVi,
engagement with videos, and understanding of key ACT principles) and of this research
design. We will examine treatment effects (within relevant confidence intervals) on outcomes
(e.g., depression severity). We will examine change in potential mechanisms, i.e.,
ACT-consistent coping strategies derived from key ACT principles.
ability to disseminate those treatments. There is a particular need to find innovative ways
to disseminate key principles of empirically supported psychotherapy in primary care
settings. Narrative communication is an alternative way to disseminate psychotherapy
behavior change principles. Narrative communication refers to "storytelling" -real people
talking about their struggles and successful ways of coping. An advantage of narrative
communication is that it can be easily distributed (by video) and may reach people who do
not have access to other technologies or who experience barriers to traditional
psychotherapy. We propose that key principles of a type of cognitive-behavioral therapy
(Acceptance and Commitment Therapy, or ACT) can be readily disseminated through a video
storytelling intervention. ACT is an empirically supported therapy for depression. Together
with a video production firm with a record of working in healthcare and developing
documentary-style videos, we will produce a storytelling video intervention (sTVi).
Our aim is to conduct a small open trial (n = 10) of antidepressant medication treatment as
usual + sTVi. Assessments will occur at baseline and 4 weeks (post-treatment). We will
examine the feasibility and acceptability of sTVi (e.g., uptake and completion of sTVi,
engagement with videos, and understanding of key ACT principles) and of this research
design. We will examine treatment effects (within relevant confidence intervals) on outcomes
(e.g., depression severity). We will examine change in potential mechanisms, i.e.,
ACT-consistent coping strategies derived from key ACT principles.
Inclusion Criteria:
1. Meets DSM-5 criteria for current or lifetime major depressive disorder.
2. No Lifetime diagnosis of bipolar disorder, schizophrenia, or chronic psychotic
condition.
3. No current hazardous illicit drug or alcohol use.
4. No suicidal ideation or behavior requiring immediate attention.
5. Depression symptom severity: a Quick Inventory of Depressive Symptoms (QIDS) score
>11.
6. Taking an antidepressant medication for at least 6 weeks; prescribed by their primary
care provider.
7. Not in psychotherapy during the study period.
8. Have a PCP at our enrollment site.
9. If pregnant, less than 24 weeks gestation.
10. English speaking.
11. Aged 18 or older.
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