Storytelling Video Intervention for Depressed Primary Care Patients - Pilot Trial
| Status: | Recruiting |
|---|---|
| Conditions: | Depression, Depression, Major Depression Disorder (MDD) |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 12/8/2018 |
| Start Date: | May 1, 2017 |
| End Date: | March 2019 |
| 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 refine and test a newly developed
storytelling video intervention (sTVi) for depressed primary care patients.
The purpose of the proposed project is to establish the feasibility, acceptability, and
preliminary effects of the intervention for an eventual large-scale randomized clinical trial
which would test the efficacy of sTVi in comparison to a control condition.
To achieve the specific aims, the investigators will conduct a pilot randomized clinical
trial (n = 40), with two treatment arms: antidepressant treatment as usual (aTAU) + sTVI vs
aTAU + attention control videos.
storytelling video intervention (sTVi) for depressed primary care patients.
The purpose of the proposed project is to establish the feasibility, acceptability, and
preliminary effects of the intervention for an eventual large-scale randomized clinical trial
which would test the efficacy of sTVi in comparison to a control condition.
To achieve the specific aims, the investigators will conduct a pilot randomized clinical
trial (n = 40), with two treatment arms: antidepressant treatment as usual (aTAU) + sTVI vs
aTAU + attention control videos.
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.
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 specific aim is to conduct a pilot randomized controlled trial (n = 40) with depressed
primary care patients who will receive either antidepressant treatment as usual (aTAU) + sTVi
vs aTAU + attention control videos. Assessments will occur at baseline, 4 (post-treatment)
and 12 weeks (follow-up). We will examine feasibility and acceptability of sTVi (e.g., uptake
and completion of sTVi, engagement with videos, and understanding of key ACT principles), the
attention control videos, and this research design. We will examine treatment differences
(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.
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 specific aim is to conduct a pilot randomized controlled trial (n = 40) with depressed
primary care patients who will receive either antidepressant treatment as usual (aTAU) + sTVi
vs aTAU + attention control videos. Assessments will occur at baseline, 4 (post-treatment)
and 12 weeks (follow-up). We will examine feasibility and acceptability of sTVi (e.g., uptake
and completion of sTVi, engagement with videos, and understanding of key ACT principles), the
attention control videos, and this research design. We will examine treatment differences
(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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