Healthy Mood Internet Intervention Research Project

In 2002, NIMH released an initiative that called upon researchers to improve psychosocial
interventions for unipolar and bipolar depression. The Workgroup charged with this task
recommended that researchers consider the "development of interventions that PREVENT onset
and recurrence of clinical episodes in at-risk populations and [the] development of
user-friendly interventions and nontraditional delivery methods to increase access to
evidence-based interventions" (Hollon et al., 2002, p. 610). The overall goal of this
research program aims to address these two priorities by adapting an empirically-validated
depression intervention to the Internet. The current research study will eventually provide
an online site to study whether clinical episodes of depression can be prevented by making
the online Website available to people who are NOT currently depressed, but may be at risk
for depression.

Study 1: the NIMH-funded pilot study. For Study 1, the investigators will conduct usability
testing with 60 participants (half English-speaking and half Spanish-speaking) recruited at
San Francisco General Hospital with the sole purpose of providing feedback on the Healthy
Mood Management Project Website being developed. The investigators will not be testing the
intervention itself on these usability testing participants.

The investigators will then recruit 150 participants (half English-speaking [NOW COMPLETED]
and half Spanish-speaking [STILL RECRUITING]) WHO ARE NOT CURRENTLY DEPRESSED to use the
Healthy Mood Management Project Website online. In this part of the study the investigators
will compare follow-up completion rates obtained by (email reminders + monetary incentives)
versus (email reminders + monetary incentives + phone call follow-ups). All participants will
get automatic email reminders with links to return to the study site to fill out FU surveys
at 1, 3, and 6 months. All participants will also be offered monetary incentives that can be
obtained online. In addition, half of the participants (chosen at random) will receive phone
calls if they do not complete follow-up surveys online. This will allow us to determine
whether the phone call follow-ups significantly improve follow-up rates.

The monetary incentives will be provided as online gift certificates to Amazon.com. The
incentives will be provided by sending the participant a code which allows the user to
purchase products (books, etc.) up to the amount provided.

The two groups to be compared are:

1. Email reminders + incentives

2. Email reminders + incentives + phone calls (to collect data if not done online)

Inclusion Criteria:

- 18 years of age or older

- regular (>1 time/week) access to internet and email,

- valid email address

- fluent or almost fluent in English or Spanish [NOTE: ENGLISH RECRUITMENT COMPLETED.
SPANISH RECRUITMENT CONTINUES]

- looking for information to help themselves, rather than another person

- must complete screening survey at the following Website:
https://ihrc.ucsf.edu/Collector/Survey.ashx?Name=DPC_ScreenSurvey&SOURCE=Prev4

Exclusion Criteria:

- less than 18 years of age

- sporadic (<1 time/week) access to internet and email

- no valid email address

- not fluent in English or Spanish

- looking for information to help someone else

- currently suffering from serious depression and/or in treatment for depression (If you
are currently depressed, consider applying for a related Internet study to manage
serious depression symptoms by going to the following Website:
https://ihrc.ucsf.edu/interventionConsole/Default.aspx?ConsoleName=DepressionManagemen
tCourse)