Social Media Use in Adolescents Admitted to a Psychiatric Unit

Study Overview
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Brief Summary
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We will investigate the association between social media use and depression in adolescents admitted to a psychiatric unit and continue to follow their progress after discharge in outpatient clinic services. We expect improvement in their depressive symptoms by modifying social media use and adding a mental health app to further encourage the positive effects of social media.

Official Title
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Social Media Use in Adolescents Admitted to a Psychiatric Unit

Conditions
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Depression, Social Media, Adolescent Behavior

Intervention / Treatment
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* Behavioral: CBT Mobile App
* Behavioral: Treatment as usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants admitted to inpatient psychiatric unit Kaiser insured participants between 13-17 years of age with parental consent positive for social media use English speaking Exclusion Criteria: pregnant non English speaking

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Treatment As Usual<br>Standard of care as usual with follow-up at 1-, 3-, and 6-months | Behavioral: Treatment as usual<br>* TAU as per standard of care<br>|
| Active Comparator: Intervention with CBT Mobile App<br>Treatment as usual with additional treatment using cognitive behavioral therapy (CBT) mobile apps (ie What's Up?) | Behavioral: CBT Mobile App<br>* TAU and the additional treatment of a Mental Health App (What's Up?). This app will be used to guide adolescents through cognitive behavioral therapy and acceptance commitment therapy techniques, as well as to assist in developing coping mechanisms to prevent readmission.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparing depression scale,PHQ9-A (Patient Health Questionnaire, Adolescent Version), with social media use | Compare presence and severity of depressive symptoms in treatment as usual (TAU) group with TAU and the mobile app intervention group. The presence and severity of depression will be determined using the PHQ9-A (Patient Health Questionnaire, adolescent version), a 9-question depression scale that is based on the DSM-IV diagnostic criteria of depression and modified for teens to further inquire about other aspects of depression such as dysthymia, suicide risk, and other mental illnesses. The PHQ-9A scores each of the DSM-IV criteria as 0 (not at all) to 3 (nearly every day). Total depression severity score ranges of 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. | 1 month | 
| Comparing depression scale,PHQ9-A (Patient Health Questionnaire, Adolescent Version), with social media use | Compare presence and severity of depressive symptoms in treatment as usual (TAU) group with TAU and the mobile app intervention group. The presence and severity of depression will be determined using the PHQ9-A (Patient Health Questionnaire, adolescent version), a 9-question depression scale that is based on the DSM-IV diagnostic criteria of depression and modified for teens to further inquire about other aspects of depression such as dysthymia, suicide risk, and other mental illnesses. The PHQ-9A scores each of the DSM-IV criteria as 0 (not at all) to 3 (nearly every day). Total depression severity score ranges of 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. | 3 months | 
| Comparing depression scale,PHQ9-A (Patient Health Questionnaire, Adolescent Version), with social media use | Compare presence and severity of depressive symptoms in treatment as usual (TAU) group with TAU and the mobile app intervention group. The presence and severity of depression will be determined using the PHQ9-A (Patient Health Questionnaire, adolescent version), a 9-question depression scale that is based on the DSM-IV diagnostic criteria of depression and modified for teens to further inquire about other aspects of depression such as dysthymia, suicide risk, and other mental illnesses. The PHQ-9A scores each of the DSM-IV criteria as 0 (not at all) to 3 (nearly every day). Total depression severity score ranges of 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. | 6 months |