Clinical trial NCT02895308: Motivation and Adherence to Psychotherapy Assignments
Official title: Differences in Motivation and Adherence to a Prescribed Assignment After Face-to-face and Online Psychoeducation: an Experimental Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Behavioral Problems
Keywords: compliance
Lead sponsor: Uppsala University
Sponsor class: OTHER
First posted: 2016-09-09
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: BASIC_SCIENCE

Brief summary: The aims of this study are to experimentally investigate and compare whether motivation variables can predict adherence to a prescribed assignment in face-to-face and online interventions using a psychotherapy analogue model.

A total of 100 participants are included in this study and randomized to either a face-to-face or online intervention. Participants in both groups receive a psychoeducation session and are given an assignment for the subsequent week.

Detailed description: The aims of this study are to investigate (1) participants' different forms of motivations to complete a typical psychotherapy assignment, (2) participants' subsequent adherence to the prescribed assignment and the associations between motivations and adherence and (3) any differences regarding motivations, adherence and their associations between the face-to-face and online conditions.

The hypotheses are that participants in the face-to-face condition will report higher motivation as well as higher adherence to the assignments compared to participants in the online condition, that adherence to the assignment will be positively associated with both autonomous motivation and externally regulated motivation and that adherence to the assignment will be more weakly associated with autonomous motivation in the face-to-face compared to the online condition.

To investigate the association between motivation and adherence to assignments in face-to-face and online settings, this study have a longitudinal randomized design with two conditions. The two conditions are face-to-face psychoeducation with a therapist and online psychoeducation with therapist support. A psychotherapy analogue model with a one-session intervention for a non-clinical population is used. Data is collected at baseline and at seven to nine days follow-up.

Eligibility criteria: Inclusion Criteria:

* having at least one problematic behavior one wished to understand or change

Exclusion Criteria:

* being below 18 years of age, having no access to a mobile phone and the Internet, reporting elevated levels of depressive symptoms or currently attending psychotherapy.

Primary outcomes:
measure: Adherence to prescribed behavioral assignment
timeFrame: Within 3 days after intervention end.
Secondary outcomes:
measure: Situational Motivation Scale
timeFrame: Within 3 days after intervention end.
measure: VAS-scale regarding motivation
timeFrame: Within 3 days after intervention end.
Other outcomes:
Locations:
city: Uppsala
country: Sweden
facility: Uppsala University
Study officials:
affiliation: Uppsala University
name: Louise Essen, Professor
role: STUDY_DIRECTOR
References:
citation: Alfonsson S, Johansson K, Uddling J, Hursti T. Differences in motivation and adherence to a prescribed assignment after face-to-face and online psychoeducation: an experimental study. BMC Psychol. 2017 Jan 26;5(1):3. doi: 10.1186/s40359-017-0172-5.