Enhancing Engagement With Digital Mental Health Care
Trial ID: NCT04507360
Status: COMPLETED
Study type: INTERVENTIONAL
Phase: NA
Start date: 2021-10-15
Completion date: 2024-05-14
Sponsor: University of Washington
Collaborators: Mental Health America; Talkspace; National Institute of Mental Health (NIMH)
Conditions: Engagement, Patient
Interventions: Study 1, Demographics Survey; Study 1, Next Steps Survey; Study 1, Generic Response; Study 1, Generic Resources; Study 1, Tailored Response; Study 1, Tailored Resources by Demographics; Study 1, Tailored Resources by Desired Resources; Study 2, Control; Study 2, DIY tool without AI; Study 2, DIY tool with AI
Locations: Groop Internet Platform DBA Talkspace; Mental Health America; University of Washington
Countries: United States; United States; United States
Enrollment: 78390
Age range: None - None
Sex: ALL

Summary:
This proposal is a partnership between Mental Health America (MHA), a nonprofit mental health advocacy and resource organization, Talkspace (TS), a for-profit, online digital psychotherapy organization, and the University of Washington's Schools of Medicine and Computer Science Engineering (UW). The purpose of this partnership is to create a digital mental health research platform leveraging MHA and TS's marketing platforms and consumer base to describe the characteristics of optimal engagement with digital mental health treatment, and to identify effective, personalized methods to enhance motivation to engage in digital mental health treatment in order to improve mental health outcomes. These aims will be met by identifying and following at least 100,000 MHA and TS consumers over the next 4 years, apply machine learning approaches to characterizing client engagement subtypes, and apply micro-randomized trials to study the effectiveness of motivational enhancement strategies and response to digital mental health treatment.

Eligibility criteria:
Inclusion Criteria:

* Phase 3b Study 1 (Sequential Multiple Assignment Randomized Trial; SMART): Users of the Mental Health America (MHA) website, engaging from Internet Protocol (IP) addresses in the United States, who have chosen to start the PHQ-9 depression screener in English. Must be those who can read English.
* Phase 3b Study 2 (Do-It-Yourself; DIY): Patient Health Questionnaire (PHQ)-9 or Generalized Anxiety Disorder (GAD)-7 score of 10 or greater, users of MHA website, 18 years of age or older.

Exclusion Criteria:

* Phase 3b Study 1 (SMART): None
* Phase 3b Study 2 (DIY): Younger than 18 years old, Non-English or Non-Spanish speaking, PHQ-9 less than 10, outside of US, have more than a little familiarity with the concept of cognitive reframing.

Outcomes:
Study 1: Mental Health America Disengagement (After Stage 1 Randomization); Study 1: Mental Health America Engagement, Clicks on Featured Resources (After Stage 2 Randomization); Study 1: Mental Health America Engagement, Number of Webpages Clicked (After Stage 2 Randomization); Study 1: Mental Health America Disengagement (After Stage 2 Randomization); Study 1: DIY Completion Rate (After Stage 2 Randomization); Study 2: Engagement (Dosage); Study 2: Tool Use Helpfulness; Study 2: Emotion Mechanisms; Study 2: Tool Mechanisms; Study 2: Tool Mechanisms (Part 2); Study 2: DIY Skill Use: Competencies of Cognitive Therapy Scale - Self-Report; Long-term Adoption of the Intervention; Hopefulness