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DepressionwogyeokdajimNCT02072304

Study of Web- Based Cognitive Behavioral Therapy for Depressed Korean Adolescents

A study testing web-based CBT and supportive care in people with Depression and Mental Disorder in Adolescence, run by Hallym University Medical Center at 3 sites in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to develope web-based cognitive behavioral therapy for Korean adoldescents who have a mild depression. And we will investigate whether web-based cognitive behavioral therapy is more effective than supportive psychotherapy for treating depressed adolescents. Read more about this study

Who is it for?
Ages 12 to 18 years
What is being tested?
web-based CBT and supportive care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
164 participants
Where
3 sitesSouth Korea
Study dates
Jan 2014to May 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Clinical diagnosis of major depressive disorder, dysthymic disorder and depressive disorder NOS
  • participants and their parents both agree informed consents

Who cannot join

  • participants have psychotic symptoms, developmental disorders,
  • participants are diagnosed by bipolar disorder
  • participants are current high risk of suicide
  • participants have psychiatric and physical symptoms need urgent medicine treatment
  • participants have a history of sexual abuse
  • participants have cognitive behavioral therapy or interpersonal psychotherapy within 3 months
  • participants have a history of brain injury or a neurological disorder such as seizure disorder, or severe physical disorder

Trial locations and contacts

3 sites in 1 country.

hyori jang, RN contact

10-31-381-3753

hypray85@naver.com

South Korea3 sites, 3 recruiting
  • Hallym University Sacred Heart Hospital

    Anyang-si, Gyeonggi-do, 431-796

    hyori jang, RN, 10-31-381-3753, • hypray85@naver.com

    song-ii ahn, MD, 10-31-380-3750, ahnsongii83@gmail.com

    Recruiting
  • National health insurance service ilsan hospital

    Goyang-si, Gyeonggi-do, 410-719

    Jungeun song, MD, songdr90@hanmail.net

    Recruiting
  • Inje university ilsan paik hospital

    Goyang-si, Gyeonggi-do, 411-706

    Eun jin park, MD, uma99@daum.net

    Recruiting

Other trials in South Korea

About this study

Official title: Study of Web-based Cognitive Behavioral Therapy in Adolescent Depression; Randomized Controlled Trial for Korean Adolescents

The purpose of this study is to develope web-based cognitive behavioral therapy for Korean adoldescents who have a mild depression. And we will investigate whether web-based cognitive behavioral therapy is more effective than supportive psychotherapy for treating depressed adolescents. Our hypothesis is web- based cognitive behavioral is more effective than supportive psychotherapy

Read the detailed description

We will recruit adolescents(age 12-18 years old) with a diagnosis of major depressive disorder, dysthymia and depressive disorder NOS in outpatient clinic of child and adolescent psychiatry and we will advertise for recruitment of subjects in community. The study protocol will be approved by the Institutional Review Board of the Hallym university sacred heart hospital. Well- trained interviewers will conduct the assessments of participants and their parents or guardians. The assessment included the diagnostic interview, demographic characteristics, depressive symptom severity scale , Columbia suicide severity rating scale, questionnaire about abuse histories.

We decided the number of participants of 164, because in previous studies, web- based cognitive behavioral therapy showed mild to moderate effect size (effect size = 0.43). So for examining the hypothesis, we will recruit 164 adolescents by calculating the number of participants using G power program version 3.1.3. (level of significance = 5%, power of a hypothesis test = 80%, drop out rate = 20%)

And we will conduct randomized controlled trial for examining the efficacy of web- based cognitive behavioral therapy. Our hypothesis is web- based cognitive behavioral is more effective than supportive psychotherapy, so we will deliver web- based cognitive behavioral therapy program to cognitive behavioral therapy group for 8 weeks(once in a week), and supportive psychotherapy to supportive psychotherapy group for 8 weeks(once in a week) We will exclude the participant if the participant has severe depressive symptoms, definite suicidal idea, plan and attempt, psychotic symptoms, bipolar disorders, sexual abuse histories, other neurological diseases or received cognitive behavioral therapy, pharmacotherapy or interpersonal psychotherapy.

We will analyze the intent- to- treat population. For each individual, missing values are replaced by the last observed value of that variable. And we will use Chi square test or repeated measure-ANOVA.

Being tested
web-based CBT, supportive care
Keywords
mood disorder, depressive disorder, mental disorders, program acceptability, behavioral symptoms, suicidal ideation, patient adherence
Medical subject headings
Depression, Mood Disorders, Depressive Disorder, Mental Disorders, Behavioral Symptoms, Suicidal Ideation, Patient Compliance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • web-based CBTBehavioural

    Also called wogyeokdajim

    A cognitive behavioral program in 8 weeks that will provide participants with the following: online interactive tools to do their homeworks and guidance on using cognitive and behavioral strategies to help reduce depressive symptoms, information about the depressive symptoms and cognitive behavioral therapy

  • supportive careBehavioural

    Also called supportive care for depressed adolescents

    supportive care group will receive supportive care for treating depression by e-mail per a week for 8 weeks with the following: psychoeducation about depression, stigma of mental illness, distraction technique, emotional regulation, active scheduling.

Study groups in NCT02072304
Study groupRoleWhat they receive
web-based CBTExperimentalWeb-based CBT group : The intervention is made up of 8 internet modules based on behavioral activation, cognitive behavioral therapy
Receives: Behavioral: web-based CBT
supportive careActive comparatorsupportive care group will receive supportive care for treating depression by e-mail per a week for 8 weeks
Receives: Behavioral: supportive care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Center for Epidemiological Studies of Depression (CES-D) Scale

    Change in CESD from baseline Change in CESD scale between and within groups across the 8 weeks and for each assessment point

    Measured: 0, 4, 8 weeks

  2. Subjective depressed mood scale

    Change in Subjective depressed mood scale from baseline Change in Subjective depressed mood scale scale within web CBT groups across the 8 week

    Measured: each week during 8 weeks

  3. The Korean youth self report (K-YSR)

    Change in K-YSR from baseline Change in K-YSR scale between and within groups across the 8 weeks

    Measured: 0, 8 weeks

Secondary outcomes (4)
  1. Acceptability and adherence of Web-based cognitive behavioral treatment program for adolescents with depression

    After treatment, we will check out how many the participants complete the session.

    Measured: 8 weeks

  2. satisfaction of Web-based cognitive behavioral treatment program of both adolescents with depression and their parents

    After treatment, we will check out how the participants and their parent feel satisfaction about treatment

    Measured: 8 week

  3. Columbia suicide severity rating scale

    Change in CSSRS from baseline Change in CSSRS scale between and within groups across the 8 weeks and for each assessment point

    Measured: 0, 4 8 weeks after baseline assessment

  4. Adolescent's characteristics that moderate the impact of the program

    we will find out adolescent's characteristics that moderate the impact of the program

    Measured: 0, 4 and 8 weeks after baseline assessment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Feb 2014 (estimated)
  2. Study startJan 2014
  3. Primary completionMay 2015 (estimated)
  4. Study completionMay 2015 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
164 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02072304
Sponsor's protocol ID
H-001
Acronym
wogyeokdajim
Status last verified
Feb 2014
First submitted
24 Feb 2014
Last updated
26 Feb 2014
Results posted
No
Data monitoring committee
No

Publications

  • Angold A, Messer SC, Stangl D, Farmer EM, Costello EJ, Burns BJ. Perceived parental burden and service use for child and adolescent psychiatric disorders. Am J Public Health. 1998 Jan;88(1):75-80. doi: 10.2105/ajph.88.1.75.

    PubMed 9584037
  • Brent DA, Perper JA, Goldstein CE, Kolko DJ, Allan MJ, Allman CJ, Zelenak JP. Risk factors for adolescent suicide. A comparison of adolescent suicide victims with suicidal inpatients. Arch Gen Psychiatry. 1988 Jun;45(6):581-8. doi: 10.1001/archpsyc.1988.01800300079011.

    PubMed 3377645
  • Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J, Dahl RE, Perel J, Nelson B. Childhood and adolescent depression: a review of the past 10 years. Part I. J Am Acad Child Adolesc Psychiatry. 1996 Nov;35(11):1427-39. doi: 10.1097/00004583-199611000-00011.

    PubMed 8936909
  • Bostwick JM, Pankratz VS. Affective disorders and suicide risk: a reexamination. Am J Psychiatry. 2000 Dec;157(12):1925-32. doi: 10.1176/appi.ajp.157.12.1925.

    PubMed 11097952
  • Birmaher B, Brent D; AACAP Work Group on Quality Issues; Bernet W, Bukstein O, Walter H, Benson RS, Chrisman A, Farchione T, Greenhill L, Hamilton J, Keable H, Kinlan J, Schoettle U, Stock S, Ptakowski KK, Medicus J. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adolesc Psychiatry. 2007 Nov;46(11):1503-26. doi: 10.1097/chi.0b013e318145ae1c.

    PubMed 18049300
  • March J, Silva S, Petrycki S, Curry J, Wells K, Fairbank J, Burns B, Domino M, McNulty S, Vitiello B, Severe J; Treatment for Adolescents With Depression Study (TADS) Team. Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. JAMA. 2004 Aug 18;292(7):807-20. doi: 10.1001/jama.292.7.807.

    PubMed 15315995
  • Andersson G, Cuijpers P. Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cogn Behav Ther. 2009;38(4):196-205. doi: 10.1080/16506070903318960.

    PubMed 20183695
  • Van Voorhees BW, Vanderplough-Booth K, Fogel J, Gladstone T, Bell C, Stuart S, Gollan J, Bradford N, Domanico R, Fagan B, Ross R, Larson J, Watson N, Paunesku D, Melkonian S, Kuwabara S, Holper T, Shank N, Saner D, Butler A, Chandler A, Louie T, Weinstein C, Collins S, Baldwin M, Wassel A, Reinecke MA. Integrative internet-based depression prevention for adolescents: a randomized clinical trial in primary care for vulnerability and protective factors. J Can Acad Child Adolesc Psychiatry. 2008 Nov;17(4):184-96.

    PubMed 19018321
  • Van Voorhees BW, Fogel J, Reinecke MA, Gladstone T, Stuart S, Gollan J, Bradford N, Domanico R, Fagan B, Ross R, Larson J, Watson N, Paunesku D, Melkonian S, Kuwabara S, Holper T, Shank N, Saner D, Butler A, Chandler A, Louie T, Weinstein C, Collins S, Baldwin M, Wassel A, Vanderplough-Booth K, Humensky J, Bell C. Randomized clinical trial of an Internet-based depression prevention program for adolescents (Project CATCH-IT) in primary care: 12-week outcomes. J Dev Behav Pediatr. 2009 Feb;30(1):23-37. doi: 10.1097/DBP.0b013e3181966c2a.

    PubMed 19194326
  • Calear AL, Christensen H, Mackinnon A, Griffiths KM, O'Kearney R. The YouthMood Project: a cluster randomized controlled trial of an online cognitive behavioral program with adolescents. J Consult Clin Psychol. 2009 Dec;77(6):1021-32. doi: 10.1037/a0017391.

    PubMed 19968379
  • Posner K, Oquendo MA, Gould M, Stanley B, Davies M. Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA's pediatric suicidal risk analysis of antidepressants. Am J Psychiatry. 2007 Jul;164(7):1035-43. doi: 10.1176/ajp.2007.164.7.1035.

    PubMed 17606655

Questions about this trial

What is this clinical trial studying?

A study testing web-based CBT and supportive care in people with Depression and Mental Disorder in Adolescence, run by Hallym University Medical Center at 3 sites in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact hyori jang, RN (10-31-381-3753, hypray85@naver.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Center for Epidemiological Studies of Depression (CES-D) Scale (time frame: 0, 4, 8 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02072304, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Feb 2014.

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wogyeokdajim Clinical Trial NCT02072304 | AzTrials