AzTrials
AzTrials

Mental Health IssueNCT05993676

MeT4VeT: Mental Health Toolkit for Military Veterans Trial

A study testing MeT4VeT mobile phone app: intervention in people with Mental Health Issue and Mental Health Wellness 1, run by King's College London at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The proposed research involves the running of a feasibility trial to assess a smart phone app designed to support military veterans (as they transition out of the Armed Forces) experiencing mental health difficulties to monitor and manage their mental health, encouraging them to seek formal mental healthcare services… Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Mental Health Issue, Mental Health Wellness 1
What is being tested?
MeT4VeT mobile phone app: intervention
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
1 siteUnited Kingdom
Study dates
15 Jan 2021to 5 Dec 2022
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 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males
  • Own a smartphone
  • Served at least 2 years in the UK Armed Forces
  • Left the UK Armed Forces within the last 2 years
  • Not currently undertaking formal mental health treatment (mental health therapy by a medical professional)
  • Indicate a degree of mental health distress (assessed via a score of two or more on the GHQ-12

Who cannot join

  • Those who display current suicidal ideation / self-harm

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • King's College London

    London, SE5 9RJ

Other trials in United Kingdom

About this study

Official title: A Feasibility Trial of a Smartphone App to Support the Mental Health of UK Armed Forces Veterans (MeT4VeT)

The proposed research involves the running of a feasibility trial to assess a smart phone app designed to support military veterans (as they transition out of the Armed Forces) experiencing mental health difficulties to monitor and manage their mental health, encouraging them to seek formal mental healthcare services if required. The trial will compare participants who are provided with the 'full' app (case group) with participants who receive a 'signposting only' feature free smartphone app, receiving the 'full' app 3months later once the research trial is over (control group).

The feasibility trial has two core aims:

Read more
  1. To provide initial assessment of the practicality of testing the app Running of the feasibility trial will provide key information on the practical delivery of the app and measurement processes; enable an estimation of recruitment and retention of participants; as well as trialling a series of outcome measures. All participants taking part in the trial will be asked to complete a short (20minute) in app survey at three time points: baseline; baseline plus 1month; baseline plus 3months. This questionnaire will collect demographic information and employ a number of well-being and quality of life measures.
  2. To provide initial feedback on the app The trial will qualitatively evaluate how those in the case group use the 'full' app (via collection of app usage data over a 1month trial period) and how easy to interact with, and potentially helpful, they consider the app might be (via a short 30minute telephone interview at the end of the 1month app trial period).

If the trial indicates that the app is acceptable and feasible then a full randomized control trial (subject to funding) will be run to assess the effectiveness of the app in supporting mental health. If proven acceptable then the app would be made freely available to all.

Read the detailed description

In line with the Medical Research Council Complex Intervention Framework (Medical Research Council) the feasibility stage of developing an intervention is focused on three areas to assess the practical aspects of testing an intervention including:

  • Testing procedures (technical app delivery; measurement processes)
  • Estimating recruitment and retention (number of eligible/ interested participants; drop-out rates)
  • Determining sample size (testing main outcome measures to determine appropriate sample size for a later randomised control trial)

In addition to this, the feasibility trial will provide feedback from participants on their reactions to the app including:

  • Actual use of the app
  • Satisfaction with the app
  • How appropriate they believe the app to be
  • Intent for continued use

This toolkit will provide those who participate in the research with an additional support tool which may help them to manage their own mental health during a potentially challenging period (as they transition out of the Armed Forces) and help them to identify a need for more formal support if required.

Being tested
MeT4VeT mobile phone app: control, MeT4VeT mobile phone app: intervention
Keywords
MeT4VeT

What participants receive

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

  • MeT4VeT mobile phone app: controlBehavioural

    The control/ sham comparator arm of the Mental Health Toolkit for Veterans (MeT4VeT) smart phone app contains only signposting information around support services available to military veterans

  • MeT4VeT mobile phone app: interventionBehavioural

    The Mental Health Toolkit for Veterans (MeT4VeT) smart phone app has been developed through careful and close collaboration with military veterans and key providers of veterans' mental healthcare services. The aim of this app is to provide both a degree of education to support military veterans' understanding of mental health and foster self-recognition and management of mental health symptoms whilst also encouraging those who need it to seek more formal support.

    The elements of the app have been chosen for inclusion as they represent the intersection between:

    1. Core components of cognitive behavioural therapy, the theoretical framework underwriting the app
    2. Behaviour change constructs
Study groups in NCT05993676
Study groupRoleWhat they receive
ControlSham comparatorThe control group received an app containing only signposting information about a range of statutory and third sector organisations that focused on veterans' mental health.
Receives: Behavioral: MeT4VeT mobile phone app: control
InterventionActive comparatorThe intervention group will receive a 'full' version of the app over the 1month trial period. The app consists of five core elements: 1. Personas developed as an aide to the provision of psycho-education on how mental health difficulties might look in real life and to help participants identify symptoms of mental health difficulties in themselves. 2. Daily life goals employing behavioural activation principles to encourage users to set a series of small tasks to help them achieve larger goals in different areas of their life e.g. work, family, physical health. 3. Self-help tools to provide participants with a range of resources that they can use independently to help them manage symptoms of mental ill-health they may be experiencing. 4. Tracking tools to allow users to monitor their own mental health and to see their progress across the elements of the app. 5. A schedule of daily notifications to encourage participants to continue to engage with the app.
Receives: Behavioral: MeT4VeT mobile phone app: intervention

What is being measured

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

  1. Recruitment and retention: Number of interested participants

    Calculate the total number of participants contacting the study team to express an interest in taking part in the study.

    Measured: 5month recruitment period

  2. Recruitment and retention: Number of eligible participants

    Calculate the total number of participants contacting the study team to express an interest in taking part in the study who are eligible to take part. Calculate this as a percentage of total number of interested participants.

    Measured: 5month recruitment period

  3. Recruitment and retention: Response rate

    Calculate the total number of eligible participants who went onto complete the consent form. Calculate this as a percentage of total number of eligible participants.

    Measured: 5month recruitment period

  4. Recruitment and retention: One month follow up retention rates

    Calculate the total number of participants enrolled onto the study who went onto complete the 1month follow up. Calculate this as a percentage of total number of enrolled participants.

    Measured: Baseline plus 1 months (28 days), end of trial period

  5. Recruitment and retention 4: Three month follow up retention rates

    Calculate the total number of participants enrolled onto the study who went onto complete the 3month follow up. Calculate this as a percentage of total number of enrolled participants.

    Measured: Baseline plus 3 months (84 days)

  6. Recruitment and retention 5: Comparability of sample to MOD personnel

    Comparability of sample to Ministry of Defence statistics for major sub-groups of veterans (age, service branch, rank)

    Measured: Baseline plus 3 months (84 days)

  7. Trial procedures and outcome measures: Technical delivery

    Evaluation of the technical delivery of the app was gained through gathering feedback from developers and participants, identifying any potential technical issues

    Measured: Baseline plus 1 months (28 days), end of trial period

  8. Trial procedures and outcome measures: GHQ12

    The General Health Questionnaire (GHQ-12) is a measure of common mental disorders such as anxiety and depression. It is a 12-item self-report questionnaire measured on a 4-point scale. Scores range from 0-12 with a score of 4 or more indicative of probable mental ill health.The difference between scores at baseline, day 28 (1month) and day 84 (3months) were calculated.

    Measured: Baseline plus 3 months (84 days)

  9. Trial procedures and outcome measures: PCL-C

    To evaluate symptoms of PTSD, the PTSD Checklist Civilian version (PCL-C) was used. It is a 17-item self-report questionnaire, measured on a 5-point scale from (1) not at all to (5) extremely. Scores range from 17 to 85, scores over 50 are indicative of possible PTSD. The difference between scores at baseline, day 28 (1month) and day 84 (3months) were calculated.

    Measured: Baseline plus 3 months (84 days)

  10. Trial procedures and outcome measures: Well-being

    Warwick Edinburgh Mental Well-being Scale (WEMWBS) measures mental well-being within the previous two weeks and is a 14-item self-report questionnaire measured on a 5-point scale from (1) none of the time to (5) all of the time. Scores range from 14 to 70 with higher scores indicative of greater mental well being. The difference between scores at baseline, day 28 (1month) and day 84 (3months) were calculated.

    Measured: Baseline plus 3 months (84 days)

  11. Trial procedures and outcome measures: WHO QOL-BREF

    Quality of life was assessed using the World Health Organization Quality of Life Assessment (WHOQOL-BREF), a 26-item self-report questionnaire divided into four domains: physical health; social relationships; psychological health; environmental health. It is measured on a 5-point scale, with a score of 0-100 calculated, where 100 equates to the best possible state of health. The difference between scores at baseline, day 28 (1month) and day 84 (3months) were calculated.

    Measured: Baseline plus 3 months (84 days)

  12. Trial procedures and outcome measures: Completion rates

    Examination of the feasibility of using the app to collection outcome measures was assessed via completion rates for each of the questionnaires (baseline; 1month follow up; 3month follow up)

    Measured: Baseline plus 3 months (84 days)

  13. Trial procedures and outcome measures: Sample size

    Sample size estimates for a future randomised control trial were assessed via changes in GHQ12 scores from baseline to 3month follow up.

    Measured: Baseline plus 3 months (84 days)

  14. Acceptability and usability: Usage

    App usage data were collected from Google Analytics via Firebase (CA, USA) and included information such as the number of times the app was opened, the duration of each app use and the number of times specific sections of the app were used.

    Measured: Baseline plus 1 month (28 days), end of initial trial period

  15. Acceptability and usability: MAUQ

    The mHealth App Usability Questionnaire (MAUQ) was used to assess app usability at day 28. A 16 item version of the MAUQ of the self-report questionnaire was used, measured on a 7-point scale ranging from strongly disagree (1) to strongly agree (7). Participant responses were aggregated into overall usability and three other domains: ease of use and satisfaction, interface and functionality, and usefulness. The mean total score and the mean of each three domains were scored out of seven, with a score of four indicating a neutral response and higher scores indicating greater app usability.

    Measured: Baseline plus 1 month (28 days), end of initial trial period

Timeline

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

  1. First posted15 Aug 2023
  2. Study start15 Jan 2021
  3. Primary completion5 Dec 2022
  4. Study completion5 Dec 2022

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
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05993676
Sponsor's protocol ID
583696
Other IDs
DPRF-19/20-11079, 1074/MODREC/20
Status last verified
Jul 2023
First submitted
25 Jul 2023
Last updated
15 Aug 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Parkes S, Croak B, Brooks SK, Stevelink SAM, Leightley D, Fear NT, Rafferty L, Greenberg N. Evaluating a Smartphone App (MeT4VeT) to Support the Mental Health of UK Armed Forces Veterans: Feasibility Randomized Controlled Trial. JMIR Ment Health. 2023 Aug 28;10:e46508. doi: 10.2196/46508.

    PubMed 37639295

Questions about this trial

What is this clinical trial studying?

A study testing MeT4VeT mobile phone app: intervention in people with Mental Health Issue and Mental Health Wellness 1, run by King's College London at 1 site in United Kingdom.

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 6 inclusion and 1 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: finished, as of the sponsor's last update on 15 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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. Some participants in this study may receive a placebo. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment and retention: Number of interested participants (time frame: 5month recruitment period). The study lists 15 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 NCT05993676, which also lists 1 linked publication.

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 15 Aug 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in