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Behavioral activation-based guided self-help treatment administered through a smartphone application: study protocol for a randomized controlled trial
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.
Umeå University, Sweden .
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-4753-6745
2012 (English)In: Trials, ISSN 1745-6215, Vol. 13, no 62Article in journal (Refereed) Published
Abstract [en]

Background: The need for cost-effective interventions for people suffering from major depressive disorders is essential. Behavioral activation is an intervention that can largely benefit from the use of new mobile technologies (for example smartphones). Therefore, developing smartphone-based behavioral activation interventions might be a way to develop cost-effective treatments for people suffering from major depressive disorders. The aim of this study will be to test the effects of a smartphone-delivered behavioral activation treatment. less thanbrgreater than less thanbrgreater thanMethods: The study will be a randomized controlled trial with a sample size of 120 participants, with 60 patients in each group. The treatment group includes an 8-week smartphone-based behavioral activation intervention, with minimal therapist contact. The smartphone-based intervention consists of a web-based psychoeducation, and a smartphone application. There is also a back-end system where the therapist can see reports from the patients or activities being reported. In the attention control group, we will include brief online education and then recommend use of a smartphone application that is not directly aimed at depression (for example, Effective meditation). The duration of the control condition will also be 8 weeks. For ethical reasons we will give the participants in the control group access to the behavioral activation treatment following the 8-week treatment period. less thanbrgreater than less thanbrgreater thanDiscussions: We believe that this trial has at least three important implications. First, we believe that smartphones can be integrated even further into society and therefore may serve an important role in health care. Second, while behavioral activation is a psychological treatment approach for which there is empirical support, the use of a smartphone application could serve as the therapists prolonged arm into the daily life of the patient. Third, as we have been doing trials on guided Internet treatment for more than 10 years it is now time to move to the next generation of information technology - smartphones - which are not only relevant for Swedish conditions but also for developing countries in the world which are increasingly empowered by mobile phones with Internet connection.

Place, publisher, year, edition, pages
BioMed Central , 2012. Vol. 13, no 62
Keyword [en]
Depression, Behavioral activation, Smartphone application, Cost-effectiveness, Randomized, Controlled trial
National Category
Social Sciences
URN: urn:nbn:se:liu:diva-81224DOI: 10.1186/1745-6215-13-62ISI: 000307297200001OAI: diva2:551052

Funding Agencies|Swedish Research Council||

Available from: 2012-09-10 Created: 2012-09-10 Last updated: 2014-11-28

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Ly, Kien HoaAndersson, Gerhard
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