A Mobile Phone and Web-Based Intervention for Improving Mental Well-Being in Young People With Type 1 Diabetes: Design of a Randomized Controlled Trial

Clarke, Janine; Vatiliotis, Veronica; Verge, Charles F.; Holmes-Walker, Jane; Campbell, Lesley V.; Wilhelm, Kay; Proudfoot, Judy

doi:10.2196/resprot.4032

Cited by 10 publications

(13 citation statements)

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“…We found 2009 citations using the search strategy run between May and August 2016, from which we identified 30 abstracts as potentially relevant. The authors of six trials were contacted for additional information (Aubin 2014;Blackwell 2012;Cheng 2013;Clarke 2015;Ketchen 2006;Quittner 2013). One author reported that their trial had been prematurely discontinued due to lack of funding (Quittner 2013).…”

Section: Results Of the Searchmentioning

confidence: 99%

“…These included a trial of iACT, an interactive mHealth monitoring system to enhance psychotherapy for adolescents with sickle cell disease (Cheng 2013), a pilot randomised trial of a cognitive behavioural treatment for insomnia and depression in adolescents Clarke 2015, and a trial of U-care, an internet-based self-help programme of psychosocial support and psychological treatment (Mattson 2013). Although an ANZCTR report stated that one trial had been stopped early, no reply was received from the author when we contacted them for confirmation (Clarke 2015). Two further study protocols were identified during an update of the search in August 2017.…”

Section: Ongoing Studiesmentioning

confidence: 99%

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E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions

Thabrew

Stasiak

Hetrick

et al. 2018

Cochrane Database of Systematic Reviews

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At present, the field of e-health interventions for the treatment of anxiety or depression in children and adolescents with long-term physical conditions is limited to five low quality trials. The very low-quality of the evidence means the effects of e-health interventions are uncertain at this time, especially in children aged under 10 years.Although it is too early to recommend e-health interventions for this clinical population, given their growing number, and the global improvement in access to technology, there appears to be room for the development and evaluation of acceptable and effective technologically-based treatments to suit children and adolescents with long-term physical conditions.

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Section: Results Of the Searchmentioning

confidence: 99%

Section: Ongoing Studiesmentioning

confidence: 99%

E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions

Thabrew

Stasiak

Hetrick

et al. 2018

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

“…Based on statistical power of 0.8 and probability level of P <.05, a sample size of 26 per group (that is, 52 for each of the two groups) will be needed for one-tailed tests. Given the expected attrition rate of up to 50% [ 81 ], our target total sample size is therefore 104 individuals.…”

Section: Resultsmentioning

confidence: 99%

Writing for Health: Rationale and Protocol for a Randomized Controlled Trial of Internet-Based Benefit-Finding Writing for Adults With Type 1 or Type 2 Diabetes

Crawford¹,

Wilhelm²,

Robins³

et al. 2017

JMIR Res Protoc

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BackgroundDiabetes mellitus is Australia’s fastest growing chronic disease, and has high comorbidity with depression. Both subthreshold depression and diabetes distress are common amongst people with type 1 or type 2 diabetes, and are associated with poorer diabetes self-care. A need exists for low-intensity self-help interventions for large numbers of people with diabetes and diabetes distress or subthreshold depression, as part of a stepped-care approach to meeting the psychological needs of people with diabetes. Benefit-finding writing is a very brief intervention that involves writing about any positive thoughts and feelings about a stressful experience, such as an illness. Benefit-finding writing has been associated with increases in positive affect and positive growth, and has demonstrated promising results in trials amongst other clinical populations. However, benefit-finding writing has not yet been examined in people with diabetes.ObjectiveThe aim of this randomized controlled trial (RCT) is to evaluate the efficacy of an Internet-based benefit-finding writing (iBFW) intervention for adults with type 1 or type 2 diabetes (compared to a control writing condition) for reducing diabetes distress and increasing benefit-finding in diabetes, and also improving a range of secondary outcomes.MethodsA two-arm RCT will be conducted, using the online program Writing for Health. Adults with type 1 or type 2 diabetes living in Australia will be recruited using diabetes-related publications and websites, and through advertisements in diabetes services and general practitioners’ offices. Potential participants will be referred to the study-specific website for participant information and screening. All data will be collected online. Participants will be randomized to either iBFW about diabetes, or a control writing condition of writing about use-of-time. Both conditions involve three daily sessions (once per day for three consecutive days) of 15-minute online writing exercises. Outcome measures will be administered online at baseline, one-month, and three-month follow-ups.ResultsThis trial is currently underway. The primary outcomes will be diabetes distress and benefit-finding in diabetes. Secondary outcomes will be depression, anxiety, diabetes self-care, perceived health, and health care utilization. We aim to recruit 104 participants. All stages of the study will be conducted online using the Writing for Health program. Group differences will be analyzed on an intention-to-treat basis using mixed models repeated measures. Linguistic analyses of the writing exercise scripts, and examinations of the immediate emotional responses to the writing exercises, will also be undertaken.ConclusionsThis RCT will be the first study to examine iBFW for adults with type 1 or type 2 diabetes. If iBFW is found to be efficacious in reducing diabetes distress and improving diabetes self-care and other outcomes, iBFW may offer the potential to be a low-cost, easily accessible self-help intervention to improve the wellbeing of adults w...

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“…Diabetes-specific cognitive behavioral group therapy for people with diabetes and subclinical depression [34] and webbased guided CBT for people with T1DM or T2DM and mild to moderate depression [35] have also reported significant reductions in both depression and diabetes distress. Further trials utilizing Internet and mobile technologies for the mental health of people with diabetes are currently being conducted [36], including our own study using a local iCBT study for depression in people with diabetes [37]. A recent report of an online diabetes self-management program, of the sort which could compliment depression resources reported 'small but significant' benefits as a stand-alone program [38] but points to the need for a mixture of face-to-face and online resources targeted to individual needs.…”

Section: Discussionmentioning

confidence: 99%

The Importance of Screening for Mild Depression in Adults with Diabetes

Wilhelm¹,

Reddy²,

Crawford³

et al. 2017

Transl Biomed

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Aim: While the impact of major depression on diabetes has gained increasing attention, the role of minor depression is less well investigated. This observational study compared three groups of adults with Type 1 (T1DM) or Type 2 (T2DM) diabetes mellitus: with me) no depressive symptoms (NODEP), ii) mild depressive symptoms (MILD) and iii) moderate-to-severe symptoms (MOD/SEVERE)-on diabetes distress, psychological distress, anxiety and somatic symptoms, quality of life and HbA1c levels.Methods: 245 outpatients attending two hospital diabetes services (27% with T1DM; 73% with T2DM) completed self-report measures including patient health questionnaire (PHQ), problem areas in diabetes (PAID) scale and short form health survey (SF12). Participants were interviewed by a psychiatrist and HbA1c levels recorded.Results: Half the sample reported depressive symptoms on the PHQ-9 (29% in the MILD group, 21% in MOD/ SEVERE and the remaining 50% in the NODEP group). Compared to the NODEP group, MILD group participants had significantly higher levels of diabetes distress, psychological distress, anxiety and somatic symptoms and significantly lower mental-health related quality of life. Participants in the MOD/SEVERE group had significantly higher levels of diabetes distress, psychological distress, anxiety, and somatic symptoms than either of the other two groups, and significantly lower quality of life. The groups did not differ significantly on HbA1c.Conclusions: Mild symptoms of depression in patients with diabetes are common and are associated with higher levels of diabetes distress, psychological distress, anxiety and somatic symptoms and lower quality of life.Addressing mild depression provides a potential avenue for preventing clinical depression in patients with diabetes.

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A Mobile Phone and Web-Based Intervention for Improving Mental Well-Being in Young People With Type 1 Diabetes: Design of a Randomized Controlled Trial

Cited by 10 publications

References 52 publications

E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions

E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions

Writing for Health: Rationale and Protocol for a Randomized Controlled Trial of Internet-Based Benefit-Finding Writing for Adults With Type 1 or Type 2 Diabetes

The Importance of Screening for Mild Depression in Adults with Diabetes

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