The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial
Abstract Background Depression is a highly prevalent and disabling mental health problem. Self-help has been strongly advocated for dealing with depression. Built upon the research on risk prediction modeling and risk communication, we developed a coach-guided, personalized depression risk communica...
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BMC
2024-12-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-024-06393-9 |
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| author | JianLi Wang Cindy Feng Mohammad Hajizadeh Alain Lesage |
| author_facet | JianLi Wang Cindy Feng Mohammad Hajizadeh Alain Lesage |
| author_sort | JianLi Wang |
| collection | DOAJ |
| description | Abstract Background Depression is a highly prevalent and disabling mental health problem. Self-help has been strongly advocated for dealing with depression. Built upon the research on risk prediction modeling and risk communication, we developed a coach-guided, personalized depression risk communication tool (PDRC) for sharing information about individualized depression risk and evidence-based self-help strategies. The primary objective of this project is to evaluate the impact of the PDRC on the 12-month risk of major depressive episode (MDE) in Canadians who are at high risk of MDE. Methods This is an assessor-blinded randomized controlled trial (RCT) with two arms. We will recruit 500 males and 500 females in the communities across the country. Individuals are eligible, if they: (1) are 18 years or older, (2) have not had a depressive episode in the past two months, (3) are at high risk of MDE based on the sex-specific risk predictive algorithms for MDE (predicted risk of 6.5% + for men and of 11.2% + for women), (4) can communicate in either English or French, and (5) agree to be contacted for follow-up interviews. After screening and baseline assessment, participants will be randomized by sex into intervention and control group in a 1:1 ratio. Participants in the intervention group will receive the coach-guided PDRC. The participants are assessed at baseline, 3 and 12 months via computer assisted telephone interview system, regarding the presence of MDE, depressive and anxiety symptoms, use of self-help strategies, mental health services use and self-efficacy. Discussion The coach-guided PDRC may empower users to actively engage in self-management, leading to reduced risk of MDE. If successful, the coach-guided PDRC will lead to a novel selective prevention program that is closely aligned with the tiered mental health services model, contributing to early prevention of depression and better mental health wellbeing. Date of trial registration : 2024-10-02. Protocol version and date December 6, 2024. Version #1. Trial registration : NCT06619366. |
| format | Article |
| id | doaj-art-bea1e0dea4ad4b1aa4268d5680dbf5cf |
| institution | Kabale University |
| issn | 1471-244X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Psychiatry |
| spelling | doaj-art-bea1e0dea4ad4b1aa4268d5680dbf5cf2024-12-22T12:39:56ZengBMCBMC Psychiatry1471-244X2024-12-012411810.1186/s12888-024-06393-9The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trialJianLi Wang0Cindy Feng1Mohammad Hajizadeh2Alain Lesage3Department of Community Health & Epidemiology, Faculty of Medicine, Dalhousie UniversityDepartment of Community Health & Epidemiology, Faculty of Medicine, Dalhousie UniversityDepartment of Community Health & Epidemiology, Faculty of Medicine, Dalhousie UniversityDepartment of Psychiatry, Faculty of Medicine, University of MontrealAbstract Background Depression is a highly prevalent and disabling mental health problem. Self-help has been strongly advocated for dealing with depression. Built upon the research on risk prediction modeling and risk communication, we developed a coach-guided, personalized depression risk communication tool (PDRC) for sharing information about individualized depression risk and evidence-based self-help strategies. The primary objective of this project is to evaluate the impact of the PDRC on the 12-month risk of major depressive episode (MDE) in Canadians who are at high risk of MDE. Methods This is an assessor-blinded randomized controlled trial (RCT) with two arms. We will recruit 500 males and 500 females in the communities across the country. Individuals are eligible, if they: (1) are 18 years or older, (2) have not had a depressive episode in the past two months, (3) are at high risk of MDE based on the sex-specific risk predictive algorithms for MDE (predicted risk of 6.5% + for men and of 11.2% + for women), (4) can communicate in either English or French, and (5) agree to be contacted for follow-up interviews. After screening and baseline assessment, participants will be randomized by sex into intervention and control group in a 1:1 ratio. Participants in the intervention group will receive the coach-guided PDRC. The participants are assessed at baseline, 3 and 12 months via computer assisted telephone interview system, regarding the presence of MDE, depressive and anxiety symptoms, use of self-help strategies, mental health services use and self-efficacy. Discussion The coach-guided PDRC may empower users to actively engage in self-management, leading to reduced risk of MDE. If successful, the coach-guided PDRC will lead to a novel selective prevention program that is closely aligned with the tiered mental health services model, contributing to early prevention of depression and better mental health wellbeing. Date of trial registration : 2024-10-02. Protocol version and date December 6, 2024. Version #1. Trial registration : NCT06619366.https://doi.org/10.1186/s12888-024-06393-9Major depressionRandomized controlled trialHigh riskSelf-helpCoach-guidedRisk communication |
| spellingShingle | JianLi Wang Cindy Feng Mohammad Hajizadeh Alain Lesage The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial BMC Psychiatry Major depression Randomized controlled trial High risk Self-help Coach-guided Risk communication |
| title | The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial |
| title_full | The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial |
| title_fullStr | The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial |
| title_full_unstemmed | The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial |
| title_short | The impact of a coach-guided personalized depression risk communication program on the risk of major depressive episode: study protocol for a randomized controlled trial |
| title_sort | impact of a coach guided personalized depression risk communication program on the risk of major depressive episode study protocol for a randomized controlled trial |
| topic | Major depression Randomized controlled trial High risk Self-help Coach-guided Risk communication |
| url | https://doi.org/10.1186/s12888-024-06393-9 |
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