SMS Messaging to Reduce Depression and Anxiety Following TBI
Completed · Not applicable
Conditions studied: Traumatic Brain Injury
In brief
This investigation addresses emotional health in community dwelling persons with traumatic brain injury (TBI). It is designed to test the efficacy of a novel behavioral treatment for depression and anxiety symptoms. This treatment incorporates principles of Behavioral Activation (BA), a promising treatment model for depression and anxiety after TBI, and implementation intentions, a theoretically motivated method to enhance enactment of goal-relevant behaviors via action planning. To maximize the impact of this intervention over time, we use the low-cost, widely available technology of SMS, or text messaging, to promote positive behavior change in accordance with planned values and intentions. Participants are randomized 1:2:2 to one of three conditions. Condition 1: a control condition in which participants receive SMS messages with self-selected motivational statements. Condition 2: a condition using BA-based implementation intentions. Condition 3: a condition using BA-based activity monitoring and scheduling based on personal values.
Key facts
- Study ID
- NCT02061553
- Run by
- Albert Einstein Healthcare Network
- People needed
- 119
- Starts
- 2013-10-22
- Expected to finish
- 2023-07-13
- Last updated by the study team
- 2023-10-23
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- TBI (open or closed), sustained at least 6 months prior, of at least complicated-mild injury severity as evidenced by loss or alteration of consciousness not due to intoxication/ sedation and/ or positive neuroimaging findings consistent with TBI;
- At least mild depression and/ or anxiety as evidenced by a score of >5 on PHQ-9 and/ or GAD-7, but without endorsement of suicidal ideation
- Independent in basic home activities and able to travel independently in the community
- Fluent in English and able to communicate adequately for participation in the experimental protocol
You may not qualify if…
- History of serious mental illness such as schizophrenia, schizo-affective disorder, or well-documented bipolar disorder;
- Current psychiatric instability, including very severe depression/ anxiety as indicated by PHQ-9 or GAD-7 ≥20; current substance dependence; or active suicidal ideation
- Significant cognitive disability for reasons other than TBI (e.g., developmental disability);
- Inability to use phone texting function due to sensory or motor limitations;
- Concurrent involvement in one-to-one counseling or psychotherapy for emotional issues.
Where it is running
- Moss Rehabilitation Research Institue — Elkins Park, Pennsylvania, United States
Full record on ClinicalTrials.gov
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