A comparison of two online cognitive-behavioural interventions for symptoms of depression in a student population: the role of therapist responsiveness

ISRCTN ISRCTN63094649
DOI https://doi.org/10.1186/ISRCTN63094649
Secondary identifying numbers OTD
Submission date
20/08/2009
Registration date
09/11/2011
Last edited
10/11/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ladislav Timulak
Scientific

199-200 Pearse Street
University of Dublin
Trinity College
Dublin
2
Ireland

Phone +353 (0)879 343 678
Email Ladislav.timulak@tcd.ie

Study information

Study designRandomised parallel group controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised parallel group controlled trial of online delivered cognitive behavioural therapy treatment with an adult student population
Study acronymOTD
Study objectivesOnline delivered cognitive behavioural therapy (CBT) treatments for depression are effective and the presence of a responsive therapeutic relationship to treatment adds value to the treatment delivered and consequently has the potential to influence a successful outcome.

Please note, as of 10/11/2011 the public title for this trial has been updated. The previous title was as follows:
Online Treatments for Depression: a randomised controlled trial on an adult student population
Ethics approval(s)University of Dublin, Ireland, 27 November 2007
Health condition(s) or problem(s) studiedMild to moderate depression
InterventionThe trial had two active treatment conditions, the first being cCBT (Computerised Cognitive Behaviour Therapy), self-administered by the user with no support. The second was eCBT (Email Cognitive Behaviour Therapy), delivered by a clinician. Both used the same CBT protocol. In addition the latter had the added element of the therapists free text writing as a response to the clients free text alongside the specific CBT aspects of treatment. No other condition was present such as waiting list. The duration of the treatment was 8 sessions over 8 weeks. Baseline measures were administered for screening purposes, they were the Beck Depression Inventory (BDI-II), Brief Symptom Inventory (BSI), Clinical Outcomes in Routine Evaluation - Outcome Measure - 10 items (CORE-OM-10), history collected data on previous experience of counselling and medication for depression, whether they had a previous diagnosis of a mental health disorder, alcohol and other drug use. Thereafter the principal measures were administered at Week 8, end of treatment, again at week 16 Follow-up and at week 32 Follow-up.

The online interventions included two CBT-based online treatments for depression. One consisted of therapist-led online counselling, the second was a self-administered software program called Beating the Blues, with minimal therapist contact. Beating the Blues is a cCBT (computerised cognitive behavioural therapy) program utilised to treat depression and anxiety. Each intervention includes 8 sessions of online treatment comprising cognitive-behavioural interventions, including psycho-education, written assignments, self monitoring, cognitive-restructuring, behavioural change, and relapse prevention strategies. In addition to the specific CBT aspects of the treatment, the online counselling condition included counsellors, through text, cultivating non-specific treatment factors that develop the therapeutic relationship including such generic skills as conveying of empathy, normalising, responding to the client's emotions, and validating successes. Treatment was delivered by trained and experienced professional therapist with additional training in online counselling.
Intervention typeOther
Primary outcome measureBeck Depression Inventory (BDI)
Measured at baseline, week 8 (end of treatment), week 16 follow-up and week 32 follow-up
Secondary outcome measures1. Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM-10) measured at baseline, week 8 (end of treatment), week 16 follow-up and week 32 follow-up
2. Working Alliance Inventory (WAI)-was administered at weeks 2, 4 and 6
3. Helpful Aspects of Therapy (HAT)-was administered from session 2 to session 8
4. Satisfaction with treatment measure was administered at week 8, end of treatment
Overall study start date01/08/2008
Completion date01/06/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants120
Key inclusion criteriaParticipant scores between 14 and 29 on the Beck Depression Inventory (BDI)
Key exclusion criteria1. Below 14 or above 29 on BDI
2. Suicidal ideation and/or plans
3. Diagnosed organic mental health disorder
4. Recent medical illness diagnosis
5. Drug or alcohol dependence
6. On medication for depression less than 6 months
Date of first enrolment01/08/2008
Date of final enrolment01/06/2010

Locations

Countries of recruitment

  • Ireland

Study participating centre

199-200 Pearse Street
Dublin
2
Ireland

Sponsor information

University of Dublin (Ireland)
University/education

c/o Dr. Derek Richards
School of Psychology
Trinity College Dublin
Dublin
2
Ireland

Website http://www.tcd.ie
ROR logo "ROR" https://ror.org/05m7pjf47

Funders

Funder type

Research organisation

ESB Electric Aid (Ireland)

No information available

HSE Innovation Fund (Ireland)

No information available

National Office for Suicide Prevention (Ireland)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan