Development and effects of a mobile application for self-management of psychological distress among college students

ISRCTN ISRCTN12017266
DOI https://doi.org/10.1186/ISRCTN12017266
Secondary identifying numbers 2017R1C1B5015986
Submission date
28/06/2021
Registration date
30/06/2021
Last edited
12/04/2022
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

Plain English summary of protocol

Background and study aims
College students transitioning to adulthood are at high risk of psychological distress. Mobile health interventions can help with the self-management of stress and prevent psychological problems in this transition period. This study aims to evaluate the usability and effects of an app for managing psychological distress in college students.

Who can participate?
Students who are aged between 19 and 25 years and currently enrolled in a full bachelor’s degree program at a university in South Korea

What does the study involve?
When using the app, named MEndorphins, participants can monitor their stress levels on a daily basis. After monitoring their stress, participants can identify management strategies suggested by the committee. Based on these, they can plan daily stress management strategies and receive feedback on the extent to which they have been implemented. Additionally, participants can share their experiences with the community of users of the same app and receive feedback on which strategies are effective. After using the app for 7 days, information about the frequency and usage time will be collected directly from the app. Additionally, students can complete online surveys to evaluate the usability and effects of the app on psychological outcomes.

What are the possible benefits and risks of participating?
The participants will not directly benefit but they can learn self-management strategies for reducing their psychological distress by using the app. The study involves minimal risks.

Where is the study run from?
The Catholic University of Korea (South Korea)

When is the study starting and how long is it expected to run for?
March 2020 to June 2020

Who is funding the study?
1. National Research Foundation of Korea (NRF) (South Korea)
2. Catholic Medical Center Research Foundation (South Korea)

Who is the main contact?
Hyunjoo Na
hjna@catholic.ac.kr

Contact information

Prof Hyunjoo Na
Scientific

222 Banpodaero
Seochogu
Seoul
06591
Korea, South

ORCiD logoORCID ID 0000-0001-6407-7427
Phone +82 (0)10 4678 0813
Email hjna@catholic.ac.kr

Study information

Study designSingle-group pretest-posttest design
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)School
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleDevelopment and effects of a mobile application for self-management of psychological distress among college students: a participatory co-design approach
Study objectivesThere are significant differences in psychological distress (depression, anxiety, and stress) after using a developed mobile application for 7 days among college students.
Ethics approval(s)Approved 10/03/2020, institutional review board at the Catholic University of Korea Catholic Medical Center (222, Banpodaero, Seochogu, Seoul, 06591, Republic of Korea; +82 (0)2-2258-8213; irbcumc@catholic.ac.kr), ref: MC19FISI0140
Health condition(s) or problem(s) studiedPrevention of psychological distress in college students
InterventionStudents use the developed mHealth app for 7 days after providing written informed consent. An mHealth app for psychological distress management was developed using a participatory co-design process. A behavioral activation (BA) approach was used to develop app contents. The BA techniques were applied to the app with the following steps:
1. Monitoring of daily stress levels
2. Planning stress management strategies
3. Feedback for the completion of planned strategies
4. Sharing of users’ feedback

When using an app with such components, participants can monitor their stress levels on a daily basis. After monitoring their stress, participants can identify management strategies suggested by the committee. Based on these, they can plan daily stress management strategies and receive feedback on the extent to which they have been implemented. Additionally, participants can share their experiences with the community of users of the same app, MEndorphins, and receive feedback on which strategies are effective. After use of the app is completed, information about the frequency and usage time will be collected directly from the app system. Additionally, students can complete the following online survey measures to evaluate the usability and effects of the developed app on psychological outcomes.
Intervention typeBehavioural
Primary outcome measurePsychological distress symptoms of depression, anxiety, and stress measured using the validated Korean version of the depression anxiety stress scale (DASS) at baseline and 7 days after
Secondary outcome measures1. The perceived ease of use of the developed app measured using the Korean version of the system usability scale (SUS) after 7 days of app use
2. The perceived quality of the developed app measured using the Korean version of the user version of the mobile application rating scale (uMARS) after 7 days of app use
Overall study start date10/03/2020
Completion date15/06/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants40
Total final enrolment35
Key inclusion criteria1. Aged between 19 and 25 years
2. Currently enrolled in a full bachelor’s degree program at a university
3. Using a smartphone with Android (a mobile operating system by Google)
4. Able to use a smartphone without help from others
Key exclusion criteriaCollege students who were not eligible for participation and did not meet the inclusion criteria
Date of first enrolment04/06/2020
Date of final enrolment04/06/2020

Locations

Countries of recruitment

  • Korea, South

Study participating centre

The Catholic University of Korea
222, Banpodaero
Seochogu
Seoul
06591
Korea, South

Sponsor information

Catholic University of Korea
University/education

222 Banpodaero
Soechogu
Seoul
06591
Korea, South

Phone +82 (0)2 2258 7127
Email jinaa@catholic.ac.kr
Website http://www.catholic.ac.kr/english/main/main.html
ROR logo "ROR" https://ror.org/01fpnj063

Funders

Funder type

Government

National Research Foundation of Korea
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
한국연구재단이 창의적 연구와, National Research Foundation (South Korea), NRF
Location
Korea, South
Catholic Medical Center Research Foundation

No information available

Results and Publications

Intention to publish date31/12/2021
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planAll completed data are stored in a private cloud. Only the principal investigator can access and download the de-identified data. All the de-identified questionnaire data were entered and maintained on the researcher’s computer, which has a security lock; these data are accessible only through the use of the principal investigator's password.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Preprint results 19/05/2021 12/04/2022 No No

Editorial Notes

12/04/2022: Publication reference added.
29/06/2021: Trial's existence confirmed by the institutional review board at the Catholic University of Korea Catholic Medical Center.