Internet-Based Interventions for Bipolar Disorder (MoodSwings 2)
NCT ID: NCT02118623
Last Updated: 2017-10-26
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
304 participants
INTERVENTIONAL
2014-01-31
2016-05-31
Brief Summary
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Detailed Description
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* Moderated peer discussion board
* Psychoeducation learning modules
* Interactive psychosocial tools
This study will also examine whether there is an association between graduated levels of involvement and resulting improvement. These graduated levels are:
* Moderated peer discussion board only (Level 1)
* Moderated peer discussion board and psychoeducation learning modules (Level 2)
* Moderated peer discussion board, psychoeducation learning modules and interactive psychosocial tools (Level 3).
We expect that those participants assigned to the control condition (Level 1), will have fewer positive outcomes than those in Level 2 or Level 3 conditions.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Level 1
Moderated discussion board only
Moderated discussion board
All groups will have access to asynchronous, moderated discussion boards. Assignment to discussion board will be stratified by randomization group (Level 1, 2 or 3). Level 1 access to the discussion board will serve as our "peer support" control condition, although we do expect some modest benefit from this intervention alone.
The discussion boards will be moderated by research staff, who will be supervised by a trained clinician (masters levels or higher). Discussion boards will be asynchronous, with all posts screened by the moderator(s) before appearing to the group.
Level 2
Moderated discussion board plus psychoeducation
Moderated discussion board
All groups will have access to asynchronous, moderated discussion boards. Assignment to discussion board will be stratified by randomization group (Level 1, 2 or 3). Level 1 access to the discussion board will serve as our "peer support" control condition, although we do expect some modest benefit from this intervention alone.
The discussion boards will be moderated by research staff, who will be supervised by a trained clinician (masters levels or higher). Discussion boards will be asynchronous, with all posts screened by the moderator(s) before appearing to the group.
Psychoeducation
Online psychoeducation is only available to those randomized to Levels 2 and 3. The core modules of MoodSwings 2.0 will use videos and improved organization of content based on feedback from previous pilot work. Module topic areas include:
1. What is bipolar disorder? - Content about symptoms and diagnosis
2. Stress and triggers of illness
3. Medication and the biological basis of bipolar disorder
4. Depression - Symptoms, early detection and helpful strategies
5. Mania and hypomania - Symptoms, early detection and helpful strategies.
Level 3
Moderated discussion board plus psychoeducation plus interactive psychosocial tools.
Moderated discussion board
All groups will have access to asynchronous, moderated discussion boards. Assignment to discussion board will be stratified by randomization group (Level 1, 2 or 3). Level 1 access to the discussion board will serve as our "peer support" control condition, although we do expect some modest benefit from this intervention alone.
The discussion boards will be moderated by research staff, who will be supervised by a trained clinician (masters levels or higher). Discussion boards will be asynchronous, with all posts screened by the moderator(s) before appearing to the group.
Psychoeducation
Online psychoeducation is only available to those randomized to Levels 2 and 3. The core modules of MoodSwings 2.0 will use videos and improved organization of content based on feedback from previous pilot work. Module topic areas include:
1. What is bipolar disorder? - Content about symptoms and diagnosis
2. Stress and triggers of illness
3. Medication and the biological basis of bipolar disorder
4. Depression - Symptoms, early detection and helpful strategies
5. Mania and hypomania - Symptoms, early detection and helpful strategies.
Interactive Psychosocial Tools
Online psychosocial tools are only available to those randomized to Level 3. They include structured mood monitoring, medication monitoring, and life charting visual tools. There are also interactive worksheets that encourage awareness of negative thoughts and strategies to challenge them, help participants weight the costs and benefits of different behaviours, problem solving and goal setting, and reinforcing self-affirmation. Participants have the opportunity to build a record of personal triggers of illness and illness profile - including early warning signs, and symptoms typically experienced during an episode of illness, as well as a personal "relapse prevention plan".
Interventions
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Moderated discussion board
All groups will have access to asynchronous, moderated discussion boards. Assignment to discussion board will be stratified by randomization group (Level 1, 2 or 3). Level 1 access to the discussion board will serve as our "peer support" control condition, although we do expect some modest benefit from this intervention alone.
The discussion boards will be moderated by research staff, who will be supervised by a trained clinician (masters levels or higher). Discussion boards will be asynchronous, with all posts screened by the moderator(s) before appearing to the group.
Psychoeducation
Online psychoeducation is only available to those randomized to Levels 2 and 3. The core modules of MoodSwings 2.0 will use videos and improved organization of content based on feedback from previous pilot work. Module topic areas include:
1. What is bipolar disorder? - Content about symptoms and diagnosis
2. Stress and triggers of illness
3. Medication and the biological basis of bipolar disorder
4. Depression - Symptoms, early detection and helpful strategies
5. Mania and hypomania - Symptoms, early detection and helpful strategies.
Interactive Psychosocial Tools
Online psychosocial tools are only available to those randomized to Level 3. They include structured mood monitoring, medication monitoring, and life charting visual tools. There are also interactive worksheets that encourage awareness of negative thoughts and strategies to challenge them, help participants weight the costs and benefits of different behaviours, problem solving and goal setting, and reinforcing self-affirmation. Participants have the opportunity to build a record of personal triggers of illness and illness profile - including early warning signs, and symptoms typically experienced during an episode of illness, as well as a personal "relapse prevention plan".
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Age 21 to 65
* Access to a computer with internet access. Access to a printer is preferable, but not required.
* Able to speak and read English proficiently.
* Some degree of medical supervision of bipolar disorder (sees a health professional at least twice a year to discuss symptoms and treatment needs).
* Local access to emergency care.
Exclusion Criteria
* Acutely suicidal (defined as having a Hamilton Rating Scale for Depression \[HAM-D\] item 3 scores of ≥ 3)
* Current mania, assessed using the SCID mood disorder module.
21 Years
65 Years
ALL
No
Sponsors
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VA Palo Alto Health Care System
FED
University of Melbourne
OTHER
Responsible Party
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Michael Berk
Honorary Adjunct Professor
Principal Investigators
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Michael Berk, FFPsych, PhD
Role: PRINCIPAL_INVESTIGATOR
Deakin University and University of Melbourne
Locations
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University of Melbourne - Barwon Health
Geelong, Victoria, Australia
Countries
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References
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Gliddon E, Cosgrove V, Berk L, Lauder S, Mohebbi M, Grimm D, Dodd S, Coulson C, Raju K, Suppes T, Berk M. A randomized controlled trial of MoodSwings 2.0: An internet-based self-management program for bipolar disorder. Bipolar Disord. 2019 Feb;21(1):28-39. doi: 10.1111/bdi.12669. Epub 2018 Jun 21.
Gliddon E, Lauder S, Berk L, Cosgrove V, Grimm D, Dodd S, Suppes T, Berk M. Evaluating discussion board engagement in the MoodSwings online self-help program for bipolar disorder: protocol for an observational prospective cohort study. BMC Psychiatry. 2015 Oct 14;15:243. doi: 10.1186/s12888-015-0630-7.
Related Links
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MoodSwings website
Other Identifiers
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