Trial Outcomes & Findings for Augmenting Hospitalization for Serious Mental Illness: Cognitive Bias Modification (NCT NCT03509181)

NCT ID: NCT03509181

Last Updated: 2024-02-07

Results Overview

Self-reported improvement rating. Outcome is number of participants who reported feeling much or very much improved.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

68 participants

Primary outcome timeframe

Post-treatment (1 month following discharge from hospital) (up to 8 weeks following baseline)

Results posted on

2024-02-07

Participant Flow

Participant milestones

Participant milestones
Measure
Cognitive Bias Modification + Symptom Tracking
Cognitive Bias Modification for Interpretation delivered via smartphone I-Change: smartphone delivered word-sentence association task that encourages a healthier interpretive style Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Symptom Tracking
Weekly symptom monitoring smartphone app with anxiety and depression symptom scores Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Overall Study
STARTED
34
34
Overall Study
COMPLETED
27
31
Overall Study
NOT COMPLETED
7
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

One participant did not identify as Male or Female

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cognitive Bias Modification + Symptom Tracking
n=34 Participants
Cognitive Bias Modification for Interpretation delivered via smartphone I-Change: smartphone delivered word-sentence association task that encourages a healthier interpretive style Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Symptom Tracking
n=34 Participants
Weekly symptom monitoring smartphone app with anxiety and depression symptom scores Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Total
n=68 Participants
Total of all reporting groups
Age, Continuous
30.29 years
STANDARD_DEVIATION 10.853 • n=34 Participants
32.326 years
STANDARD_DEVIATION 13.256 • n=34 Participants
31.28 years
STANDARD_DEVIATION 12.064 • n=68 Participants
Sex: Female, Male
Female
21 Participants
n=33 Participants • One participant did not identify as Male or Female
24 Participants
n=34 Participants • One participant did not identify as Male or Female
45 Participants
n=67 Participants • One participant did not identify as Male or Female
Sex: Female, Male
Male
12 Participants
n=33 Participants • One participant did not identify as Male or Female
10 Participants
n=34 Participants • One participant did not identify as Male or Female
22 Participants
n=67 Participants • One participant did not identify as Male or Female
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=34 Participants
2 Participants
n=34 Participants
4 Participants
n=68 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=34 Participants
32 Participants
n=34 Participants
64 Participants
n=68 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=34 Participants
0 Participants
n=34 Participants
0 Participants
n=68 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=34 Participants
0 Participants
n=34 Participants
0 Participants
n=68 Participants
Race (NIH/OMB)
Asian
2 Participants
n=34 Participants
1 Participants
n=34 Participants
3 Participants
n=68 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=34 Participants
0 Participants
n=34 Participants
0 Participants
n=68 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=34 Participants
0 Participants
n=34 Participants
0 Participants
n=68 Participants
Race (NIH/OMB)
White
28 Participants
n=34 Participants
29 Participants
n=34 Participants
57 Participants
n=68 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=34 Participants
4 Participants
n=34 Participants
7 Participants
n=68 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=34 Participants
0 Participants
n=34 Participants
1 Participants
n=68 Participants
Region of Enrollment
United States
34 participants
n=34 Participants
34 participants
n=34 Participants
68 participants
n=68 Participants

PRIMARY outcome

Timeframe: Post-treatment (1 month following discharge from hospital) (up to 8 weeks following baseline)

Population: Participants who completed the 1-month follow-up assessment and provided a Clinical Global Improvement rating.

Self-reported improvement rating. Outcome is number of participants who reported feeling much or very much improved.

Outcome measures

Outcome measures
Measure
Cognitive Bias Modification + Symptom Tracking
n=25 Participants
Cognitive Bias Modification for Interpretation delivered via smartphone I-Change: smartphone delivered word-sentence association task that encourages a healthier interpretive style Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Symptom Tracking
n=30 Participants
Weekly symptom monitoring smartphone app with anxiety and depression symptom scores Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Clinical Global Improvement Scale (CGIS)
14 Participants
20 Participants

PRIMARY outcome

Timeframe: Post-treatment (1 month following discharge from hospital)(up to 8 weeks following baseline)

Population: Participants who completed the 1-month assessment and completed the WSAS

The Work and Social Adjustment Scale assesses interference caused by the patient's symptoms in the domains of work, home management, leisure, and family relationships. It includes 5 items each rated from 0 to 8 with total scores ranging from 0 to 40 and higher scores indicating more impairment.

Outcome measures

Outcome measures
Measure
Cognitive Bias Modification + Symptom Tracking
n=25 Participants
Cognitive Bias Modification for Interpretation delivered via smartphone I-Change: smartphone delivered word-sentence association task that encourages a healthier interpretive style Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Symptom Tracking
n=30 Participants
Weekly symptom monitoring smartphone app with anxiety and depression symptom scores Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
5-item Work and Social Adjustment Scale
19.08 score on a scale
Standard Deviation 11.416
17.43 score on a scale
Standard Deviation 8.617

SECONDARY outcome

Timeframe: Post-treatment (1 month following discharge from hospital) (up to 8 weeks following baseline)

Population: Participants who completed the 1-month assessment and the QLESQ (note: missing 1 participant in CBM arm who did not complete the QLESQ).

The Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF) is a 16 item questionnaire that asks about life satisfaction over the past week. Each question is rated on a 5 point scale from 1 (Very Poor) to 5 (Very Good). Scores from the individual items are added together and reported as percentage maximum possible score. The Total Score is reported as percentage maximum possible % Max = Raw-minimum score/maximum score-minimum score. (Raw score minus the minimum possible raw score divided by the maximum possible raw score minus the minimum possible raw score). Higher scores indicate better quality of life.

Outcome measures

Outcome measures
Measure
Cognitive Bias Modification + Symptom Tracking
n=24 Participants
Cognitive Bias Modification for Interpretation delivered via smartphone I-Change: smartphone delivered word-sentence association task that encourages a healthier interpretive style Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Symptom Tracking
n=30 Participants
Weekly symptom monitoring smartphone app with anxiety and depression symptom scores Symptom Tracking: smartphone delivered self-monitoring of anxiety and depression symptoms
Quality of Life Enjoyment and Satisfaction Questionnaire
45.58 percentage of max possible score
Standard Deviation 10.5
44.83 percentage of max possible score
Standard Deviation 7.40

Adverse Events

Cognitive Bias Modification + Symptom Tracking

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Symptom Tracking

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Courtney Beard

McLean Hospital

Phone: 617-855-3557

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place