Trial Outcomes & Findings for Growth Mindset Psychoeducation for Modifiable Risk Factors for CMD (NCT NCT03707522)

NCT ID: NCT03707522

Last Updated: 2019-08-12

Results Overview

9-item questionnaire associated containing one item for each symptom of MDD as specified by the DSM. Items consist of a 4-point Likert scale (0="Not at all" to 3="Nearly every day"). Minimum score is 0, maximum score is 27. Higher scores indicate greater depression severity.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

162 participants

Primary outcome timeframe

3 months

Results posted on

2019-08-12

Participant Flow

College students recruited via e-mail

Participant milestones

Participant milestones
Measure
Growth Mindset + MRF Information
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Overall Study
STARTED
31
36
52
43
Overall Study
COMPLETED
7
9
11
7
Overall Study
NOT COMPLETED
24
27
41
36

Reasons for withdrawal

Reasons for withdrawal
Measure
Growth Mindset + MRF Information
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Overall Study
Lost to Follow-up
24
27
41
36

Baseline Characteristics

Growth Mindset Psychoeducation for Modifiable Risk Factors for CMD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Growth Mindset + MRF Information
n=31 Participants
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
n=36 Participants
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
n=52 Participants
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
n=43 Participants
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Total
n=162 Participants
Total of all reporting groups
Age, Continuous
18.06 years
STANDARD_DEVIATION .25 • n=5 Participants
18.00 years
STANDARD_DEVIATION .00 • n=7 Participants
18.02 years
STANDARD_DEVIATION .14 • n=5 Participants
18.07 years
STANDARD_DEVIATION .26 • n=4 Participants
18.04 years
STANDARD_DEVIATION .19 • n=21 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
14 Participants
n=4 Participants
43 Participants
n=21 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
25 Participants
n=7 Participants
41 Participants
n=5 Participants
29 Participants
n=4 Participants
119 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnciity · White
17 Participants
n=5 Participants
22 Participants
n=7 Participants
29 Participants
n=5 Participants
27 Participants
n=4 Participants
95 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnciity · Hispanic or Latino
5 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
8 Participants
n=4 Participants
24 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnciity · Black or African-American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
5 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnciity · Native American or American Indian
0 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnciity · Asian/Pacific Islander
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
5 Participants
n=4 Participants
23 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnciity · Other
4 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Region of Enrollment
United States
31 Participants
n=5 Participants
36 Participants
n=7 Participants
52 Participants
n=5 Participants
43 Participants
n=4 Participants
162 Participants
n=21 Participants
PHQ-9 (Depression severity)
7.06 units on a scale
STANDARD_DEVIATION 6.01 • n=5 Participants
5.28 units on a scale
STANDARD_DEVIATION 5.22 • n=7 Participants
5.62 units on a scale
STANDARD_DEVIATION 5.34 • n=5 Participants
9.65 units on a scale
STANDARD_DEVIATION 7.93 • n=4 Participants
6.89 units on a scale
STANDARD_DEVIATION 6.43 • n=21 Participants
GAD-7 (Anxiety severity)
5.97 units on a scale
STANDARD_DEVIATION 5.31 • n=5 Participants
5.25 units on a scale
STANDARD_DEVIATION 5.82 • n=7 Participants
5.52 units on a scale
STANDARD_DEVIATION 5.08 • n=5 Participants
8.26 units on a scale
STANDARD_DEVIATION 6.53 • n=4 Participants
6.27 units on a scale
STANDARD_DEVIATION 5.78 • n=21 Participants

PRIMARY outcome

Timeframe: 3 months

9-item questionnaire associated containing one item for each symptom of MDD as specified by the DSM. Items consist of a 4-point Likert scale (0="Not at all" to 3="Nearly every day"). Minimum score is 0, maximum score is 27. Higher scores indicate greater depression severity.

Outcome measures

Outcome measures
Measure
Growth Mindset + MRF Information
n=7 Participants
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
n=9 Participants
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
n=11 Participants
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
n=7 Participants
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Patient Health Questionnaire (PHQ-9; Kroenke, Spitzer & Williams, 2001)
5.50 units on a scale
Standard Deviation 7.34
4.57 units on a scale
Standard Deviation 3.15
6.70 units on a scale
Standard Deviation 3.37
13.14 units on a scale
Standard Deviation 7.52

PRIMARY outcome

Timeframe: 3 months

7-item scale, common, brief measure of anxiety symptom severity. Items consist of a 4-point Likert scale (0="Not at all" to 3="Nearly every day"). Minimum score is 0, maximum score is 21. Higher scores indicate greater anxiety symptom severity.

Outcome measures

Outcome measures
Measure
Growth Mindset + MRF Information
n=6 Participants
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
n=7 Participants
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
n=10 Participants
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
n=7 Participants
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Generalized Anxiety Disorder-7 (GAD-7; Spitzer, Kroenke, Williams & Lowe, 2006)
3.67 units on a scale
Standard Deviation 5.75
4.43 units on a scale
Standard Deviation 6.29
6.90 units on a scale
Standard Deviation 4.68
12.14 units on a scale
Standard Deviation 7.69

SECONDARY outcome

Timeframe: 3 months

Population: 1 participant completed primary but not secondary outcome measure

The scale contains 31 items assessing cognitive avoidance and behavioral avoidance of social and non-social avoidance. The scale uses a 5-item Likert scale (1="Not at all true for me" to 5="Extremely true for me"). Total scale range from 0-155. The behavioral social factor contains 8 items. Items are summed. Minimum score is 8, maximum score is 40. The cognitive nonsocial scale contains 10 items. Minimum score is 10. Maximum score is 50. The cognitive social subscale consists of 7 items. Minimum score is 7, maximum score is 35. The behavioral nonsocial subscale consists of 6 items. Minimum score is 6, maximum score is 30. Higher scores indicate higher levels of avoidance.

Outcome measures

Outcome measures
Measure
Growth Mindset + MRF Information
n=7 Participants
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
n=9 Participants
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
n=10 Participants
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
n=7 Participants
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Cognitive and Behavioral Avoidance Scale (CBAS, Ottenbreit & Dobson, 2003)
52.1 units on a scale
Standard Deviation 19.6
57.3 units on a scale
Standard Deviation 22.9
54.8 units on a scale
Standard Deviation 17.8
74.3 units on a scale
Standard Deviation 25.2

SECONDARY outcome

Timeframe: 3 months

Population: 2 participants completed primary but not secondary outcomes

3-item substance use measure including frequency of alcohol use, cigarette use and drug use. Items are measured using a five-point Likert scale (1="never or not at all" to 5="almost always"). The scale is scored by summing items. Minimum score is 3, maximum score is 15. Higher scores indicate more frequent substance use.

Outcome measures

Outcome measures
Measure
Growth Mindset + MRF Information
n=7 Participants
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
n=9 Participants
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
n=9 Participants
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
n=7 Participants
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Substance Use Measure (Lee et al., 2015)
3.9 units on a scale
Standard Deviation 1.5
3.2 units on a scale
Standard Deviation .7
3.6 units on a scale
Standard Deviation 1.3
4.9 units on a scale
Standard Deviation 2.5

SECONDARY outcome

Timeframe: 3 months

28-item scale assessing various dimensions of healthy and unhealthy coping. This include 14 subscales: self-distraction, active coping, denial, substance use, use of emotional support, use of instrumental support, behavioral disengagement, venting, positive reframing, planning, humor, acceptance, religion, and self-blame. Each subscale consists of two items. Subscales are scored by summing items. Scale consists of 4-item Likert scale (1="I haven't been doing this at all" to 4 "I've been doing this a lot"). Minimum score is 2, maximum score is 8 on each subscale. Higher scores indicate greater use of coping strategy. Positive reframing subscale was used.

Outcome measures

Outcome measures
Measure
Growth Mindset + MRF Information
n=7 Participants
Online growth mindset interactive article followed by equal length interactive article describing the relationship between modifiable risk factors (MRF) and mental health outcomes Growth mindset: 10 minute interactive article describing neuroplasticity Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety
Control + MRF Information
n=9 Participants
Online daily activity scheduling interactive article (control) followed by equal length interactive article describing the relationship between modifiable risk factors and mental health outcomes Modifiable risk factor (MRF) information: 10 minute interactive article describing modifiable risk factors for depression and anxiety Control: 10 minute interactive article describing activity scheduling
Control + Growth Mindset
n=11 Participants
Online growth mindset interactive article followed by equal length online daily activity scheduling interactive article (control) Growth mindset: 10 minute interactive article describing neuroplasticity Control: 10 minute interactive article describing activity scheduling
Control + Control
n=7 Participants
2 doses online daily activity scheduling interactive article (control) Control: 10 minute interactive article describing activity scheduling
Positive Reframing; Brief COPE (B-COPE; Carver, 1997)
2.9 units on a scale
Standard Deviation 1.1
2.9 units on a scale
Standard Deviation 1.1
2.4 units on a scale
Standard Deviation .83
3.2 units on a scale
Standard Deviation 1.0

Adverse Events

Growth Mindset + MRF Information

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

Control + MRF Information

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

Control + Growth Mindset

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

Control + Control

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

Martha Zimmermann

University of Nevada, Reno

Phone: 7756368067

Results disclosure agreements

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