Trial Outcomes & Findings for Mobile Coping Skills Training to Improve Cardiorespiratory Failure Survivors' Psychological Distress (NCT NCT04329702)

NCT ID: NCT04329702

Last Updated: 2023-02-03

Results Overview

Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

Between baseline and 1 month post-randomization

Results posted on

2023-02-03

Participant Flow

Participant milestones

Participant milestones
Measure
Coping Skills Training Plus Therapist Input
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Overall Study
STARTED
16
14
15
Overall Study
COMPLETED
13
8
13
Overall Study
NOT COMPLETED
3
6
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Coping Skills Training Plus Therapist Input
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Overall Study
illness
3
4
0
Overall Study
Lost to Follow-up
0
0
2
Overall Study
Death
0
2
0

Baseline Characteristics

Mobile Coping Skills Training to Improve Cardiorespiratory Failure Survivors' Psychological Distress

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Total
n=45 Participants
Total of all reporting groups
Age, Continuous
50.7 years
STANDARD_DEVIATION 12.5 • n=93 Participants
52.7 years
STANDARD_DEVIATION 15.0 • n=4 Participants
46.5 years
STANDARD_DEVIATION 14.1 • n=27 Participants
49.4 years
STANDARD_DEVIATION 12.7 • n=483 Participants
Sex: Female, Male
Female
11 Participants
n=93 Participants
11 Participants
n=4 Participants
5 Participants
n=27 Participants
27 Participants
n=483 Participants
Sex: Female, Male
Male
5 Participants
n=93 Participants
3 Participants
n=4 Participants
10 Participants
n=27 Participants
18 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
2 Participants
n=4 Participants
0 Participants
n=27 Participants
2 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=93 Participants
12 Participants
n=4 Participants
15 Participants
n=27 Participants
43 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=93 Participants
0 Participants
n=4 Participants
4 Participants
n=27 Participants
11 Participants
n=483 Participants
Race (NIH/OMB)
White
9 Participants
n=93 Participants
11 Participants
n=4 Participants
11 Participants
n=27 Participants
31 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Region of Enrollment
United States
16 Participants
n=93 Participants
14 Participants
n=4 Participants
15 Participants
n=27 Participants
45 Participants
n=483 Participants
Financial distress
6 Participants
n=93 Participants
6 Participants
n=4 Participants
6 Participants
n=27 Participants
18 Participants
n=483 Participants

PRIMARY outcome

Timeframe: Between baseline and 1 month post-randomization

Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Change in Hospital Anxiety and Depression Scale (HADS) Questionnaire
11.7 units on a scale
Interval 8.5 to 14.8
11.3 units on a scale
Interval 7.7 to 14.8
12.1 units on a scale
Interval 8.7 to 15.6

SECONDARY outcome

Timeframe: Between baseline and 3 months post-randomization

Depression and anxiety symptoms. Scores range from 0 (better) to 42 (worse)

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Change in Hospital Anxiety and Depression Scale (HADS) Questionnaire
11.0 units on a scale
Interval 7.2 to 14.8
11.4 units on a scale
Interval 6.8 to 16.1
13.5 units on a scale
Interval 9.5 to 17.5

SECONDARY outcome

Timeframe: Between baseline and 1 month post-randomization

Post-traumatic stress disorder symptoms. Scores can range from 10 (best) to 70 (worst).

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Change in Post-Traumatic Stress Symptom Inventory (PTSS)
28.8 units on a scale
Interval 23.7 to 33.9
26.4 units on a scale
Interval 20.6 to 32.1
30.5 units on a scale
Interval 25.0 to 36.1

SECONDARY outcome

Timeframe: Between baseline and 3 months post-randomization

Post-traumatic stress disorder symptoms. Scores can range from 10 (best) to 70 (worst).

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Change in Post-Traumatic Stress Symptom Inventory (PTSS)
28.9 units on a scale
Interval 22.0 to 35.9
29.4 units on a scale
Interval 21.0 to 37.8
31.3 units on a scale
Interval 24.2 to 38.4

SECONDARY outcome

Timeframe: 1 month post-randomization

A measure of acceptability. Scores can range from 5 (worst) to 35 (best)

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Client Satisfaction Questionnaire (CSQ)
29 units on a scale
Interval 27.0 to 30.0
29.5 units on a scale
Interval 24.0 to 32.5
25 units on a scale
Interval 23.0 to 30.0

SECONDARY outcome

Timeframe: 1 month post-randomization

Population: Participants who received intervention.

Measured by how many total tasks of the 33 possible that participants completed within the app during the intervention. Note that a value \>33 indicates that participants completed more tasks than required.

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=14 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=13 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Intervention Adherence
36.5 tasks
Standard Deviation 11.8
34.1 tasks
Standard Deviation 10.9

SECONDARY outcome

Timeframe: Between baseline and 1 month post-randomization

A measure of quality of life. Scores can range from 0 (worst) to 100 (best)

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Change in Quality of Life Visual Analog Scale
54.0 units on a scale
Interval 44.6 to 63.4
66.7 units on a scale
Interval 56.0 to 77.4
61.8 units on a scale
Interval 51.5 to 72.1

SECONDARY outcome

Timeframe: Between baseline and 3 month post-randomization

A measure of quality of life. Scores can range from 0 (worst) to 100 (best)

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Change in Quality of Life Visual Analog Scale
61.4 units on a scale
Interval 50.6 to 72.3
72.5 units on a scale
Interval 58.3 to 86.7
67.1 units on a scale
Interval 55.9 to 78.3

SECONDARY outcome

Timeframe: 1 month post-randomization

An adapted version of the PHQ-15; a measure of physical symptoms. Scores can range from 0 (best) to 30 (worst).

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=16 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=14 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=15 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Patient Health Questionnaire 10-item Scale (PHQ-10)
11.3 units on a scale
Standard Deviation 2.7
10.1 units on a scale
Standard Deviation 2.7
8.3 units on a scale
Standard Deviation 2.9

SECONDARY outcome

Timeframe: 3 months post-randomization

Population: Participants with a PHQ-10 score available at 3 months.

An adapted version of the PHQ-15; a measure of physical symptoms. Scores can range from 0 (best) to 30 (worst).

Outcome measures

Outcome measures
Measure
Coping Skills Training Plus Therapist Input
n=13 Participants
Participants will receive a CST therapist call within 48 hours of randomization to discuss the study rationale, to conduct a relaxation exercise, and to review app and study logistics. Participants will use the Blueprint mobile app for 1 month. Coping skills training mobile app with call from CST therapist: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. A therapist will call participant to introduce the intervention and perform a brief relaxation exercise.
Coping Skills Training Without Therapist Input
n=8 Participants
Participants will receive a call from a research coordinator to get them started with the trial. Participants will use the Blueprint mobile app for 1 month. No therapist calls will be provided. Chat room access in the app will be provided. Coping skills training mobile app only: The intervention is a mobile app that delivers a 4-week long program of coping skills training. The app contains video, visual, and text content and has a companion PDF workbook. It provides timeline-driven prompts to complete weekly tasks (e.g., viewing videos, completing surveys) and coaching participants to use their current stressors as context for real-life application of adaptive coping skills. App chat room access will be provided.
Usual Care Control
n=13 Participants
Control participants will receive the same safety oversight as intervention participants and will be provided with phone and email contacts for study staff.
Patient Health Questionnaire 10-item Scale (PHQ-10)
7.9 units on a scale
Standard Deviation 2.8
6.5 units on a scale
Standard Deviation 3.8
5.7 units on a scale
Standard Deviation 4.0

SECONDARY outcome

Timeframe: Between baseline and 1 month post-randomization

Population: Data not collected.

A visual analog scale appended to the HADS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the HADS. Scores range from 0 (best) to 100 (worst)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Between baseline and 3 months post-randomization

Population: Data not collected.

A visual analog scale appended to the HADS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the HADS. Scores range from 0 (best) to 100 (worst)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Between baseline and 1 month post-randomization

Population: Data not collected.

A visual analog scale appended to the PTSS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the PTSS. Scores range from 0 (best) to 100 (worst)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Between baseline and 3 months post-randomization

Population: Data not collected.

A visual analog scale appended to the PTSS which allows participants to report how distressing they perceive the depression and anxiety symptoms to be that they reported in the PTSS. Scores range from 0 (best) to 100 (worst)

Outcome measures

Outcome data not reported

Adverse Events

Coping Skills Training Plus Therapist Input

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

Coping Skills Training Without Therapist Input

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

Usual Care 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

Christopher Cox

Duke University

Phone: 9196817232

Results disclosure agreements

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