Trial Outcomes & Findings for Can Mental Health Chatbots Help Chronic Disease Populations? (NCT NCT04620668)

NCT ID: NCT04620668

Last Updated: 2024-08-26

Results Overview

The Patient Health Questionnaire (PHQ-9) contains nine items, each of which is rated on a scale of 0 to 3. Ratings are summed for a composite score; the minimum score is 0 and the maximum score is 27. Higher scores indicate higher levels of depression.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

79 participants

Primary outcome timeframe

Participants are assessed at baseline, two weeks into the study, and four weeks into the study.

Results posted on

2024-08-26

Participant Flow

Recruitment occurred from October 2021 to October 2022.

98 individuals were assessed for eligibility. 19 did not meet inclusion criteria. 79 were assigned to groups.

Participant milestones

Participant milestones
Measure
Treatment Group (Wysa)
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
No treatment control group.
Overall Study
STARTED
41
38
Overall Study
COMPLETED
34
34
Overall Study
NOT COMPLETED
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Group (Wysa)
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
No treatment control group.
Overall Study
Withdrawal by Subject
2
0
Overall Study
Ineligible despite claims at outset of the study
1
0
Overall Study
Removed before analysis: missing data
2
0
Overall Study
Removed before analysis: failed multiple quality check questions
1
2
Overall Study
Removed before analysis: statistical outlier
1
2

Baseline Characteristics

Can Mental Health Chatbots Help Chronic Disease Populations?

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Group (Wysa)
n=34 Participants
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 Participants
No treatment control group.
Total
n=68 Participants
Total of all reporting groups
Age, Continuous
43.50 years
STANDARD_DEVIATION 11.00 • n=5 Participants
42.24 years
STANDARD_DEVIATION 11.66 • n=7 Participants
42.87 years
STANDARD_DEVIATION 11.27 • n=5 Participants
Sex/Gender, Customized
Gender · Men
8 Participants
n=5 Participants
12 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex/Gender, Customized
Gender · Women
26 Participants
n=5 Participants
21 Participants
n=7 Participants
47 Participants
n=5 Participants
Sex/Gender, Customized
Gender · Transgender Men
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · White
25 Participants
n=5 Participants
25 Participants
n=7 Participants
50 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Black / African Canadian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Indigenous / First Nations
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Hispanic / Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Asian / Pacific Islander
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Middle Eastern
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Mixed Race or Ethnicity
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
Canada
34 participants
n=5 Participants
34 participants
n=7 Participants
68 participants
n=5 Participants
Chronic Diseases
Diabetes
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants
Chronic Diseases
Arthritis
18 Participants
n=5 Participants
18 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Participants are assessed at baseline, two weeks into the study, and four weeks into the study.

The Patient Health Questionnaire (PHQ-9) contains nine items, each of which is rated on a scale of 0 to 3. Ratings are summed for a composite score; the minimum score is 0 and the maximum score is 27. Higher scores indicate higher levels of depression.

Outcome measures

Outcome measures
Measure
Treatment Group (Wysa)
n=34 Participants
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 Participants
No treatment control group.
Changes in Depression as Measured by the Patient Health Questionnaire (PHQ-9)
Baseline
8.65 units on a scale
Standard Deviation 6.03
7.82 units on a scale
Standard Deviation 6.29
Changes in Depression as Measured by the Patient Health Questionnaire (PHQ-9)
Week 2
7.18 units on a scale
Standard Deviation 4.90
7.41 units on a scale
Standard Deviation 5.88
Changes in Depression as Measured by the Patient Health Questionnaire (PHQ-9)
Week 4
5.26 units on a scale
Standard Deviation 4.11
7.56 units on a scale
Standard Deviation 6.33

PRIMARY outcome

Timeframe: Participants are assessed at baseline, two weeks into the study, and four weeks into the study.

The Generalized Anxiety Disorder Scale (GAD-7) contains seven items, each of which is rated on a scale of 0 to 3. Ratings are summed for a composite score; the minimum score is 0 and the maximum score is 21. Higher scores indicate higher levels of anxiety.

Outcome measures

Outcome measures
Measure
Treatment Group (Wysa)
n=34 Participants
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 Participants
No treatment control group.
Changes in Anxiety as Measured by the Generalized Anxiety Disorder Scale (GAD-7)
Baseline
7.44 units on a scale
Standard Deviation 5.37
6.09 units on a scale
Standard Deviation 6.27
Changes in Anxiety as Measured by the Generalized Anxiety Disorder Scale (GAD-7)
Week 2
5.85 units on a scale
Standard Deviation 4.02
6.32 units on a scale
Standard Deviation 6.66
Changes in Anxiety as Measured by the Generalized Anxiety Disorder Scale (GAD-7)
Week 4
4.74 units on a scale
Standard Deviation 3.30
6.56 units on a scale
Standard Deviation 6.45

PRIMARY outcome

Timeframe: Participants are assessed at baseline, two weeks into the study, and four weeks into the study.

The Perceived Stress Scale (PSS-10) contains ten items, each of which is rated on a scale of 0 to 4. Ratings are summed for a composite score; the minimum score is 0 and the maximum score is 40. Higher scores indicate higher levels of stress.

Outcome measures

Outcome measures
Measure
Treatment Group (Wysa)
n=34 Participants
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 Participants
No treatment control group.
Changes in Stress as Measured by the Perceived Stress Scale (PSS-10)
Baseline
19.00 units on a scale
Standard Deviation 6.79
17.53 units on a scale
Standard Deviation 8.83
Changes in Stress as Measured by the Perceived Stress Scale (PSS-10)
Week 2
18.56 units on a scale
Standard Deviation 6.57
17.47 units on a scale
Standard Deviation 7.82
Changes in Stress as Measured by the Perceived Stress Scale (PSS-10)
Week 4
17.06 units on a scale
Standard Deviation 6.21
17.35 units on a scale
Standard Deviation 7.93

SECONDARY outcome

Timeframe: Participants are assessed at baseline, two weeks into the study, and four weeks into the study.

The Satisfaction with Life Scale contains five items, each of which is rated on a scale of 1 to 7. Scores are summed for a composite score; the minimum score is 5 and the maximum score is 35. Higher scores indicate higher levels of life satisfaction.

Outcome measures

Outcome measures
Measure
Treatment Group (Wysa)
n=34 Participants
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 Participants
No treatment control group.
Changes in Life Satisfaction as Measured by the Satisfaction With Life Scale
Baseline
18.91 units on a scale
Standard Deviation 6.85
19.59 units on a scale
Standard Deviation 7.06
Changes in Life Satisfaction as Measured by the Satisfaction With Life Scale
Week 2
18.29 units on a scale
Standard Deviation 6.87
19.50 units on a scale
Standard Deviation 7.39
Changes in Life Satisfaction as Measured by the Satisfaction With Life Scale
Week 4
20.29 units on a scale
Standard Deviation 7.40
20.15 units on a scale
Standard Deviation 6.94

Adverse Events

Treatment Group (Wysa)

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Control Group

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment Group (Wysa)
n=34 participants at risk
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 participants at risk
No treatment control group.
Surgical and medical procedures
Brief hospitalization
2.9%
1/34 • 4 weeks (from baseline assessment to final assessment)
0.00%
0/34 • 4 weeks (from baseline assessment to final assessment)
General disorders
Brief hospitalization
0.00%
0/34 • 4 weeks (from baseline assessment to final assessment)
2.9%
1/34 • 4 weeks (from baseline assessment to final assessment)

Other adverse events

Other adverse events
Measure
Treatment Group (Wysa)
n=34 participants at risk
Wysa: Wysa is an AI-based mental health chatbot. It uses evidence-based techniques to help users build mental resilience skills and improve their mental health.
Control Group
n=34 participants at risk
No treatment control group.
Infections and infestations
Infectious disease
2.9%
1/34 • 4 weeks (from baseline assessment to final assessment)
2.9%
1/34 • 4 weeks (from baseline assessment to final assessment)
Surgical and medical procedures
Dental procedure
0.00%
0/34 • 4 weeks (from baseline assessment to final assessment)
2.9%
1/34 • 4 weeks (from baseline assessment to final assessment)

Additional Information

Luke MacNeill

University of New Brunswick

Phone: 506-648-5500

Results disclosure agreements

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