Background
Depressive symptoms in college students
Treating depression
Low intensity internet-delivered treatment
SilverCloud platform evidence: Space from depression
Culturally adapted psychotherapy (CAP)
Outcomes from CAP research
Culturally adapted internet-delivered treatment
Method
Aims and hypothesis
Overview
Procedure
Study 1: Cultural adaptation (cultural sensitivity and ecological validity)
Participants
Eligibility criteria
Recruitment and procedure
Study 2: Efficacy trial
Sample size
Eligibility criteria
Exclusion criteria: |
Severe depressive symptoms > 19 on PHQ-9 |
Suicidal ideation or intent: Score of 2 or above on PHQ-9 question 9 Psychosis |
Currently in psychological treatment for depression |
On medication for less than 1 month |
Alcohol or drugs misuse |
Previous diagnosis of an organic mental health disorder |
Depression preceding or coinciding a diagnosed medical condition |
Inclusion criteria |
18-year-old minimum |
Mild to moderately severe depressive symptoms: (PHQ-9 score 10–19) |
User recruitment
Procedure
Randomisation
Intervention space from depression
Module | Brief description |
---|---|
Getting started | This module outlines the basic premise of CBT, provides information about depression, and introduces some of the key ideas of Space from Depression. Users are encouraged to begin to chart their own current difficulties with depression. |
Tune in I: getting to grips with mood | The focus in this module is on mood monitoring and emotional literacy. Users can explore different aspects of emotions, physical reactions, action and inaction, and how they are related. |
Tune in II: spotting thoughts | This module focuses on noting and tracking thoughts. Users can explore the connection between their cognitions and their mood and record them graphically. |
Change It I: boosting behaviour | This module focuses on behavioural change as a way to improve mood. Ideas about behavioural activation are included, and users can plan and record activities and chart their relationship with their mood. |
Change It II: challenge your thoughts | This module supports users to challenge distorted or overly negative thinking patterns with thought records, as well as helpful coping thoughts. |
Change It III: core beliefs | This module outlines the role that deeply held core beliefs could play in mood and depression. Users can use a range of interactive activities to identify, challenge and balance any unhelpful core beliefs. |
Bringing It all together | In this final module, users are encouraged to bring together all the skills and ideas they have gathered so far, note their personal warning signs, and make a plan for staying well. |
Wait list control group
Supporters
Assessments
Study | Measure | Assessed variable | Time of assessment |
---|---|---|---|
Study 1 cultural validity | Cultural Relevance Questionnaire (CRQ) | Culturally adapted internet-delivered treatment | Completed by experts and users before the trial. |
Study 2 efficacy trial | Patient Health Questionnaire (PHQ-9) | Depression symptoms | Baseline, post-treatment and follow- up |
Generalised Anxiety Disorder 7 (GAD-7). | Anxiety symptoms | Baseline, post-treatment and follow- up | |
Sociodemographic & Clinical History Questionnaire | Gender, age, marital status, education, occupation, socioeconomic status and clinical history | Baseline | |
Helpful and Hindering Aspects of Treatment (HAT) | Helpful and hindering aspects of treatment | After each session | |
Satisfaction with Treatment (SAT) | Satisfaction with therapy | Post-treatment |