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Completed

NCT Number: NCT04361045

StriveWeekly: Self-Guided Online Intervention for Anxiety, Depression, and Stress in University Students

This study was a randomized controlled trial of an original online mental health promotion program. This study aimed to: 1) establish program effectiveness by examining symptom change between conditions and 2) examine predictors of symptom change. The program was previously tested in open trial feasibility study by the same Principal Investigator and has since been rebuilt as informed by feasibility findings and participant qualitative feedback.

Participants were randomly assigned to either a waitlist condition or eight weeks of the intervention condition. Baseline, posttest, and follow-up electronic surveys collected self-reported symptoms of stress, anxiety, and depression. Motivational variables were also assessed at baseline and then tested as moderators of intervention effects.

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Key information

Conditions

Anxiety Anxiety Disorders Behavior Behavioral Symptoms Depression Depressive Symptoms Mental Disorders Stress, Psychological

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of California, Los Angeles

Los Angeles, California, 90095, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • enrolled as a student at UCLA (Fall 2017 - Winter 2018)

Exclusion criteria

  • concurrent enrollment in a similar online anxiety and depression treatment study on campus
  • invalid data reporting (e.g., straight-lined responses to surveys) -- post hoc exclusion

Treatment and study plan

StriveWeekly

Behavioral

The intervention (app.striveweekly.com) delivered eight modules: introduction module, six skills modules, and wrap-up module. The two program "brand name" versions had identical content, but different aesthetic schemes. Modules were released week-by-week, and participants self-guided through content. To facilitate skills practice, every module was accompanied by: a weekly intro email and reminder emails; an "extras" section for tips/suggestions; and a weekly prize drawing. The "Dashboard" section of the intervention displayed user progress. The "Campus" section of this dashboard provided: campus-specific announcements; referrals to relevant campus wellness resources; and an anonymous livestream of all campus users' activity.

Strategies/skills included: Psychoeducation; Self-monitoring; Behavioral activation; Cognitive restructuring; Sleep hygiene; Time management; Interpersonal avoidance exposures; Physical exercise; Mindfulness; Maintenance planning.

Other names: The Happiness Challenge, ReBoot Camp

Primary outcomes

  1. Depression Anxiety and Stress Scale (DASS-21)

    Time frame: [Time Frame: Baseline to Posttest (~8 weeks)]

    This 21-item self-report measure assesses symptoms of depression, anxiety, and stress. Individual items are rated 0 (Did not apply to me at all) to 3 (Applied to me very much or most of the time), with total scores ranging 0 - 63. Lower scores at posttest relative to baseline indicate improvement.

Secondary outcomes

  1. Program Adherence

    Time frame: [Time Frame: Baseline to Posttest (~8 weeks)]

    This outcome was assessed based on number of modules with 1+ skills practice log. Skills practice logs were recorded as behavioral data, stored within the online platform's database of user account activity.

  2. Program Satisfaction

    Time frame: Posttest (~8 weeks)

    This 5-item measure was adapted from the Client Satisfaction Questionnaire. Individual items are rated 1 (Poor) to 4 (Excellent), with total scores ranging 5 - 20. Higher scores indicate more satisfaction.

Other outcomes

  1. Subjective Happiness Scale

    Time frame: [Time Frame: Baseline to Posttest (~8 weeks)]

    This 4-item self-report measure assesses subjective happiness. Individual items are rated 1 to 7, with total scores ranging 4 - 28. Higher scores at posttest relative to baseline indicate improvement.

  2. Patient Health Questionnaire-9

    Time frame: [Time Frame: Baseline to Posttest (~8 weeks)]

    This 9-item self-report measure assesses symptoms of major depressive disorder. Individual items are rated 0 (Not at all) to 3 (Nearly every day), with total scores ranging 0 - 27. Lower scores at posttest relative to baseline indicate improvement.

Sponsors and collaborators

Lead sponsor

University of California, Los Angeles

Other

Registry information

Official study title

Randomized Control Trial of Online Mental Health Promotion Program for University Students

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Apr 24, 2020
Registry last updated
May 17, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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