Working...
ClinicalTrials.gov
ClinicalTrials.gov Menu

Mindfulness and Acceptance Applied in Colleges Through Web-Based Guided Self-Help

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT01808404
Recruitment Status : Completed
First Posted : March 11, 2013
Last Update Posted : January 29, 2014
Sponsor:
Information provided by (Responsible Party):
Contextual Change LLC

Brief Summary:

College counseling centers (CCCs) are being faced with increasing demands for services to meet the treatment needs of their students, in the context of increasingly severe cases and declining resources. Innovative, cost effective solutions are needed.

The proposed project seeks to meet these needs by testing a web-based guided self-help version of Acceptance and Commitment Therapy (ACT), an evidence-based transdiagnostic therapy found to effectively treat a range of psychological problems. An ACT program would provide a means of implementing effective treatment for the range of problems in the CCC setting, while the guided self-help format would reduce counselors' workload, improving cost-effectiveness and reducing waiting lists. This would both treat students and train counselors in how to implement the ACT intervention. Three self-help lessons have been developed, as well as a counselor portal to review students' use of the program and to receive training on implementing ACT guided self-help.

The study is a pre-post, open(i.e., non-randomized) feasibility trial with 20 counselors and 60 clients from multiple CCCs throughout the country.


Condition or disease Intervention/treatment Phase
College Student Mental Health Behavioral: Web-Based Guided Self-Help Phase 1

Detailed Description:

Nearly half of all college students have a diagnosable mental health problem. College counseling centers (CCCs) are faced with increasing demands for services from Universities, students, and parents to meet the treatment needs of their students, in the context of increasingly severe cases and declining resources. Innovative, cost effective solutions are needed that can improve treatment effectiveness with a range of presenting problems while reducing counselor workloads.

The current project seeks to meet these needs by recruiting participants at several CCCs throughout the country to test a web-based guided self-help version of Acceptance and Commitment Therapy, an evidence-based transdiagnostic therapy that has been found to effectively treat a range of mental health problems by targeting experiential avoidance, the tendency to avoid unwanted emotions and negative thoughts. An ACT program would provide a means of implementing effective treatment for the range of problems encountered in the CCC setting, while the online guided self-help format would reduce counselors' workload for each client, improving cost effectiveness and reducing waiting lists. This product would both treat students through a series of self-help modules and train CCC counselors in how to implement the guided self-help ACT intervention.

For the current phase (Phase I) of this Small Business Innovation Research (SBIR) grant, three self-help modules (mindfulness, acceptance of difficult thoughts and feelings, and values exploration) have been developed, as well as a counselor portal to review students' use of the program and to receive training on implementing ACT guided self-help. The current study is a pre-post feasibility trial with at least 20 counselors and 60 clients (3 student clients per CCC counselor) from different CCCs throughout the country. The study is an open trial in which all counselors and clients will use the program and complete assessments and pre and post. The study will examine the initial feasibility, efficacy and acceptability of the program with both students and counselors. These findings will inform the development of a final commercial program to be marketed to CCCs.


Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 113 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Mindfulness and Acceptance Applied in Colleges Through Web-Based Guided Self-Help (Phase 1)
Study Start Date : February 2013
Actual Primary Completion Date : September 2013
Actual Study Completion Date : September 2013

Arm Intervention/treatment
Experimental: Web-Based Guided Self-Help
The study is an open trial and all participants will be assigned to the same intervention arm.
Behavioral: Web-Based Guided Self-Help
The intervention will involve counselors using the web-based guided self-help program with their student clients. Counselors will complete a web-based training followed by a period of time in which they will monitor and guide students in completing the program. Students will access a series of three web-based "lessons" in which they will receive an intervention based on Acceptance and Commitment Therapy (ACT) focused on personal values, acceptance of difficult emotions, and mindfulness.




Primary Outcome Measures :
  1. System Usability Scale [ Time Frame: Post (Counselors 10 weeks after baseline; Student clients 4 weeks after baseline) ]
    Program usability/acceptability will be a primary outcome measure for this study for both counselors and students using the program.

  2. Program Knowledge Questionnaire [ Time Frame: Baseline to Post (Counselors 10 weeks after baseline; Student clients 4 weeks after baseline) ]
    We will examine whether counselors and students improve in their knowledge of ACT concepts after going through the program to assess initial feasibility of the prototype program.


Secondary Outcome Measures :
  1. Depression, Anxiety and Stress Scale [ Time Frame: Baseline to Post (Student clients 4 weeks after baseline) ]
    The initial efficacy of the prototype intervention will be examined with students by looking at changes from pre to post on depression, anxiety and stress.

  2. Five Facet Mindfulness Questionnaire [ Time Frame: Baseline to Post (Student clients 4 weeks after baseline) ]
    We will examine whether students improve on mindfulness variables (observing, acting with awareness, and being nonjudgmental) after using the program as a secondary process measure.

  3. Personal Values Questionnaire [ Time Frame: Baseline to Post (Student clients 4 weeks after baseline) ]
    We will examine whether students improve in their connection to and engagement in personal values after completing the program as a secondary process measure.

  4. Acceptance and Action Questionnaire - II [ Time Frame: Baseline to Post (Student clients 4 weeks after baseline) ]
    We will examine whether students improve on a measure of psychological flexibility after completing the program as a secondary process measure.

  5. Satisfaction With Life Scale [ Time Frame: Baseline to Post (Student clients 4 weeks after baseline) ]
    We will examine whether students improve on a measure of satisfaction with life after completing the program as a secondary outcome measure.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria for Counselors:

  • Currently working at a College Counseling Center
  • Willingness to take the ACT guided self-help training through the counselor portal until reaching a passing criterion of 80%
  • Willingness to distribute flyers about the study to five students, in an attempt to recruit 3 clients to participate in the self-help modules

Exclusion Criteria for Counselors:

  • Prior participation in this study

Inclusion Criteria for Student Clients:

  • Currently being treated at a College Counseling Center
  • Willingness to participate in three half-hour modules as part of a web-based guided self-help program and complete pre and post assessments across a period of 4 weeks
  • Referred to the study/self-help modules by counselor
  • Participation will comply with targeted enrollment plans, and attention will be paid to selecting an ethnically/racially diverse group
  • Student is clinically stable as per counselor judgment (e.g., not actively suicidal, psychotic, or disruptive)

Exclusion Criteria for Student Clients:

  • Under 18
  • Lack of fluency in English 7th grade level
  • Prior participation in this study
  • Students with current psychotic disorders, risk of harm to self or others, or needing close medical and/or psychiatric oversight will be excluded, based on counselor assessment.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01808404


Locations
Layout table for location information
United States, Massachusetts
Worcester Polytechnic Institute Student Development and Counseling Center
Worcester, Massachusetts, United States, 01609
United States, Michigan
Michigan State University Counseling Center
East Lansing, Michigan, United States, 48824
United States, North Carolina
University of North Carolina Counseling and Psychological Services
Chapel Hill, North Carolina, United States, 27599
United States, Rhode Island
Rhode Island School of DesignOffice of Student Development and Counseling Services
Providence, Rhode Island, United States, 02906
Sponsors and Collaborators
Contextual Change LLC
Investigators
Layout table for investigator information
Principal Investigator: Michael E. Levin, M.A. Contextual Change LLC
Principal Investigator: Jacqueline Pistorello, Ph.D. Contextual Change LLC

Layout table for additonal information
Responsible Party: Contextual Change LLC
ClinicalTrials.gov Identifier: NCT01808404     History of Changes
Other Study ID Numbers: R43AT006952 ( U.S. NIH Grant/Contract )
First Posted: March 11, 2013    Key Record Dates
Last Update Posted: January 29, 2014
Last Verified: January 2014

Keywords provided by Contextual Change LLC:
Acceptance and Commitment Therapy
Mindfulness
Guided Self-Help
College