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The iBobbly Aboriginal and Torres Strait Islander app project: Study protocol for a randomised controlled trial
Fiona Shand1, Andrew Mackinnon2, Kathleen O'Moore2
1Black Dog Institute, University of New South Wales, Hospital Road, Randwick, NSW, 2031, Australia. fionas@unsw.edu.au.
Trials
|April 7, 2019
Summary
This study tested the iBobbly app for reducing suicidal ideation in Aboriginal and Torres Strait Islander people. The app showed promise in overcoming barriers to mental health support for this high-risk group.
Area of Science:
- Digital mental health interventions
- Indigenous health research
- Suicide prevention strategies
Background:
- Suicide rates are double in Australian Aboriginal and Torres Strait Islander communities.
- Significant barriers limit help-seeking behaviors.
- A culturally designed app, iBobbly, was developed to address these issues.
Purpose of the Study:
- To evaluate the effectiveness of the iBobbly app in reducing suicidal ideation.
- To assess iBobbly's impact on depression, hopelessness, and other psychological factors.
- To determine the cost-effectiveness of the iBobbly intervention.
Main Methods:
- A two-arm randomized controlled trial comparing iBobbly to a wait-list control.
- Recruitment of Aboriginal and Torres Strait Islander participants aged 16 and over.
- Data collection at baseline, 6 weeks, and 6 months, with a 12-month follow-up for the intervention group.
Main Results:
- The primary outcome is the change in suicidal ideation.
- Secondary outcomes include depression, hopelessness, distress tolerance, perceived burdensomeness, thwarted belonging, and help-seeking intentions.
- Mixed models will be used for primary analysis.
Conclusions:
- iBobbly may overcome barriers to help-seeking for individuals at high risk of suicide.
- The app offers a potentially low-cost, accessible suicide prevention tool.
- This trial contributes to limited research on Indigenous suicide prevention and e-health effectiveness.
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