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Pilot Randomized Trial of a Self-Help Behavioral Activation Mobile App for Utilization in Primary Care
Jennifer Dahne1, C W Lejuez2, Vanessa A Diaz1
1Medical University of South Carolina.
Behavior Therapy
|June 19, 2019
Summary
Mobile apps like Moodivate and MoodKit show promise for treating depression in primary care. Both apps significantly reduced depressive symptoms compared to treatment as usual, demonstrating feasibility and sustained efficacy.
Area of Science:
- Digital mental health
- Primary care interventions
- Behavioral activation
Background:
- Mobile technologies offer scalable solutions for evidence-based psychological depression treatment.
- Primary care settings are crucial for reaching individuals with depression.
Purpose of the Study:
- To assess the feasibility and efficacy of a mobile behavioral activation app (Moodivate) for depression.
- To compare Moodivate, an active control app (MoodKit), and treatment as usual (TAU) in primary care.
Main Methods:
- A randomized controlled trial with 52 primary care adults assigned to Moodivate, MoodKit, or TAU.
- Weekly depressive symptom assessments over 8 weeks.
- App usage analytics collected for feasibility (Moodivate only).
Main Results:
- Moodivate demonstrated feasibility with high user engagement and retention.
- Both Moodivate and MoodKit groups showed significant, sustained reductions in depressive symptoms compared to TAU.
- A significant time-by-treatment interaction indicated differential symptom changes.
Conclusions:
- Mobile apps (Moodivate, MoodKit) are feasible and efficacious for treating depression in primary care.
- Digital interventions show potential for widespread depression management.
- Further large-scale studies are warranted to confirm effectiveness across diverse primary care settings.
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