Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun 5;13(6):e070369.
doi: 10.1136/bmjopen-2022-070369.

Further development and feasibility randomised controlled trial of a digital programme for adolescent depression, MoodHwb: study protocol

Affiliations

Further development and feasibility randomised controlled trial of a digital programme for adolescent depression, MoodHwb: study protocol

Rhys Bevan Jones et al. BMJ Open. .

Abstract

Introduction: A digital programme, MoodHwb, was codesigned with young people experiencing or at high risk of depression, parents/carers and professionals, to provide support for young people with their mood and well-being. A preliminary evaluation study provided support for the programme theory and found that MoodHwb was acceptable to use. This study aims to refine the programme based on user feedback, and to assess the acceptability and feasibility of the updated version and study methods.

Methods and analysis: Initially, this study will refine MoodHwb with the involvement of young people, including in a pretrial acceptability phase. This will be followed by a multicentre feasibility randomised controlled trial comparing MoodHwb plus usual care with a digital information pack plus usual care. Up to 120 young people aged 13-19 years with symptoms of depression and their parents/carers will be recruited through schools, mental health services, youth services, charities and voluntary self-referral in Wales and Scotland. The primary outcomes are the feasibility and acceptability of the MoodHwb programme (including usage, design and content) and of trial methods (including recruitment and retention rates), assessed 2 months postrandomisation. Secondary outcomes include potential impact on domains including depression knowledge and stigma, help-seeking, well-being and depression and anxiety symptoms measured at 2 months postrandomisation.

Ethics and dissemination: The pretrial acceptability phase was approved by the Cardiff University School of Medicine Research Ethics Committee (REC) and the University of Glasgow College of Medicine, Veterinary and Life Sciences REC. The trial was approved by Wales NHS REC 3 (21/WA/0205), the Health Research Authority(HRA), Health and Care Research Wales (HCRW), university health board Research and Development (R&D) departments in Wales, and schools in Wales and Scotland. Findings will be disseminated in peer-reviewed open-access journals, at conferences and meetings, and online to academic, clinical, and educational audiences and the wider public.

Trial registration number: ISRCTN12437531.

Keywords: Child & adolescent psychiatry; Clinical trials; Depression & mood disorders; MENTAL HEALTH.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
MoodHwb (v1) welcome screen (main image/left) and open menu (right) (from Bevan Jones et al 2020a).
Figure 2
Figure 2
Logic model for MoodHwb (above, from Bevan Jones et al 2018b), including potential pathways (below).
Figure 3
Figure 3
Participant flow diagram. NB: Web/app usage data of those in the intervention arm will be collected for 6 months after baseline.

References

    1. Thapar A, Eyre O, Patel V, et al. Depression in young people. Lancet 2022;400:617–31. 10.1016/S0140-6736(22)01012-1 - DOI - PubMed
    1. Bertha EA, Balázs J. Subthreshold depression in adolescence: a systematic review. Eur Child Adolesc Psychiatry 2013;22:589–603. 10.1007/s00787-013-0411-0 - DOI - PubMed
    1. Knapp M, Wong G. Economics and mental health: the current scenario. World Psychiatry 2020;19:3–14. 10.1002/wps.20692 - DOI - PMC - PubMed
    1. Trautmann S, Rehm J, Wittchen H-U. The economic costs of mental disorders: do our societies react appropriately to the burden of mental disorders? EMBO Rep 2016;17:1245–9. 10.15252/embr.201642951 - DOI - PMC - PubMed
    1. Potter R, Mars B, Eyre O, et al. Missed opportunities: mental disorder in children of parents with depression. Br J Gen Pract 2012;62:e487–93. 10.3399/bjgp12X652355 - DOI - PMC - PubMed

Publication types

Associated data