The Open UniversitySkip to content
 

Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial.

Proudfoot, Judith; Clarke, Janine; Birch, Mary-Rose; Whitton, Alexis; Parker, Gordon; Manicavasagar, Vijaya; Harrison, Virginia; Christensen, Helen and Hadzi-Pavlovic, Dusan (2013). Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial. BMC Psychiatry, 13(1) pp. 312–324.

Full text available as:
[img]
Preview
PDF (Version of Record) - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (472kB) | Preview
DOI (Digital Object Identifier) Link: https://doi.org/10.1186/1471-244X-13-312
Google Scholar: Look up in Google Scholar

Abstract

Background

Mobile phone-based psychological interventions enable real time self-monitoring and self-management, and large-scale dissemination. However, few studies have focused on mild-to-moderate symptoms where public health need is greatest, and none have targeted work and social functioning. This study reports outcomes of a CONSORT-compliant randomised controlled trial (RCT) to evaluate the efficacy of myCompass, a self-guided psychological treatment delivered via mobile phone and computer, designed to reduce mild-to-moderate depression, anxiety and stress, and improve work and social functioning.

Method

Community-based volunteers with mild-to-moderate depression, anxiety and/or stress (N= 720) were randomly assigned to the myCompass program, an attention control intervention, or to a waitlist condition for seven weeks. The interventions were fully automated, without any human input or guidance. Participants’ symptoms and functioning were assessed at baseline, post-intervention and 3-month follow-up, using the Depression, Anxiety and Stress Scale and the Work and Social Adjustment Scale.

Results

Retention rates at post-intervention and follow-up for the study sample were 72.1% (n= 449) and 48.6% (n= 350) respectively. The myCompass group showed significantly greater improvement in symptoms of depression, anxiety and stress and in work and social functioning relative to both control conditions at the end of the 7-week intervention phase (between-group effect sizes ranged from d= .22 to d= .55 based on the observed means). Symptom scores remained at near normal levels at 3-month follow-up. Participants in the attention control condition showed gradual symptom improvement during the post-intervention phase and their scores did not differ from the myCompass group at 3-month follow-up.

Conclusions

The myCompass program is an effective public health program, facilitating rapid improvements in symptoms and in work and social functioning for individuals with mild-to-moderate mental health problems.

Item Type: Journal Item
Copyright Holders: 2013 Proudfoot et al.
ISSN: 1471-244X
Extra Information: 12 pp.
Keywords: eHealth; public health; depression; anxiety; psychological stress; mobile health; intervention studies; work functioning
Academic Unit/School: Faculty of Arts and Social Sciences (FASS) > Psychology
Faculty of Arts and Social Sciences (FASS)
Interdisciplinary Research Centre: Centre for Policing Research and Learning (CPRL)
Harm and Evidence Research Collaborative (HERC)
Item ID: 40152
Depositing User: Virginia Harrison
Date Deposited: 16 May 2014 08:43
Last Modified: 04 Dec 2016 21:47
URI: http://oro.open.ac.uk/id/eprint/40152
Share this page:

Altmetrics

Download history for this item

These details should be considered as only a guide to the number of downloads performed manually. Algorithmic methods have been applied in an attempt to remove automated downloads from the displayed statistics but no guarantee can be made as to the accuracy of the figures.

Actions (login may be required)

Policies | Disclaimer

© The Open University   contact the OU