Wellness Through Mobile Health

The Washington University

Status: Completed

Conditions: Chronic Pain; Musculoskeletal Diseases; Depression; Anxiety Disorders

Treatments: Behavioral: Smartphone app (Wysa)

Study type: Interventional

Funder types: Other

Identifiers

NCT04640090

202005219

Details and patient eligibility

About

This pilot project will evaluate the potential of an affordable smartphone app to improve users' mental well-being.

Full description

The goal of this pilot study is to evaluate whether a smartphone wellness application has the potential to improve anxiety and depression symptoms in people who otherwise would not have access to behavioral health care. In this pilot study, participants will include patients who present to an orthopedic specialist for chronic musculoskeletal pain and who also endorse elevated anxiety and/or depression symptoms. Patients who otherwise do not have access to adequate behavioral health resources will be eligible to enroll in the study. Through the study, participants will have two months of full access to a commercially available smartphone wellness application which offers resources such as cognitive behavioral therapy via an artificial chatbot, mindfulness and deep breathing training, and text-based access to a human well-being coach. Participants' baseline and 2-month follow-up anxiety and depression symptoms will be compared. Qualitative feedback regarding the user experience with the smartphone application will also be collected.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presentation to an orthopedic specialist at the Washington University Living Well Center for a musculoskeletal condition
• Score of 55 or higher on Patient-Reported Outcomes Measurement Information System (PROMIS) Depression and/or Anxiety measures
• Advised to consider behavioral health treatment as a component of comprehensive care for a musculoskeletal condition
• Cannot or does not wish to pursue in-person behavioral health treatment (e.g., with the center psychologist)

Exclusion criteria

• No access to an electronic device (such as a smartphone) to download and use the wellness app and to electronically complete follow-up self-reported health measures
• In active mental health crisis (e.g., suicidal/homicidal thoughts, psychosis) which would require an escalated level of care
• Initiating care with a behavioral health specialist

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

60 participants in 1 patient group

Smartphone app

Experimental group

Description:

All participants in this single-arm study will receive two months of subsidized, full access to the smartphone wellness application.

Treatment:

Behavioral: Smartphone app (Wysa)