Study protocol: A randomized controlled trial of Raising Our Spirits Together, an entertaining, group-based technology-assisted cognitive behavioral therapy for depression, tailored for rural adults and delivery by clergy

Autor: Addie Weaver, Caroline Landry, Anao Zhang, Lynne McQuown, Jessica Hahn, Meghan Harrington, Katherine M. Tucker, Josh Holzworth, Trevor Buys, Fonda N. Smith, Andrew Grogan-Kaylor, Paul N. Pfeiffer, Amy M. Kilbourne, Joseph A. Himle
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Contemporary Clinical Trials Communications, Vol 29, Iss , Pp 100952- (2022)
Druh dokumentu: article
ISSN: 2451-8654
DOI: 10.1016/j.conctc.2022.100952
Popis: This paper presents a methodological description of a randomized controlled trial (RCT) testing the effect of Raising Our Spirits Together (ROST), a technology-assisted cognitive behavioral therapy (T-CBT) for depression, tailored for the rural context and for delivery by clergy, compared to an enhanced control condition. Depression is among the most common mental health conditions; yet the majority of adults with depression do not receive needed treatment due to limited access to mental health professionals, treatment-associated costs, distance to care, and stigma. These barriers are particularly salient in rural areas of the United States. T-CBT with human support is an accessible and effective treatment for depression; however, currently available T-CBTs have poor completion rates due to the lack of tailoring and other features to support engagement. ROST is a T-CBT specifically tailored for the rural setting and delivery by clergy, who are preferred, informal providers. ROST also presents core CBT content in a simple, jargon-free manner that supports multiple learning preferences. ROST is delivered virtually in a small group format across 8 weekly sessions via videoconferencing software consistent with other clergy-based programs, such as Bible studies or self-help groups. In this study, adults with depressive symptoms recruited from two rural Michigan counties will be randomized to receive ROST versus an enhanced control condition (N = 84). Depressive symptoms post-treatment and at 3 months follow-up according to the Patient Health Questionnaire (PHQ-9) will be the primary outcome. Findings will determine whether ROST is effective for improving depression symptoms in underserved, under resourced rural communities.
Databáze: Directory of Open Access Journals