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Precision computerised cognitive behavioural therapy (cCBT) for adolescents with depression: a pilot and feasibility randomised controlled trial protocol for SPARX-UK.

作者信息

Khan K, Hall C L, Babbage C, Dodzo S, Greenhalgh C, Lucassen M, Merry S, Sayal K, Sprange K, Stasiak K, Tench C R, Townsend E, Stallard P, Hollis C

机构信息

Mental Health & Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK.

NIHR MindTech MedTech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK.

出版信息

Pilot Feasibility Stud. 2024 Mar 26;10(1):53. doi: 10.1186/s40814-024-01475-7.


DOI:10.1186/s40814-024-01475-7
PMID:38532490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10964516/
Abstract

BACKGROUND: A serious game called SPARX (Smart, Positive, Active, Realistic, X-factor thoughts), originally developed in New Zealand and incorporating cognitive behavioural therapy (CBT) principles, has been shown to help reduce symptoms of depression and anxiety in adolescents with mild to moderate depression in studies undertaken in Australasia. However, SPARX has never been trialled in the United Kingdom (UK), and there have been issues relating to low engagement when it has been used in a real-world context. AIMS: To conduct the first pilot and feasibility randomised controlled trial (RCT) in England to explore the use of SPARX in different settings. The trial will explore whether SPARX supported by an e-coach (assistant psychologists) improves adherence and engagement compared with self-directed (i.e. self-help) use. The trial results will be used to inform the optimal mode of delivery (SPARX supported vs. SPARX self-directed), to calculate an appropriate sample size for a full RCT, and to decide which setting is most suitable. METHODS: Following consultation with young people to ensure study suitability/appropriateness, a total of 120 adolescents (11-19 years) will be recruited for this three-arm study. Adolescents recruited for the study across England will be randomised to receive either SPARX with human support (from an e-coach), self-directed SPARX, or a waitlist control group. Assessments will be conducted online at baseline, week 4, and 8-10-week post-randomisation. The assessments will include measures which capture demographic, depression (Patient Health Questionnaire modified for adolescents [PHQ-A]) and anxiety (Revised Child Anxiety and Depression Scale [RCADS]) symptomatology, and health-related quality-of-life data (EQ-5D-Y and proxy version). Analyses will be primarily descriptive. Qualitative interviews will be undertaken with a proportion of the participants and clinical staff as part of a process evaluation, and the qualitative data gathered will be thematically analysed. Finally, feasibility data will be collected on recruitment details, overall study uptake and engagement with SPARX, participant retention, and youth-reported acceptability of the intervention. DISCUSSION: The findings will inform the design of a future definitive RCT of SPARX in the UK. If the subsequent definitive RCT demonstrates that SPARX is effective, then an online serious game utilising CBT principles ultimately has the potential to improve the provision of care within the UK's health services if delivered en masse. TRIAL REGISTRATION: ISRCTN: ISRCTN15124804. Registered on 16 January 2023, https://www.isrctn.com/ISRCTN15124804 .

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b398/10964516/a6f928cd2439/40814_2024_1475_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b398/10964516/a6f928cd2439/40814_2024_1475_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b398/10964516/a6f928cd2439/40814_2024_1475_Fig1_HTML.jpg

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Precision computerised cognitive behavioural therapy (cCBT) for adolescents with depression: a pilot and feasibility randomised controlled trial protocol for SPARX-UK.

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引用本文的文献

[1]
Precision computerised cognitive behavioural therapy (cCBT) intervention for adolescents with depression (SPARX-UK): protocol for the process evaluation of a pilot randomised controlled feasibility trial.

BMJ Open. 2025-8-5

[2]
Child and adolescent mental health services in Aotearoa New Zealand.

BJPsych Int. 2025-5

[3]
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Int J Environ Res Public Health. 2024-11-27

本文引用的文献

[1]
Global prevalence of depression and elevated depressive symptoms among adolescents: A systematic review and meta-analysis.

Br J Clin Psychol. 2022-6

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Therapist-supported online remote behavioural intervention for tics in children and adolescents in England (ORBIT): a multicentre, parallel group, single-blind, randomised controlled trial.

Lancet Psychiatry. 2021-10

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JAMA Pediatr. 2021-11-1

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BMJ. 2021-8-3

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J Med Internet Res. 2019-8-15

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BMJ Open. 2019-1-3

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