ClinicalTrials.gg
CompletedNCT04568317Updated Nov 18, 2022

Smartwatch-supported Internet-delivered Intervention for Depression

An interventional study of Space from Depression and Mood Monitor watch app in Depression, sponsored by Silver Cloud Health. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-11-18.

Sponsored by Silver Cloud Health · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
71
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 282 studies in Depression with a site in United Kingdom — 49 open to participants now, 52 under way, 6 of them phase 3. Depression · United Kingdom.

Enrollment
107th of 232
71 · median 62
Started
2020
with 19 others
No phase
180 of 282
28 open now
Registered
152nd of 282
by date

Among the 282 studies in Depression with a site in United Kingdom, this one is the 107th largest by enrollment of the 232 interventional ones, is one of 20 that started in 2020, is one of 180 with no phase, and was the 152nd registered.

By phase

282 studies; the count open now beside each. This study's row is marked.

No phasethis study180 · 28 open
Observational50 · 13 open
Phase 317 · 6 open
Phase 216 · 1 open
Phase 19 · 1 open
Phase 1/24 · 0 open
Phase 2/33 · 0 open
Phase 43 · 0 open

By the year they started

First in 1999; this study’s year is marked. 20 started in 2020.

Size and results

Median enrollment 62 across the 232 interventional studies, 185 across the 50 observational. Of the 186 that completed or were terminated, 19 (10%) have results posted.

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02

Study summary

The current study seeks to investigate the acceptance of the use of a smartwatch in an internet-delivered Cognitive Behavioural Therapy (CBT) based intervention for depression.

Read the detailed description

Eligible patients (n=70) will be invited to use the supported intervention over an 8-week period. Participants who have indicated consent will be randomised in two arms: iCBT intervention - treatment as usual (n=35) and iCBT intervention with smartwatch (n=35). Participants in the smartwatch group will be lent a smartwatch for the duration of treatment, with an app allowing them to monitor their mood in the moment, and keep track of their daily sleep and activity level. All participants will be asked to complete an acceptance questionnaire regarding the technology at three time points: before first use, at 3 weeks, and 8 weeks. This study will contribute to the growing literature on acceptance of technology supporting mental health interventions worldwide. The results may help to establish criteria for patient acceptance of the smartwatch technology as a treatment enhancer in the context of mental health interventions.

03

Conditions studied

  • Depression

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Keywords

  • patient acceptance
  • internet-delivered treatment
  • depression
  • self-monitoring
  • smartwatch
  • wearable
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Eligible for the internet-delivered CBT intervention 'Space from Depression'
  • Own a compatible mobile device (iPhone 6 or upper)

Exclusion criteria

Exclusion Criteria:

  • Suicidal intent/ideation; score >2 on PHQ-9 question 9
  • Psychotic illness
  • Alcohol or drug misuse
  • Previous diagnosis of an organic mental health disorder
  • Currently in psychological treatment for depression symptoms
  • Unstable medication regimens
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
71 participants (actual)

Study arms

  • Experimental
    Smartwatch group

    iCBT intervention 'Space from Depression' with smartwatch as an additional means to self-report data on mood, sleep and physical activity in the 'Space from Depression' program (n=35).

    Behavioral: Space from Depression · Device: Mood Monitor watch app

  • Active comparator
    Treatment as usual group

    iCBT intervention 'Space from Depression' (n=35).

    Behavioral: Space from Depression

Interventions

  • BehavioralSpace from Depression

    This is a 7-module internet-based CBT program. The structure and content of the modules follow evidence-based CBT principles; they are structured to incorporate quizzes, videos, psychoeducational content and interactive tools, personalised homework suggestions and summaries. One of the interactive tools is the mood monitor, where users are encouraged to monitor their mood and reflect on several factors that might had influenced it. Clients are allocated to a psychological wellbeing practitioner (PWP). The PWP is responsible for monitoring and guiding the client's progress throughout the intervention. Over the course of the 8 week supported intervention period, on 6 separate occasions the PWP will review participants progress, leaving feedback for them and responding to the work they have completed. The basic share level allows PWP is to view users' goals for the week, key messages and progress points. Each PWP will provide post-session feedback of between 10 and 15 minutes per session.

  • DeviceMood Monitor watch app

    The Mood Monitor watch app will allow in-the-moment self-report of patients' mood and automated monitoring of their sleep and activity level. This data will be integrated into the existing Mood Monitor tool within the participant's Space from Depression program. During the intervention, prompts to record mood data will appear on the watch app; participants will be encourage to choose the frequency and time ranges to receive prompts. The watch app main screen will provide a daily and weekly visualisation of participant's mood, bedtime, hours slept and steps count, and visual cues on their progress. Participants will receive encouragement prompts to reward frequent and consistent self-report of mood over time and a good sleep hygiene. Finally, the app "Tips to Stay Well" feature will allow participants to go through a list of lifestyle-related tips extracted from the Space from Depression program.

06

What researchers measure

Primary outcomes

  1. Patient acceptance (questionnaire)

    All participants will be asked to fill in the Acceptability Questionnaire (AQ) upon consent, at 3 weeks, and at 8 weeks. These measurement points are aligned with Nadal et al. (2020) Technology Acceptance Lifecycle model. The questionnaire is based on the acceptance factors identified by Kim \& Park (2012). The wording of the AQ is adapted to the technology in question (smartwatch vs mobile/desktop app). Participants will rate each statement on a 5-point Likert Scale. The 8-week AQ contains a series of open-ended questions for the smartwatch group to explore additional factors that might influence the watch app acceptance (privacy protection, resistance to change, etc.).

    Time frame: Upon consent, at 3 weeks, and at 8 weeks

  2. Patient acceptance (interview)

    Participants in the smartwatch group who have indicated consent in taking part in the follow-up interview will be contacted after answering the final acceptance questionnaire.

    Time frame: 8 weeks

  3. Patient acceptance (Satisfaction with Treatment measure)

    The SAT (Richards et al, 2013) will be used to assess patient satisfaction with the intervention. This 5-item questionnaire has been used previously to evaluate different aspects of patient satisfaction and experience with the 'Space from Depression' intervention (Richards et al, 2013). Score varies from 0 to 20; a higher score indicates a better outcome. The score is informed by 2 open-ended questions at the end of the questionnaire.

    Time frame: Immediately after the intervention

Secondary outcomes

  1. Patient Health Questionnaire-9 (PHQ-9)

    The PHQ-9 is a nine-item self-report measure of depression (Kroenke et al, 2001; Spitzer et al, 1999) that has been widely used in research and is employed as a clinical outcome measure in IAPT as part of its minimum dataset. The PHQ-9 items reflect the diagnostic criteria for depression outlined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (A.P. Association, 2013). Score varies from 0 to 27; a higher score indicates a worse outcome.

    Time frame: Baseline - At every meeting between participant and supporter - Immediately after the intervention

  2. Generalized Anxiety Disorder-7 (GAD-7)

    The GAD-7 (Spitzer et al, 2006) is used nationally as a screening and outcome measure in IAPT and is part of the minimum dataset. The seven items measuring anxiety symptoms and severity reflect the DSM-Fifth Edition diagnostic criteria for GAD (A.P. Association, 2013). Score varies from 0 to 21; a higher score indicates a worse outcome.

    Time frame: Baseline - At every meeting between participant and supporter - Immediately after the intervention

  3. Work and Social Adjustment Scale (WSAS)

    This is a five-item self-report questionnaire of functional impairment (Mundt et al, 2002) that is employed nationally as an outcome measure in IAPT. It examines the experiential impact of a disorder across different life domains from the perspective of the service users. The questionnaire examines the degree of impairment caused by a disorder on a daily basis across five dimensions: work, social life, home life, private life, and close relationships. Score varies from 0 to 40; a higher score indicates a worse outcome.

    Time frame: Baseline - At every meeting between participant and supporter - Immediately after the intervention

  4. Usage of the program

    Usage data in terms of time spent in the platform, number of logins, number of tools used, percentage viewed, and number of reviews will be collected. Also, the amount of mood monitor entries, sleep and activity data will be extracted. Approximate activity levels (graded 1 to 5) and sleep patterns will be analyzed to explore the changes over time.

    Time frame: at treatment completion, in average 8 weeks.

07

Study locations

1 site
  • Berkshire Healthcare NHS Foundation Trust
    Bracknell, Berkshire RG12 1BQ, United Kingdom
08

References and documents

Publications

  • Nadal C, Earley C, Enrique A, Vigano N, Sas C, Richards D, Doherty G. Integration of a smartwatch within an internet-delivered intervention for depression: Protocol for a feasibility randomized controlled trial on acceptance. Contemp Clin Trials. 2021 Apr;103:106323. doi: 10.1016/j.cct.2021.106323. Epub 2021 Feb 20. PubMed 33621632 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2020 to primary completion in Sep 2021, 9 months.

Of 3,468 non-industry interventional studies with no phase under Depression, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's 9 months is below that.

Counting every sponsor, half of 3,566 studies reached it within 21 months; a quarter within 9 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 10, 2020
First posted
Sep 29, 2020
StartActual
Nov 30, 2020
Primary completionActual
Sep 1, 2021
CompletionActual
Sep 1, 2021
Last update
Nov 18, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04568317
Lead sponsor
Silver Cloud Health
Collaborators
University of Dublin, Trinity College, Berkshire Healthcare NHS Foundation Trust
Responsible party
Sponsor
First posted
Sep 29, 2020
Start date
Nov 30, 2020
Primary completion
Sep 1, 2021
Completion
Sep 1, 2021
Last update
Nov 18, 2022

Study contacts

Derek Richards, PhD
study director · Silver Cloud Health
Sarah Sollesse, MSc
principal investigator · Berkshire Healthcare NHS Foundation Trust
Camille Nadal, MSc
study chair · University of Dublin, Trinity College
Gavin Doherty, PhD
study chair · University of Dublin, Trinity College

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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